Abstract:
PURPOSE:Patients who attend cardiac rehabilitation programs have a high prevalence of multiple chronic conditions (MCCs). The extent to which different constellations of MCC influence lifestyle exercise in the year after completion of an outpatient phase 2 cardiac rehabilitation program (CRP) is unknown. Our objective was to examine the effects of MCC on lifestyle exercise in the year after completion of a CRP. METHODS:The effects of different constellations of comorbidities on objectively measured lifestyle exercise were examined using data from a randomized controlled trial testing lifestyle behavior change interventions in patients with cardiac events (n = 379) who completed a phase 2 CRP. Adjusting for important covariates, the relationships between the primary outcome, exercise amount, and the presence of common chronic conditions (hypertension, obesity, diabetes, and arthritis) were studied using robust linear mixed-effects models. RESULTS:Diabetes, hypertension, obesity, and their dyads, triads, and quads have a negative impact on amount of exercise. For example, the cooccurrences of obesity and hypertension reduced lifestyle exercise by 2.83 hours per month (95% CI, 1.33-4.33) after adjustment for the effects of covariates. The presence of obesity was a major factor in the comorbid constellations affecting lifestyle exercise. CONCLUSIONS:The presence of obesity and other chronic conditions negatively impacts lifestyle exercise in the year after a CRP. The magnitude of the effect depends on the comorbidities. Different constellations of comorbid conditions can be used to identify those persons at greatest risk for not exercising after cardiac rehabilitation.
journal_name
J Cardiopulm Rehabil Prevjournal_title
Journal of cardiopulmonary rehabilitation and preventionauthors
Sattar A,Josephson R,Moore SMdoi
10.1097/HCR.0000000000000211subject
Has Abstractpub_date
2017-07-01 00:00:00pages
262-267issue
4eissn
1932-7501issn
1932-751Xjournal_volume
37pub_type
杂志文章,随机对照试验abstract:PURPOSE:The application of active video games (AVGs) during cardiac rehabilitation (CR) sessions could potentially facilitate patient adherence. The feasibility, safety, and efficacy of in-class AVG supplementation as an alternative to conventional phase 2 programs were investigated. METHODS:A pilot, evaluator-blinded...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,随机对照试验
doi:10.1097/HCR.0000000000000224
更新日期:2017-07-01 00:00:00
abstract:BACKGROUND:Hospitalization with acute exacerbation of chronic obstructive pulmonary disease (COPD) is common and costly to the health care system. Pulmonary rehabilitation (PR) can improve symptom burden and morbidity associated with COPD. The use of PR among Medicare beneficiaries is poor, and the use by Veterans Heal...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000357
更新日期:2018-11-01 00:00:00
abstract:PURPOSE:Quadriceps muscle weakness is a serious complication of physical inactivity following hospitalization due to acute exacerbations of chronic obstructive pulmonary disease (AECOPD). Preventing strength loss during AECOPD is therefore a high priority. We aimed to evaluate the feasibility of progressive knee-extens...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000230
更新日期:2017-01-01 00:00:00
abstract:PURPOSE:Cardiac rehabilitation (CR) programs decrease morbidity and mortality rates in patients with coronary artery disease, the leading cause of death in Latin America. This study was carried out to assess the characteristics and current level of CR program implementation in South America. METHODS:We carried out a s...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,多中心研究
doi:10.1097/HCR.0b013e318272153e
更新日期:2013-01-01 00:00:00
abstract:PURPOSE:Evidence supports the use of waist circumference (WC) as an important clinical measure of body composition and obesity-related health risk. Self-monitoring of WC may be problematic for older persons, especially for those with a chronic illness such as heart failure (HF). No studies to date have measured the acc...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/01.HCR.0000311508.39096.a5
更新日期:2008-01-01 00:00:00
abstract:PURPOSE:A minority of eligible patients participate in cardiac rehabilitation (CR) programs. Availability of home-based CR programs improves participation in CR, yet many continue to decline to enroll. We sought to explore among patients the rationale for declining to participate in CR even when a home-based CR program...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000493
更新日期:2020-09-01 00:00:00
abstract:BACKGROUND:Inflammatory and vascular markers have proved to be predictors of outcome in myocardial infarction and heart failure. We evaluated several circulating markers of cardiac stress, inflammation, and endothelial function to investigate their ability to predict short-term functional recovery and long-term clinica...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,多中心研究
