Sex Differences in Predictors of Completion of a 6-Month Adapted Cardiac Rehabilitation Program for People With Type 2 Diabetes and No Known Cardiac Disease

Marzolini, Susan; Banks, Laura; Oh, Paul

doi:10.1016/j.jcjd.2021.11.001

Cited by 5 publications

(3 citation statements)

References 51 publications

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“…Specifically, of 116 consecutively enrolled participants of an outpatient stroke rehabilitation program, women were twice as likely to decline to participate in CR than men 12. Yet, once CR is initiated, there is no sex difference in completion of the program 12 , 13. However, a recent finding from our group demonstrated that among 1536 patients, a depression diagnosis was a significant and independent correlate of prematurely discontinuing CR in women but not in men following stroke 13.…”

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confidence: 71%

“…Yet, once CR is initiated, there is no sex difference in completion of the program 12 , 13. However, a recent finding from our group demonstrated that among 1536 patients, a depression diagnosis was a significant and independent correlate of prematurely discontinuing CR in women but not in men following stroke 13. Therefore, finding ways to address post-stroke depressive symptoms (PSDS) during CR participation, especially in women post-stroke, may optimize benefits from CR programs.…”

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confidence: 99%

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Sex Differences in Depressive Symptoms in 1308 Patients Post-Stroke at Entry to Cardiac Rehabilitation

Du,

Brooks,

et al. 2024

Journal of Cardiopulmonary Rehabilitation and Prevention

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Purpose: The objective of this study was to determine whether a sex difference exists in the prevalence of post-stroke depressive symptoms (PSDS) at entry to cardiac rehabilitation (CR) and to determine the correlates of PSDS in all patients, and in women and men separately. Methods: People post-stroke at entry to CR from database records (2006-2017) were included. Bivariate analyses identified PSDS correlates (≥16 on the Center for Epidemiologic Studies Depression Scale) in all patients and women and men separately. Results: Patients (n = 1308, 28.9% women), mean age of 63.9 ± 12.9 yr, were 24.2 ± 49.9 mo post-stroke at CR entry. Among all patients, 30.0% had PSDS. A greater proportion of women than men had PSDS (38.6 vs 26.6%; P < .001). Correlates of PSDS in all patients were sex (women) (OR = 1.6: 95% CI, 1.14-2.12), being unemployed, ≤60 yr old, prescribed antidepressant medication, having lower cardiorespiratory fitness (peak oxygen uptake [V˙ O 2peak]), chronic obstructive pulmonary disease (COPD), higher body mass index (BMI), no transient ischemic attack, and longer time from stroke to CR entry (>12 mo). Correlates in women were being obese (BMI ≥ 30), 51-70 yr old, prescribed antidepressant medication, and not married. Correlates in men were being ≤60 yr old, unemployed, prescribed antidepressant medication, having lower V˙ O 2peak, sleep apnea, COPD, and no hypertension. Conclusion: Women were disproportionately affected by PSDS at entry to CR in bivariate and multivariable analyses. Women and men had mostly unique correlates of PSDS, indicating tailored strategies to address PSDS are required. Post-stroke depressive symptoms disproportionately affected patients with longer delay to CR entry, suggesting efforts should target timely referral to facilitate earlier and repeated assessments and management.

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confidence: 71%

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confidence: 99%

Sex Differences in Depressive Symptoms in 1308 Patients Post-Stroke at Entry to Cardiac Rehabilitation

Du,

Brooks,

et al. 2024

Journal of Cardiopulmonary Rehabilitation and Prevention

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“…Die Rehabilitation gibt die Möglichkeit, dem Patienten im Hinblick auf sein diabetesspezifisches Selbstmanagement adäquat vorzubereiten. Eine digitale Unterstützung der Post-Reha-Periode bietet die Chance, diese Unterstützung intuitiv zu verlängern und an den Bedürfnissen des Patienten zu orientieren 19 – 21 .…”

Section: Digitale Unterstützung Der Reha-nachsorge Boostert Den Effektunclassified

Duale Reha – neue Chance für optimierte Diabetesbehandlung

André,

Kutschker,

Schwarz

2023

Diabetes aktuell

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ZUSAMMENFASSUNGKnapp jeder fünfte stationäre Krankenhauspatient in Deutschland leidet an Diabetes mellitus. Diese Patienten benötigen die gleiche Versorgung wie Patienten mit Hauptdiagnose Diabetes. Mit der entsprechenden Kompetenz im Behandlungsteam könnte der Reha-Aufenthalt von Patienten mit der Zweitdiagnose Diabetes mellitus ideal genutzt werden, um neben der Rehabilitation der Haupteinweisungsdiagnose, gleichzeitig ein optimiertes Management des Diabetes mellitus mit dem Patienten während der Rehabilitation zu etablieren. Im Anschluss an die Rehabilitation kann durch das Diabetes-Team in der spezialisierten Reha-Einrichtung der Patient über einen längeren Zeitraum in seinem häuslichen Umfeld begleitet werden, z. B. durch den Einsatz von digitalen Gesundheitsanwendungen oder telediabetologischen Kompetenzzentren. Auf diese sogenannte Duale Reha spezialisierte Kliniken könnten somit im Sinne eines Chronic Care Managements einen holistischen Behandlungsauftrag umsetzen und nicht nur die Therapie der Primärdiagnose gewährleisten, sondern insbesondere bei der GKV-REHA auch umfassende Pflegenotwendigkeit verzögern. Diese Form der „Doppelbehandlung“ stellt als Duale Reha eine realistische Chance für eine Verbesserung der Behandlung von Menschen mit Diabetes mellitus dar.

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Réhabilitation pré, per et post-allogreffe de cellules souches hématopoïétiques (atelier SFGM-TC)

Pinelli,

Christophe,

Cheron

et al. 2024

Bulletin du Cancer

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Sex Differences in Predictors of Completion of a 6-Month Adapted Cardiac Rehabilitation Program for People With Type 2 Diabetes and No Known Cardiac Disease

Cited by 5 publications

References 51 publications

Sex Differences in Depressive Symptoms in 1308 Patients Post-Stroke at Entry to Cardiac Rehabilitation

Sex Differences in Depressive Symptoms in 1308 Patients Post-Stroke at Entry to Cardiac Rehabilitation

Duale Reha – neue Chance für optimierte Diabetesbehandlung

Réhabilitation pré, per et post-allogreffe de cellules souches hématopoïétiques (atelier SFGM-TC)

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