Emily C Gathright1, Carly M Goldstein2, Eric B Loucks3, Andrew M Busch4, Loren Stabile5, Wen-Chih Wu6. 1. Centers for Preventive and Behavioral Medicine, The Miriam Hospital, 1 Hoppin St, Providence, RI 02903, United States; Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI 02903, United States. Electronic address: Emily_Gathright@brown.edu. 2. Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Providence, RI 02903, United States; The Weight Control and Diabetes Research Center, The Miriam Hospital, 196 Richmond St, Providence, RI 02903, United States; Providence Veterans Affairs Medical Center, Providence, RI 02908, United States. 3. Department of Behavioral and Social Sciences and Epidemiology, Brown School of Public Health, Providence, RI 02903, United States. 4. Department of Medicine, Hennepin County Medical Center, Minneapolis, MN 55415, United States; Department of Medicine, University of Minnesota, Minneapolis, MN 55455, United States; Minneapolis Medical Research Foundation, Minneapolis, MN 55404, United States. 5. The Miriam Hospital's Center for Cardiac Fitness, 208 Collyer St, Providence RI 02904, United States. 6. Providence Veterans Affairs Medical Center, Providence, RI 02908, United States; The Miriam Hospital's Center for Cardiac Fitness, 208 Collyer St, Providence RI 02904, United States; Department of Medicine, Alpert Medical School, Brown University, Providence, RI 02903, United States.
Abstract
PURPOSE: Most cardiac rehabilitation (CR) completers improve in multiple functional and psychosocial domains. However, not all demonstrate uniform improvement in functional indicators such as exercise capacity. This study examined baseline predictors and correlates of change in exercise capacity from CR intake to completion. METHODS: CR participants (n = 488) completed assessment of metabolic equivalents (METs) via treadmill stress test, depressive symptoms, quality of life, and social support at intake and discharge. Associations between demographic, clinical, and psychosocial factors and MET changes was tested with linear regression. RESULTS: METs increased from intake to discharge (1.91 ± 1.48, p < .001). Younger age (p < .001), lower BMI (p < .001), and lower weight (p < .01) were associated with greater MET change. Greater percentage weight loss (p < .05), and self-reported improvements in physical functioning (p < .001) and bodily pain (p < .01) were concurrently related to MET change. CONCLUSIONS: Older CR attendees and those with higher baseline BMI may benefit from tailored intervention to ensure maximum benefit in exercise capacity.
PURPOSE: Most cardiac rehabilitation (CR) completers improve in multiple functional and psychosocial domains. However, not all demonstrate uniform improvement in functional indicators such as exercise capacity. This study examined baseline predictors and correlates of change in exercise capacity from CR intake to completion. METHODS:CRparticipants (n = 488) completed assessment of metabolic equivalents (METs) via treadmill stress test, depressive symptoms, quality of life, and social support at intake and discharge. Associations between demographic, clinical, and psychosocial factors and MET changes was tested with linear regression. RESULTS: METs increased from intake to discharge (1.91 ± 1.48, p < .001). Younger age (p < .001), lower BMI (p < .001), and lower weight (p < .01) were associated with greater MET change. Greater percentage weight loss (p < .05), and self-reported improvements in physical functioning (p < .001) and bodily pain (p < .01) were concurrently related to MET change. CONCLUSIONS: Older CR attendees and those with higher baseline BMI may benefit from tailored intervention to ensure maximum benefit in exercise capacity.
Authors: Alban De Schutter; Sergey Kachur; Carl J Lavie; Arthur Menezes; Kelly K Shum; Sripal Bangalore; Ross Arena; Richard V Milani Journal: Eur Heart J Qual Care Clin Outcomes Date: 2018-07-01
Authors: Sergey Kachur; Vasutakarn Chongthammakun; Carl J Lavie; Alban De Schutter; Ross Arena; Richard V Milani; Barry A Franklin Journal: Prog Cardiovasc Dis Date: 2017-07-06 Impact factor: 8.194
Authors: Susmita Mallik; Harlan M Krumholz; Zhen Qiu Lin; Stanislav V Kasl; Jennifer A Mattera; Sarah A Roumains; Viola Vaccarino Journal: Circulation Date: 2005-01-17 Impact factor: 29.690
Authors: Johannes Bargehr; Colleen S Thomas; Keith R Oken; Randal J Thomas; Francisco Lopez-Jimenez; Jorge F Trejo-Gutierrez Journal: Am J Cardiol Date: 2016-08-24 Impact factor: 2.778
Authors: Steven J Keteyian; Dennis J Kerrigan; Jonathan K Ehrman; Clinton A Brawner Journal: J Cardiopulm Rehabil Prev Date: 2017-07 Impact factor: 2.081
Authors: Carl J Lavie; Lawrence P Cahalin; Paul Chase; Jonathan Myers; Daniel Bensimhon; Mary Ann Peberdy; Euan Ashley; Erin West; Daniel E Forman; Marco Guazzi; Ross Arena Journal: Mayo Clin Proc Date: 2013-02-27 Impact factor: 7.616
Authors: Javaid Nauman; Lucas C Tauschek; Leonard A Kaminsky; Bjarne M Nes; Ulrik Wisløff Journal: Prog Cardiovasc Dis Date: 2017-02-10 Impact factor: 8.194
Authors: Jennalee S Wooldridge; Matthew S Herbert; Jeffrey Hernandez; Cara Dochat; Kathryn M Godfrey; Marianna Gasperi; Niloofar Afari Journal: Int J Behav Med Date: 2019-08
Authors: Prisca Eser; Thimo Marcin; Eva Prescott; Leonie F Prins; Evelien Kolkman; Wendy Bruins; Astrid E van der Velde; Carlos Peña Gil; Marie-Christine Iliou; Diego Ardissino; Uwe Zeymer; Esther P Meindersma; Arnoud W J Van'tHof; Ed P de Kluiver; Matthias Wilhelm Journal: PLoS One Date: 2021-08-05 Impact factor: 3.752