doi:10.1097/HCR.0b013e31823be0f4
更新日期:2012-01-01 00:00:00
abstract:PURPOSE:Medical comorbidities (CM) contribute to cardiac rehabilitation (CR) underutilization. Whether individuals with coronary heart disease and an increased CM burden achieve similar benefits from CR as those with a low CM burden is unknown. METHODS:We analyzed 794 patients with coronary heart disease completing CR...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0b013e31822f189c
更新日期:2011-11-01 00:00:00
abstract:PURPOSE:The objective of this study was to use a modified Philadelphia Panel rating method to evaluate the evidence supporting the use of therapeutic exercise interventions in patients with congestive heart failure (CHF). METHODS:A computerized literature search was conducted. Inclusion criteria included studies using...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/01.HCR.0000300263.07764.4a
更新日期:2007-11-01 00:00:00
abstract::Physical activity and exercise training (ET) enhance overall cardiorespiratory fitness (ie, fitness), thus producing many benefits in the primary and secondary prevention of cardiovascular diseases. Substantial evidence also indicates that acute and chronic inflammation is involved in the development and progression o...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/HCR.0b013e3182122827
更新日期:2011-05-01 00:00:00
abstract::Symptom-limited (maximal) exercise testing before cardiac rehabilitation (CR) was once an unambiguous standard of care. In particular, it served as an important screen for residual ischemia and instability before initiating a progressive exercise training regimen. However, improved revascularization and therapy for co...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/HCR.0000000000000176
更新日期:2016-09-01 00:00:00
abstract:PURPOSE:To determine the utility of equations that use the 6-minute walk test (6MWT) results to estimate peak oxygen uptake ((Equation is included in full-text article.)o2) and peak work rate with chronic obstructive pulmonary disease (COPD) patients in a clinical setting. METHODS:This study included a systematic revi...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/HCR.0000000000000129
更新日期:2015-11-01 00:00:00
abstract:PURPOSE:Acceptance, a cognitive-behavioral concept successfully applied to chronic pain and chronic illness in an HIV/AIDS population, was examined for applicability in patients in a cardiac rehabilitation program. The study examined the internal reliability of the Activities Engagement (AE) and Illness Willingness (IW...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0b013e31825859c1
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:Asthma is a chronic inflammatory condition characterized by bronchial hypersensitivity to endogenous or exogenous agents and variable airflow limitation, which is reversible either spontaneously or with the use of medication. The evaluation of functional capacity in these patients is commonly performed using fi...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000286
更新日期:2018-01-01 00:00:00
abstract:PURPOSE:There is strong evidence that exercise training has beneficial health effects in patients with cardiovascular disease. Most studies have focused on moderate continuous training (MCT); however, a body of evidence has begun to emerge demonstrating that high-intensity interval training (HIIT) has significantly bet...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,随机对照试验
doi:10.1097/HCR.0000000000000156
更新日期:2016-03-01 00:00:00
abstract:PURPOSE:Exercise is an important treatment modality for persons with chronic obstructive pulmonary disease (COPD), but factors influencing adherence have been examined infrequently. The purpose of this investigation was to explore adherence factors to a progressive resistance exercise program for persons with COPD. ME...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 临床试验,杂志文章
doi:10.1097/01.HCR.0000270686.78763.c8
更新日期:2007-05-01 00:00:00
abstract:PURPOSE:Cardiac rehabilitation (CR) is a multifactorial program that encourages healthy behaviors in persons with a recent cardiovascular event or procedure. Research on the association between CR and health-behavior maintenance has focused on physical activity. Therefore, the purpose of this research was to examine th...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0b013e3181c8594b
更新日期:2010-01-01 00:00:00
abstract:PURPOSE:To compare exercise training intensity during standard cardiac rehabilitation (S-CR) versus hybrid-CR (combined clinic- and remote home-/community-based). METHODS:The iATTEND (improving ATTENDance to cardiac rehabilitation) trial is currently enrolling subjects and randomizing patients to S-CR versus hybrid-CR...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000569
更新日期:2021-01-01 00:00:00
