Lifestyle intervention and one‐year prognosis of patients following open heart surgery: a randomised clinical trial

Kadda, Olga; Κοτανίδου, Αναστασία; Manginas, Athanasios; Stavridis, George; Nanas, Serafim; Panagiotakos, Demosthenes B.

doi:10.1111/jocn.12762

Cited by 20 publications

(20 citation statements)

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“…We identified two additional relevant papers not included in the 2016 Cochrane review. 28 29 One was excluded because data for our specific research question were not available in a useable format. 28 In total, 22 studies (n=4834 participants) contributed to the analysis ( figure 1 ).…”

Section: Resultsmentioning

confidence: 99%

“… 28 29 One was excluded because data for our specific research question were not available in a useable format. 28 In total, 22 studies (n=4834 participants) contributed to the analysis ( figure 1 ). For the study identified from the updated search, 29 there was a low risk of bias in all eight domains, apart from the intention-to-treat analysis, where there was no evidence of this analysis being conducted ( table 1 ).…”

Section: Resultsmentioning

confidence: 99%

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Is exercise-based cardiac rehabilitation effective? A systematic review and meta-analysis to re-examine the evidence

et al. 2018

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ObjectivesTo determine the contemporary effectiveness of exercise-based cardiac rehabilitation (CR) in terms of all-cause mortality, cardiovascular mortality and hospital admissions.Data sourcesStudies included in or meeting the entry criteria for the 2016 Cochrane review of exercise-based CR in patients with coronary artery disease.Study eligibility criteriaRandomised controlled trials (RCTs) of exercise-based CR versus a no-exercise control whose participants were recruited after the year 2000.Study appraisal and synthesis methodsTwo separate reviewers independently screened the characteristics of studies. One reviewer quality appraised any new studies and assessed their risk of bias using the Cochrane Collaboration’s recommended risk of bias tool. Data were reported as the risk difference (95% CI).ResultsWe included 22 studies with 4834 participants (mean age 59.5 years, 78.4% male). We found no differences in outcomes between exercise-based CR and a no-exercise control at their longest follow-up period for: all-cause mortality (19 studies; n=4194; risk difference 0.00, 95% CI −0.02 to 0.01, P=0.38) or cardiovascular mortality (9 studies; n=1182; risk difference −0.01, 95% CI −0.02 to 0.01, P=0.25). We found a small reduction in hospital admissions of borderline statistical significance (11 studies; n=1768; risk difference −0.05, 95% CI −0.10 to −0.00, P=0.05).Conclusions and implications of key findingsOur analysis indicates conclusively that the current approach to exercise-based CR has no effect on all-cause mortality or cardiovascular mortality, when compared with a no-exercise control. There may be a small reduction in hospital admissions following exercise-based CR that is unlikely to be clinically important.PROSPERO registration numberCRD42017073616.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Is exercise-based cardiac rehabilitation effective? A systematic review and meta-analysis to re-examine the evidence

et al. 2018

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“…In a more recent report, researchers determined that lifestyle counseling that included cardioprotective dietary modifications was effective in reducing cardiac events and increasing the likelihood of positive lifestyle changes among post-coronary artery bypass graft and valvular surgery patients. 88 Increasing evidence suggests that a heart-healthy diet reduces cardiovascular risk not only by favorably modifying lipids, 89,90 blood pressure, body weight, and insulin resistance, but by reducing inflammation as well. 90,91 Independent of statins or weight loss, therapeutic lifestyle changes such as those promulgated by comprehensive CR programs result in substantial reductions in CRP, similar in magnitude to statin therapy.…”

Section: Considerations For Nutrition In Secondary Preventionmentioning

confidence: 99%

Lifestyle Modification in Secondary Prevention

Brinks

Fowler

Franklin

et al. 2016

American Journal of Lifestyle Medicine

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Despite significant advances in medical technology and pharmacology, cardiovascular disease (CVD) remains a major contributor to health care expenses and the leading cause of death in the United States. Patients with established CVD and their health care providers are challenged with achieving cardiovascular risk reduction to decrease the likelihood of recurrent cardiovascular events. This "secondary prevention" can be achieved, in part, through adherence to prescribed pharmacotherapies that favorably modify major coronary risk factors (ie, hypertension, hypercholesterolemia, diabetes, and obesity). However, lifestyle modification can also be helpful in this regard, providing independent and additive benefits to the associated reductions in cardiovascular morbidity and mortality. Accordingly, physicians and other health care providers should routinely counsel their coronary patients to engage in structured exercise and increased lifestyle physical activity, consume a heart-healthy diet, quit smoking and avoid secondhand smoke, and purposefully address psychosocial stressors that may elevate cardiovascular risk. These lifestyle interventions, either as an adjunct to medication therapy or independently in those patients where medications may be poorly tolerated, cost prohibitive, or ineffective, can significantly decrease cardiovascular mortality and the risk of recurrent cardiac events.

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“…2 CAD is treated through percutaneous coronary intervention (PCI) and coronary artery bypass grafting (CABG) during the acute phase, and medical management, such as medication and lifestyle modification, is used during the chronic phase. [3][4][5] Despite consistent treatment and management, recurrence of CAD often occurs. Recurrence of CAD is defined differently in each study; the prevalence of recurrent CAD is about 15-50% based on diagnosis confirmed by a cardiologist according to ICD-9 criteria or coronary angiography (restenosis of the coronary artery).…”

Section: Introductionmentioning

confidence: 99%

Predictive model for quality of life in patients with recurrent coronary artery disease

Kim

2019

European Journal of Cardiovascular Nursing

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Background: The aims of this study were to construct and verify a model that explains the quality of life in patients with recurrent coronary artery disease. Methods: Participants were 212 patients with recurrent coronary artery disease undergoing percutaneous coronary intervention. Data were collected through structured questionnaires from 21 December 2016–30 April 2017, and were analyzed using SPSS 23.0 and AMOS 23.0. Results: The model’s fit indices were adequate. Type D personality, symptom experience, and resilience had a direct effect on quality of life, while type D personality, cardiac function status, social support, and resilience had an indirect effect on quality of life. Type D personality, cardiac function status, social support, symptom experience, and resilience explained 55% of the total variance in quality of life. Thus, type D personality, cardiac function status, social support, symptom experience, and resilience affected the quality of life in patients with recurrent coronary artery disease. Conclusions: Systematic and integrated intervention programs considering factors related to quality of life may be useful for improving quality of life for patients with recurrent coronary artery disease.

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Lifestyle intervention and one‐year prognosis of patients following open heart surgery: a randomised clinical trial

Abstract: A well-structured cardiac rehabilitation programme adjusted to the patient's profile is a safe and cost-effective way to improve patients' outcome.

Cited by 20 publications

References 55 publications

Is exercise-based cardiac rehabilitation effective? A systematic review and meta-analysis to re-examine the evidence

Is exercise-based cardiac rehabilitation effective? A systematic review and meta-analysis to re-examine the evidence

Lifestyle Modification in Secondary Prevention

Predictive model for quality of life in patients with recurrent coronary artery disease

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