Supervised exercise therapy versus home-based exercise therapy versus walking advice for intermittent claudication

Hageman, David; Fokkenrood, H.J.P.; Gommans, Lindy N.M.; Houten, Marijn M.L. van den; Teijink, Joep A.W.

doi:10.1002/14651858.cd005263.pub4

Cited by 138 publications

(157 citation statements)

References 150 publications

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“…During quarantine we must promote physical activity at home. Little information is available on effects of homebased physical activity on chronic disease [32][33][34]. Despite physical activity being defined mandatory for cardiovascular prevention, guidelines do not contain home-based physical activity indications [35].…”

Section: What Must Be Done To Prevent Increase Of Obesity and Of Cardmentioning

confidence: 99%

COVID-19 pandemic: the effects of quarantine on cardiovascular risk

et al. 2020

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COVID-19 is causing a global pandemic with a high number of deaths and infected people. To contain the diffusion of COVID-19 virus, Governments have enforced restrictions on outdoor activities or even collective quarantine on the population. One important consequence of quarantine is a change in lifestyle: reduced physical activity and unhealthy diet. 2019 guidelines for primary prevention of cardiovascular disease indicate that "Adults should engage in at least 150 minute per week of accumulated moderate-intensity or 75 minute per week of vigorous-intensity aerobic physical activity (or an equivalent combination of moderate and vigorous activity) to reduce ASCVD risk." During quarantine, strategies to further increase home-based physical activity and to follow a healthy diet should be implemented. Quarantine carries some longterm effects on cardiovascular disease, mainly related to unhealthy lifestyle and anxiety. Following quarantine a global action supporting healthy diet and physical activity is mandatory to encourage people to return to good lifestyle.

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Section: What Must Be Done To Prevent Increase Of Obesity and Of Cardmentioning

confidence: 99%

COVID-19 pandemic: the effects of quarantine on cardiovascular risk

et al. 2020

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“…A systematic review published in 2013 suggested that there was only low‐level evidence supporting the benefit of home exercise programmes and more robust trials were needed. A recent Cochrane review also suggested that home exercise had no benefit over walking advice alone and was less effective than supervised exercise in improving walking performance in patients with PAD. Since publication of these systematic reviews, more randomized trials of home exercise programmes have been reported.…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of clinical trials examining the benefit of structured home exercise in patients with peripheral artery disease

Golledge

Singh

Alahakoon

et al. 2019

British Journal of Surgery

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Background: Supervised exercise is recommended for the management of peripheral artery disease (PAD); however, the uptake is limited. Structured home exercise programmes may be more feasible, but their effectiveness is unclear. This systematic review and meta-analysis examined the benefit of structured home exercise programmes for treating PAD in comparison to controls not receiving an exercise programme.Methods: A literature search was conducted to identify RCTs comparing structured home exercise with controls not receiving an exercise programme among patients with PAD. To be included, studies had to report outcomes from treadmill or corridor walking tests, or objective assessment of physical activity. Inverse variance-weighted meta-analysis was performed to compare changes in maximum walking distance and intermittent claudication onset distance in treadmill tests, walking distance during a 6-min walking test, and physical activity measured using a pedometer or accelerometer. Summarized results are presented in terms of standard deviation differences.Results: Eleven randomized trials involving 807 patients were included. Follow-up ranged from 2 to 24 months; only one trial included follow-up beyond 12 months. Meta-analyses showed that structured home exercise programmes led to significant improvements in maximum walking distance (mean difference (MD) 0⋅32, 95 per cent c.i. 0⋅15 to 0⋅50; P < 0⋅001), intermittent claudication onset distance (MD 0⋅45, 0⋅27 to 0⋅62; P < 0⋅001), walking distance in a 6-min walking test (MD 0⋅28, 0⋅09 to 0⋅47; P = 0⋅004) and physical activity (MD 0⋅27, 0⋅11 to 0⋅43; P = 0⋅001). Conclusion:This meta-analysis suggests that structured home exercise programmes are effective at improving walking performance and physical activity in the short term for patients with PAD.

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“…Moreover, exercise intervention with supervised exercise or home-based exercise (Hageman, Fokkenrood, Gommans, Houten, & Teijink, 2018) and those with different exercise durations (Sweegers et al, 2018) have been reported positive effect on quality of life.…”

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confidence: 99%

Meta‐analysis: Exercise intervention for sleep problems in cancer patients

et al. 2019

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Background Sleep problems cause physical and mental distress and may influence the survival of cancer patients. Objectives This study aimed to explore the efficacy of exercise intervention to improve sleep in cancer patients. Methods Published papers from 1980 to 2018 were searched. Results The major findings included (a) exercise intervention had small positive effects on enhancing total subjective sleep quality (TSSQ; g = 0.38, 95% CI = 0.21–0.54) and objective sleep onset latency (g = 0.21, 95% CI = 0.01–0.41). (b) The characteristics in subgroups in regarding the small to large effects of an exercise programme on sleep were identified. First, the groups of a home‐based exercise and a supervised exercise combined with a home‐based exercise had a medium effect on TSSQ than the usual group. Second, interventions with aerobic exercise, especially the 4‐ to 8‐week programmes and those with weekly volume of 80–149 min per week for cancer patients with ongoing or completed treatment also had a medium to large positive effect on TSSQ. Finally, patients with breast cancer and haematologic malignancies contributed a small effect in this meta‐analysis. Conclusions Maintaining regular aerobic exercises, even of different durations and weekly volumes, benefits patient sleep quality.

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Supervised exercise therapy versus home-based exercise therapy versus walking advice for intermittent claudication

Cited by 138 publications

References 150 publications

COVID-19 pandemic: the effects of quarantine on cardiovascular risk

COVID-19 pandemic: the effects of quarantine on cardiovascular risk

Meta-analysis of clinical trials examining the benefit of structured home exercise in patients with peripheral artery disease

Meta‐analysis: Exercise intervention for sleep problems in cancer patients

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