abstract:PURPOSE:To evaluate the response of patients with obesity to a cardiac rehabilitation program (CRP), compared with patients without obesity. METHODS:We performed a retrospective analysis of 731 patients who completed phase II of a CRP after an acute coronary syndrome. The response to the CRP was assessed using the rel...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000442
更新日期:2019-11-01 00:00:00
abstract:PURPOSE:Cardiac rehabilitation (CR) has been shown to reduce cardiac risk and improve the psychosocial functioning of participants. This study examines gender differences on several psychosocial indicators across the course of CR. METHODS:Patients (N = 380; 67.9% men and 32.1% women) referred from local inpatient and ...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000034
更新日期:2014-01-01 00:00:00
abstract:PURPOSE:Best practice guidelines for cardiac rehabilitation (CR) suggest routine screening for anxiety and depression, yet many patients are not screened nor do they receive mental health treatment. Protocols are required to identify those in need of care and to ensure that appropriate assistance is provided. METHODS:...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000276
更新日期:2018-05-01 00:00:00
abstract:PURPOSE:Endurance training (ET) as part of pulmonary rehabilitation in patients with chronic obstructive pulmonary disease (COPD) has been shown to improve exercise capacity and health-related quality of life, but dyspnea limits the exercise intensity. Therefore, resistance training (RT), which may cause less dyspnea, ...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,评审
doi:10.1097/HCR.0000000000000105
更新日期:2015-05-01 00:00:00
abstract:PURPOSE:Patients hospitalized with a cardiac condition are less likely to attend cardiac rehabilitation (CR) if they are smokers despite the benefits of doing so. The present study sought to investigate how, if at all, a patient's decision to attend CR was influenced by his or her tobacco use post-discharge. METHODS:W...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000366
更新日期:2019-05-01 00:00:00
abstract:PURPOSE:We compared the prevalence of participants with and without symptomatic peripheral artery disease (PAD) who met the goals of attaining >7000 and 10 000 steps/d, and we determined whether PAD status was significantly associated with meeting the daily step count goals before and after adjusting for demographic va...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000554
更新日期:2020-11-11 00:00:00
abstract:PURPOSE:The purpose of this study was to examine emotional distress, alexithymia, and coping styles as predictors of cardiac rehabilitation (CR) outcomes and attendance. METHODS:Participants included 56 patients in an outpatient CR program (65% male, 59% white, M = 61.1 years) who completed self-report measures of emo...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0b013e318276864c
更新日期:2013-01-01 00:00:00
abstract:PURPOSE:Cardiopulmonary exercise testing (CPX) is the gold standard approach for the assessment of cardiorespiratory fitness (CRF). The primary aim of the current study was to determine reference standards for the minute ventilation/carbon dioxide production (V˙E/V˙CO2) slope in a cohort from the "Fitness Registry and ...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000566
更新日期:2021-01-14 00:00:00
abstract:PURPOSE:Pulmonary rehabilitation (PR) is effective in patients with moderate to severe chronic obstructive pulmonary disease (COPD). However, the effects of PR in patients with mild COPD have not yet been established. Thus, this study investigated the short- and long-term effects of PR in patients with mild COPD in com...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000219
更新日期:2016-11-01 00:00:00
abstract:PURPOSE:Chronic obstructive pulmonary disease promotes systemic repercussions, which can be minimized with physical exercise. This study investigated the effects of a water-based aerobic interval training program on the autonomic modulation of heart rate (HR), quality of life (QoL), and functional capacity (FC) of pati...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,随机对照试验
doi:10.1097/HCR.0000000000000352
更新日期:2019-03-01 00:00:00
abstract:PURPOSE:Psychoeducation is a recommended component of cardiac rehabilitation, but to date, evidence from high quality trials examining behavior change has not been synthesized. The primary aim of this systematic review was to examine the effectiveness of psychoeducation on behavior change in adults with coronary artery...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章,meta分析,评审
doi:10.1097/HCR.0b013e318220a7c9
更新日期:2011-09-01 00:00:00
abstract:INTRODUCTION:Pneumonectomy results in impairments of pulmonary function and exercise intolerance associated with respiratory limitations. However, exercise capacity and functional capacity are less known at long-term followup. The aims of this study were to assess exercise tolerance and functional capacity among long-t...
journal_title:Journal of cardiopulmonary rehabilitation and prevention
pub_type: 杂志文章
doi:10.1097/HCR.0000000000000085
更新日期:2015-01-01 00:00:00