Usefulness of a Lifestyle Intervention in Patients With Cardiovascular Disease

Abstract

on behalf of the Do CHANGE consortium The importance of modifying lifestyle factors in order to improve prognosis in cardiac patients is well-known. Current study aims to evaluate the effects of a lifestyle intervention on changes in lifestyle-and health data derived from wearable devices. Cardiac patients from Spain (n = 34) and The Netherlands (n = 36) were included in the current analysis. Data were collected for 210 days, using the Fitbit activity tracker, Beddit sleep tracker, Moves app (GPS tracker), and the Careportal home monitoring system. Locally Weighted Error Sum of Squares regression assessed trajectories of outcome variables. Linear Mixed Effects regression analysis was used to find relevant predictors of improvement deterioration of outcome measures. Analysis showed that Number of Steps and Activity Level significantly changed over time (F = 58.21, p < 0.001; F = 6.33, p = 0.01). No significant changes were observed on blood pressure, weight, and sleep efficiency. Secondary analysis revealed that being male was associated with higher activity levels (F = 12.53, p < 0.001) and higher number of steps (F = 8.44, p < 0.01). Secondary analysis revealed demographic (gender, nationality, marital status), clinical (co-morbidities, heart failure), and psychological (anxiety, depression) profiles that were associated with lifestyle measures. In conclusion results showed that physical activity increased over time and that certain subgroups of patients were more likely to have a better lifestyle behaviors based on their demographic, clinical, and psychological profile. This advocates a personalized approach in future studies in order to change lifestyle in cardiac patients.

The Benefits of Telemedicine in Personalized Prevention of Cardiovascular Diseases (CVD): A Systematic Review

“…Table 2 reports the studies involved in telemedicine for the personalized care of CVD patients. Main factors such as patient satisfaction [ 21 , 23 , 24 ], personal medication outcomes [ 15 , 22 , 25 ], self-management of CVDs [ 20 , 26 ], quality care [ 17 , 27 , 28 , 29 ], cost-effectiveness [ 30 ], and technical advancements [ 31 , 32 , 33 ] were also observed.…”

Feasibility of a Wearable-Based Physical Activity Goal-Setting Intervention Among Individuals With Anterior Cruciate Ligament Reconstruction

“…Compliance with PA monitoring using commercially available, wrist-worn PA monitors is well established in a variety of groups currently managing or at risk for chronic diseases such as cardiovascular disease, diabetes, and osteoarthritis. 21,[26][27][28] To our knowledge, this is the first assessment of compliance with prolonged PA monitoring and achievement of individualized PA goals among people with ACLR. In our study, individuals with ACLR wore their PA monitor an average of 97.5% 6 1.8% of the total available days over the 56-day study period (Table 2), which is consistent with previous reports 18,29,30 of other pathologic and healthy populations who used a similar PA monitor (.90.0% compliance).…”

A longitudinal assessment of chronic care pathways in real-life: self-care and outcomes of chronic heart failure patients in Tuscany

“…A key aspect in the chronic diseases' management stands in the empowerment of patients, enhancement of their self-management and promotion of lifestyle changes. Some scholars suggest the need to shift from passive to more self-care based approaches focused on self-care maintenance, monitoring, and management [14][15][16][17]. Since chronic care diseases need a daily management that patients and families mainly carry out, collecting patients' point of view over time is crucial, in order to give them a central role and responsibility in their care pathways [18].…”