Narrative Review Comparing the Benefits of and Participation in Cardiac Rehabilitation in High-, Middle- and Low-Income Countries

Turk-Adawi, Karam; Grace, Sherry L.

doi:10.1016/j.hlc.2014.11.013

Cited by 84 publications

(97 citation statements)

References 60 publications

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“…Among patients with CVD, participation in CR is associated with reduced rates of all‐cause mortality and cardiac mortality by 13% to 26% and 20% to 36%, respectively . An observational study of 601,099 US Medicare beneficiaries enrolled in CR found a reduction in 5‐year all‐cause mortality rates by 21% to 34% .…”

Section: Cardiac Rehabilitationmentioning

confidence: 99%

“…With comprehensive CR, systolic BP was significantly reduced by 3 mm Hg to 7 mm Hg, while diastolic BP was significantly reduced by 2 mm Hg . While much of this evidence comes from high‐income countries, the benefits of CR in low‐ and middle‐income countries has also been established …”

Section: Cardiac Rehabilitationmentioning

confidence: 99%

“…Among patients with CVD, participation in CR is associated with reduced rates of all-cause mortality and cardiac mortality by 13% to 26% and 20% to 36%, respectively. 7 An observational study of 601,099 US Medicare beneficiaries enrolled in CR found a reduction in 5-year all-cause mortality rates by 21% to 34%. 8 A recent Cochrane overview of six CR Cochrane reviews concluded that compared with usual care alone, the addition of CR participation was related to significantly reduced hospital re-admissions, even in low-risk patients following myocardial infarction or percutaneous intervention or among those with heart failure.…”

Section: Cardiac Rehabilitationmentioning

confidence: 99%

“…11 While much of this evidence comes from high-income countries, the benefits of CR in low-and middle-income countries has also been established. 7…”

Section: Cardiac Rehabilitationmentioning

confidence: 99%

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Cardiac Rehabilitation for Hypertension Assessment and Control: Report From the International Council of Cardiovascular Prevention and Rehabilitation

Babu

Grace

2015

J of Clinical Hypertension

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The burden of cardiovascular diseases (CVDs) has been steadily rising over the past decades, with an over 40% increase globally.1 Efforts in primary and secondary prevention of CVD and its associated risk factors are required to mitigate this epidemic. One of the chief risk factors contributing to the CVD burden is hypertension, as it is a significant contributor to CVD-related morbidity and mortality. Specifically, hypertension is estimated to cause 7.5 million deaths, which is approximately 12.8% of total mortality, making it one of the top 10 leading causes for death across the world. 2,3Moreover, hypertension accounts for nearly 57 million disability-adjusted life years or 3.7% of total disabilityadjusted life years.

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Section: Cardiac Rehabilitationmentioning

confidence: 99%

Section: Cardiac Rehabilitationmentioning

confidence: 99%

Section: Cardiac Rehabilitationmentioning

confidence: 99%

“…11 While much of this evidence comes from high-income countries, the benefits of CR in low-and middle-income countries has also been established. 7…”

Section: Cardiac Rehabilitationmentioning

confidence: 99%

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Cardiac Rehabilitation for Hypertension Assessment and Control: Report From the International Council of Cardiovascular Prevention and Rehabilitation

Babu

Grace

2015

J of Clinical Hypertension

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“…Most major public health institutions have established cardiac rehabilitation (CR) programmes; however, many studies indicate they have modest success in terms of attendance (Turk‐Adawi and Grace ). Researchers in CR identified two key contributing factors that explain low participation rates: the low enrolment (approximately 30%) of eligible patients (Grace et al .…”

Section: Introductionmentioning

confidence: 99%

Class‐based masculinity, cardiovascular health and rehabilitation

Smith

Dumas

2018

Sociology Health & Illness

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Men in economically advanced societies are more at-risk of dying prematurely due to heart disease than women, and this risk is inversely related to their socioeconomic status (SES). While the strong influence of socioeconomic factors on self-management of chronic diseases is important, the impact of masculinity must also be considered. This study examines the social variation in preventive health lifestyles of men from two contrasting socioeconomic groups who have suffered from a cardiovascular incident requiring hospitalization. It draws chiefly on Pierre Bourdieu's sociocultural theory of the practice (habitus and symbolic violence). Qualitative data was collected through 60 in-depth, semi-structured interviews with Canadian men (average age 57.3). Results indicate that participants from both socioeconomic groups share aspirations towards personal fulfilment (achieving a sense of security, preserving autonomy and gaining social recognition) after their heart incident, but apply different strategies in pursuit of these aspirations that have distinctive effects on healthy lifestyles. This study emphasise the importance of drawing on theoretical approaches in public health that have the potential to combine universal with context-specific views of human experience in order further understand health and lifestyle inequalities.Notes 1 Anti-normative lifestyle in health is used as a generic concept that includes a collection of practices that contrast with the formal recommendations of health care authorities promoting heart health (Heart and Stroke Foundation of Canada). 2 Caution should be exercised when comparing both groups. Although there exist apparent inter-group differences, there is a risk of creating a simplistic opposition between social classes due to the (a) choice of sampling strategy and (b) presentation of strong tendencies in the data. 3 The meaning of this sentence is slightly different in the original French version of Pascalian Medications. In his book, Pierre Bourdieu refers to "la hi erarchie des dignit es et des indignit es" (p. 345) which would translate literally into the hierarchy of dignities and indignities and encompass the ideas of social worth, but also of dignity and pride. 4 The interviews with underprivileged men clearly indicate extensive, unsettling and generalised experiences of being stigmatised and socially devalued since childhood.

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