Literature DB >> 10092561

Changes in cardiorespiratory fitness, psychological wellbeing, quality of life, and vocational status following a 12 month cardiac exercise rehabilitation programme.

L D Dugmore1, R J Tipson, M H Phillips, E J Flint, N H Stentiford, M F Bone, W A Littler.   

Abstract

OBJECTIVE: To examine and evaluate improvements in cardiorespiratory fitness, psychological wellbeing, quality of life, and vocational status in postmyocardial infarction patients during and after a comprehensive 12 month exercise rehabilitation programme.
SUBJECTS: The sample population comprised 124 patients with a clinical diagnosis of myocardial infarction (122 men and two women).
INTERVENTIONS: 62 patients were randomly allocated to a regular weekly aerobic training programme, three times a week for 12 months, and compared with 62 matched controls who did not receive any formal exercise training. A five year follow up questionnaire/interview was subsequently conducted on this population to determine selected vocational/lifestyle changes.
RESULTS: Significant improvements in cardiorespiratory fitness (p < 0.01-0.001), psychological profiles (p < 0.05-0.001), and quality of life scores (p < 0.001) were recorded in the treatment population when compared with their matched controls. Although there were no significant differences in mortality, a larger percentage of the regular exercisers resumed full time employment and they returned to work earlier than the controls. Controls took lighter jobs, lost more time from work, and suffered more non-fatal reinfarctions (p < 0.05-0.01).
CONCLUSIONS: Regularly supervised and prolonged aerobic exercise training improves cardiorespiratory fitness, psychological status, and quality of life. The trained population also had a reduction in morbidity following myocardial infarction, and significant improvement in vocational status over a five year follow up period.

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Mesh:

Year:  1999        PMID: 10092561      PMCID: PMC1729018          DOI: 10.1136/hrt.81.4.359

Source DB:  PubMed          Journal:  Heart        ISSN: 1355-6037            Impact factor:   5.994


  27 in total

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4.  Guidelines for return to work after myocardial infarction and/or revascularisation.

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5.  Cardiac rehabilitation after myocardial infarction. Combined experience of randomized clinical trials.

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7.  Relation of exercise to the recurrence rate of myocardial infarction in men. Ontario Exercise-Heart Collaborative Study.

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9.  5-year results of a comprehensive rehabilitation programme after myocardial infarction.

Authors:  B Hedbäck; J Perk
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10.  Employment after myocardial infarction amongst previously healthy men.

Authors:  P A Watson; J F Mayberry; B Calcraft; G Colbourne
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Review 9.  Exercise-based cardiac rehabilitation for coronary heart disease.

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