OBJECTIVE: To estimate fatigue during and after a multidisciplinary cardiac rehabilitation programme and its association with aerobic capacity. DESIGN: Longitudinal cohort study. PATIENTS: A total of 121 patients with coronary artery disease (79% men), mean age 57 years. METHODS: Fatigue was measured with the Fatigue Severity Scale (FSS) and aerobic capacity with the 6-min walk test (6MWT). FSS scores ≥ 4 were defined as fatigue and >5.1 as severe fatigue. Measurements were taken before (T0) and after rehabilitation (T1) and at 1-year follow-up (T2). RESULTS: Fatigue decreased from 3.49 at baseline to 3.03 post-rehabilitation (p=0.002) and decreased further to 2.75 at follow-up (p<0.001 vs T0). At baseline, 17.7% of patients were classified as severely fatigued. After cardiac rehabilitation, the prevalence decreased to 10.6% (p<0.001) and to 8.1% at follow-up (p=0.011 vs T0). Although the prevalence of severely fatigued patients decreased, it was still high compared with healthy individuals (3.5%). Aerobic capacity was weakly associated with a reduction in fatigue (p=0.030). CONCLUSION: Fatigue decreased during and after cardiac rehabilitation. However, the prevalence of severely fatigued patients remained high after cardiac rehabilitation. Fatigue should be identified at an early stage in order to provide additional programmes aiming to reduce severe fatigue.
OBJECTIVE: To estimate fatigue during and after a multidisciplinary cardiac rehabilitation programme and its association with aerobic capacity. DESIGN: Longitudinal cohort study. PATIENTS: A total of 121 patients with coronary artery disease (79% men), mean age 57 years. METHODS:Fatigue was measured with the Fatigue Severity Scale (FSS) and aerobic capacity with the 6-min walk test (6MWT). FSS scores ≥ 4 were defined as fatigue and >5.1 as severe fatigue. Measurements were taken before (T0) and after rehabilitation (T1) and at 1-year follow-up (T2). RESULTS:Fatigue decreased from 3.49 at baseline to 3.03 post-rehabilitation (p=0.002) and decreased further to 2.75 at follow-up (p<0.001 vs T0). At baseline, 17.7% of patients were classified as severely fatigued. After cardiac rehabilitation, the prevalence decreased to 10.6% (p<0.001) and to 8.1% at follow-up (p=0.011 vs T0). Although the prevalence of severely fatigued patients decreased, it was still high compared with healthy individuals (3.5%). Aerobic capacity was weakly associated with a reduction in fatigue (p=0.030). CONCLUSION:Fatigue decreased during and after cardiac rehabilitation. However, the prevalence of severely fatigued patients remained high after cardiac rehabilitation. Fatigue should be identified at an early stage in order to provide additional programmes aiming to reduce severe fatigue.
Authors: Nienke Ter Hoeve; Madoka Sunamura; Henk J Stam; Ron T van Domburg; Rita Jg van den Berg-Emons Journal: Clin Rehabil Date: 2019-04-15 Impact factor: 3.477
Authors: Julija Gecaite-Stonciene; Brian M Hughes; Julius Burkauskas; Adomas Bunevicius; Nijole Kazukauskiene; Lisanne van Houtum; Julija Brozaitiene; Julius Neverauskas; Narseta Mickuviene Journal: Front Physiol Date: 2021-08-17 Impact factor: 4.566
Authors: Julija Gecaite-Stonciene; Adomas Bunevicius; Julius Burkauskas; Julija Brozaitiene; Julius Neverauskas; Narseta Mickuviene; Nijole Kazukauskiene Journal: Int J Environ Res Public Health Date: 2020-10-30 Impact factor: 3.390