Six-minute walk performance and quality of life comparisons in North Carolina cardiac rehabilitation programs

Verrill, David E.; Barton, Cole; Beasley, Will; Lippard, Michael; King, Carl N.

doi:10.1067/mhl.2003.7

Cited by 45 publications

(26 citation statements)

References 38 publications

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“…An increase in functional capacity of 17% is consistent with that documented in traditional outpatient programs, 16 as was the small but significant improvement in BMI. 17 The reduction in blood pressure in the current study was more dramatic than has been observed in previous studies 18 and may reflect a combination of lifestyle modification, improved medication compliance and the relatively high blood pressure amongst participants at baseline in the current study.…”

Section: Discussionsupporting

confidence: 66%

Build it and they will come: outcomes from a successful cardiac rehabilitation program at an Aboriginal Medical Service

Dimer

Dowling

Jones³

et al. 2013

Aust. Health Review

131

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Objective. Cardiovascular disease (CVD) is the leading disease burden in Aboriginal Australians, but culturally appropriate cardiac rehabilitation programs are lacking. We evaluated the uptake and effects on lifestyle, and cardiovascular risk factors, of cardiac rehabilitation at an Aboriginal Medical Service (AMS).Methods. The program involved weekly exercise and education sessions (through 'yarning') for Aboriginal people with or at risk of CVD. Participants' perceptions of the program and the impact on risk factors were evaluated following 8 weeks of attendance.Results. In twenty-eight participants (20 females) who completed 8 weeks of sessions, body mass index (34.0 AE 5.1 v. 33.3 AE 5.2 kg m -2 ; P < 0.05), waist girth (113 AE 14 v. 109 AE 13 cm; P < 0.01) and blood pressure (135/78 AE 20/12 v. 120/72 AE 16/5 mmHg; P < 0.05) decreased and 6-min walk distance increased (296 AE 115 v. 345 AE 135 m; P < 0.01). 'Yarning' helped identify and address a range of chronic health issues including medication compliance, risk factor review and chest pain management.Conclusions. AMS-based cardiac rehabilitation was well attended, and improved cardiovascular risk factors and health management. An AMS is an ideal location for managing cardiovascular health and provides a setting conducive to addressing a broad range of chronic conditions.What is known about the topic? Cardiovascular disease is the leading cause of morbidity and mortality in Aboriginal Australians, but less than 5% of eligible Aboriginal people attend hospital-based cardiac rehabilitation.

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Section: Discussionsupporting

confidence: 66%

Build it and they will come: outcomes from a successful cardiac rehabilitation program at an Aboriginal Medical Service

Dimer

Dowling

Jones³

et al. 2013

Aust. Health Review

131

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“…See Table 1 relatively small cardiac rehabilitation cohort. 46 Studies in the general population 47 and in elderly persons 48,49 have shown a higher prevalence of physical inactivity in African Americans than in Caucasians. In…”

Section: Discussionmentioning

confidence: 99%

Six-Minute Walk Distance Predictors, Including CT Scan Measures, in the COPDGene Cohort

Rambod

Pórszász

Make

et al. 2012

Chest

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Background: Exercise tolerance in COPD is only moderately well predicted by airfl ow obstruction assessed by FEV 1 . We determined whether other phenotypic characteristics, including CT scan measures, are independent predictors of 6-min walk distance (6MWD) in the COPDGene cohort. Methods: COPDGene recruits non-Hispanic Caucasian and African American current and ex-smokers. Phenotyping measures include postbronchodilator FEV 1 % predicted and inspiratory and expiratory CT lung scans. We defi ned % emphysema as the percentage of lung voxels , 2 950 Hounsfi eld units on the inspiratory scan and % gas trapping as the percentage of lung voxels , 2 856 Hounsfi eld units on the expiratory scan. Results: Data of the fi rst 2,500 participants of the COPDGene cohort were analyzed. Participant age was 61 Ϯ 9 years; 51% were men; 76% were non-Hispanic Caucasians, and 24% were African Americans. Fifty-six percent had spirometrically defi ned COPD, with 9.3%, 23.4%, 15.0%, and 8.3% in GOLD (Global Initiative for Chronic Obstructive Lung Disease) stages I to IV, respectively. Higher % emphysema and % gas trapping predicted lower 6MWD ( P , .001). However, in a given spirometric group, after adjustment for age, sex, race, and BMI, neither % emphysema nor % gas trapping, or their interactions with FEV 1 % predicted, remained a signifi cant 6MWD predictor. In a given spirometric group, only 16% to 27% of the variance in 6MWD could be explained by age, male sex, Caucasian race, and lower BMI as signifi cant predictors of higher 6MWD. Conclusions:In this large cohort of smokers in a given spirometric stage, phenotypic characteristics were only modestly predictive of 6MWD. CT scan measures of emphysema and gas trapping were not predictive of 6MWD after adjustment for other phenotypic characteristics. CHEST 2012; 141(4):867 -875Abbreviations: 6MWD 5 6-min walk distance; 6MWT 5 6-min walk test; GOLD 5 Global Initiative for Chronic Obstructive Lung Disease; HU 5 Hounsfi eld unit; LOWESS 5 locally weighted scatterplot smoothing

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“…This domain's scores and respective percentage and comparison between groups 30 days after hospital discharge are listed in Table 2. The 2 groups demonstrated significant increases in 6-minute walk distance [11][12][13][14][15][16], mild to moderate (score 17-21), mild (score [22][23][24][25] and no erectile dysfunction (score [26][27][28][29][30] 8 . p <0.05 was considered significant.…”

Section: Resultsmentioning

confidence: 99%

A Home-Based Walking Program Improves Erectile Dysfunction in Men With an Acute Myocardial Infarction

Begot

Peixoto

Gonzaga

et al. 2015

The American Journal of Cardiology

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Six-minute walk performance and quality of life comparisons in North Carolina cardiac rehabilitation programs

Cited by 45 publications

References 38 publications

Build it and they will come: outcomes from a successful cardiac rehabilitation program at an Aboriginal Medical Service

Build it and they will come: outcomes from a successful cardiac rehabilitation program at an Aboriginal Medical Service

Six-Minute Walk Distance Predictors, Including CT Scan Measures, in the COPDGene Cohort

A Home-Based Walking Program Improves Erectile Dysfunction in Men With an Acute Myocardial Infarction

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