Andreia Noites1, Carla Patrícia Freitas2, Joana Pinto3, Cristina Melo3, Ágata Vieira3, Aníbal Albuquerque4, Madalena Teixeira4, Fernando Ribeiro5, José Mesquita Bastos6. 1. Department of Physiotherapy, School of Allied Health Technologies, Polytechnic Institute of Porto, Porto, Portugal. Electronic address: arn@ess.ipp.pt. 2. Hôpital du Jura bernois SA, Saint-Imier, Switzerland. 3. Department of Physiotherapy, School of Allied Health Technologies, Polytechnic Institute of Porto, Porto, Portugal. 4. Serviço de Cardiologia, Centro Hospitalar de Vila Nova de Gaia/Espinho, EPE, Portugal. 5. School of Health Sciences and Institute of Biomedicine - iBiMED, University of Aveiro, Aveiro, Portugal. 6. School of Health Sciences, University of Aveiro, Aveiro, Portugal.
Abstract
BACKGROUND: Cardiovascular diseases are the leading cause of death globally and sedentary lifestyle is one of the main risk factors. Home-based cardiac rehabilitation (CR) programs appear to be effective to improve exercise tolerance. The aim of the study, therefore, was to evaluate the effects of a phase IV (maintenance) home-based CR program on cardiorespiratory fitness and daily physical activity of patients recovering from an acute myocardial infarction. METHODS: This pilot study, with a sub-group randomised controlled trial, included 32 individuals recovering from a myocardial infarction, randomly divided into the experimental group (EG, n=16) and the control group (CG, n=16). The EG performed an exercise program, three times per week, at home during eight weeks. The two groups received health education sessions. Baseline and final assessments included cardiorespiratory fitness, resting and peak heart rate, blood pressure and rate pressure, heart rate recovery and daily physical activity. (ClinicalTrials.gov: NCT01887080). RESULTS: At baseline no significant differences were observed between groups. After eight weeks of exercise, the EG significantly increased peak oxygen uptake (p=0.02), test duration (p=0.019), peak rate pressure (p=0.003), peak heart rate (p=0.003) and heart rate recovery (0.025) when compared to the CG. No changes were observed on daily physical activity in both groups. CONCLUSION: This specific phase IV home-based exercise program seems to improve cardiorespiratory fitness, haemodynamics at peak exercise and heart rate recovery, an indicator of cardiac autonomic function.
RCT Entities:
BACKGROUND:Cardiovascular diseases are the leading cause of death globally and sedentary lifestyle is one of the main risk factors. Home-based cardiac rehabilitation (CR) programs appear to be effective to improve exercise tolerance. The aim of the study, therefore, was to evaluate the effects of a phase IV (maintenance) home-based CR program on cardiorespiratory fitness and daily physical activity of patients recovering from an acute myocardial infarction. METHODS: This pilot study, with a sub-group randomised controlled trial, included 32 individuals recovering from a myocardial infarction, randomly divided into the experimental group (EG, n=16) and the control group (CG, n=16). The EG performed an exercise program, three times per week, at home during eight weeks. The two groups received health education sessions. Baseline and final assessments included cardiorespiratory fitness, resting and peak heart rate, blood pressure and rate pressure, heart rate recovery and daily physical activity. (ClinicalTrials.gov: NCT01887080). RESULTS: At baseline no significant differences were observed between groups. After eight weeks of exercise, the EG significantly increased peak oxygen uptake (p=0.02), test duration (p=0.019), peak rate pressure (p=0.003), peak heart rate (p=0.003) and heart rate recovery (0.025) when compared to the CG. No changes were observed on daily physical activity in both groups. CONCLUSION: This specific phase IV home-based exercise program seems to improve cardiorespiratory fitness, haemodynamics at peak exercise and heart rate recovery, an indicator of cardiac autonomic function.
Authors: Agustín Manresa-Rocamora; Fernando Ribeiro; José Manuel Sarabia; Javier Íbias; Nórton Luís Oliveira; Francisco José Vera-García; Manuel Moya-Ramón Journal: Clin Auton Res Date: 2020-04-08 Impact factor: 4.435
Authors: Grace Dibben; James Faulkner; Neil Oldridge; Karen Rees; David R Thompson; Ann-Dorthe Zwisler; Rod S Taylor Journal: Cochrane Database Syst Rev Date: 2021-11-06
Authors: Stella de Souza Vieira; Brunno Lemes de Melo; Luis Felipe Dos Santos; Charles O Cummings; Paulo José Ferreira Tucci; Andrey Jorge Serra Journal: Stem Cell Rev Rep Date: 2021-10-05 Impact factor: 5.739
Authors: Mary Beth Brown; Attie Kempf; Catherine M Collins; Gary M Long; Matthew Owens; Shikha Gupta; Yaron Hellman; Vincent Wong; Mark Farber; Tim Lahm Journal: Pulm Circ Date: 2018 Jan-Mar Impact factor: 3.017