Cargando…

Short-Term Exercise Progression of Cardiovascular Patients throughout Cardiac Rehabilitation: An Observational Study

Cardiac rehabilitation (CR) is a highly recommended secondary prevention measure for patients with diagnosed cardiovascular disease. Unfortunately, participation rates are low due to enrollment and adherence issues. As such, new CR delivery strategies are of interest, as to improve overall CR delive...

Descripción completa

Detalles Bibliográficos
Autores principales: De Cannière, Hélène, Smeets, Christophe J. P., Schoutteten, Melanie, Varon, Carolina, Morales Tellez, John F., Van Hoof, Chris, Van Huffel, Sabine, Groenendaal, Willemijn, Vandervoort, Pieter
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601310/
https://www.ncbi.nlm.nih.gov/pubmed/33003544
http://dx.doi.org/10.3390/jcm9103160
_version_ 1783603381595537408
author De Cannière, Hélène
Smeets, Christophe J. P.
Schoutteten, Melanie
Varon, Carolina
Morales Tellez, John F.
Van Hoof, Chris
Van Huffel, Sabine
Groenendaal, Willemijn
Vandervoort, Pieter
author_facet De Cannière, Hélène
Smeets, Christophe J. P.
Schoutteten, Melanie
Varon, Carolina
Morales Tellez, John F.
Van Hoof, Chris
Van Huffel, Sabine
Groenendaal, Willemijn
Vandervoort, Pieter
author_sort De Cannière, Hélène
collection PubMed
description Cardiac rehabilitation (CR) is a highly recommended secondary prevention measure for patients with diagnosed cardiovascular disease. Unfortunately, participation rates are low due to enrollment and adherence issues. As such, new CR delivery strategies are of interest, as to improve overall CR delivery. The goal of the study was to obtain a better understanding of the short-term progression of functional capacity throughout multidisciplinary CR, measured as the change in walking distance between baseline six-minute walking test (6MWT) and four consecutive follow-up tests. One-hundred-and-twenty-nine patients diagnosed with cardiovascular disease participated in the study, of which 89 patients who completed the whole study protocol were included in the statistical analysis. A one-way repeated measures ANOVA was conducted to determine whether there was a significant change in mean 6MWT distance (6MWD) throughout CR. A three-way-mixed ANOVA was performed to determine the influence of categorical variables on the progression in 6MWD between groups. Significant differences in mean 6MWD between consecutive measurements were observed. Two subgroups were identified based on the change in distance between baseline and end-of-study. Patients who increased most showed a linear progression. In the other group progression leveled off halfway through rehabilitation. Moreover, the improvement during the initial phase of CR seemed to be indicative for overall progression. The current study adds to the understanding of the short-term progression in exercise capacity of patients diagnosed with cardiovascular disease throughout a CR program. The results are not only of interest for CR in general, but could be particularly relevant in the setting of home-based CR.
format Online
Article
Text
id pubmed-7601310
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher MDPI
record_format MEDLINE/PubMed
spelling pubmed-76013102020-11-01 Short-Term Exercise Progression of Cardiovascular Patients throughout Cardiac Rehabilitation: An Observational Study De Cannière, Hélène Smeets, Christophe J. P. Schoutteten, Melanie Varon, Carolina Morales Tellez, John F. Van Hoof, Chris Van Huffel, Sabine Groenendaal, Willemijn Vandervoort, Pieter J Clin Med Article Cardiac rehabilitation (CR) is a highly recommended secondary prevention measure for patients with diagnosed cardiovascular disease. Unfortunately, participation rates are low due to enrollment and adherence issues. As such, new CR delivery strategies are of interest, as to improve overall CR delivery. The goal of the study was to obtain a better understanding of the short-term progression of functional capacity throughout multidisciplinary CR, measured as the change in walking distance between baseline six-minute walking test (6MWT) and four consecutive follow-up tests. One-hundred-and-twenty-nine patients diagnosed with cardiovascular disease participated in the study, of which 89 patients who completed the whole study protocol were included in the statistical analysis. A one-way repeated measures ANOVA was conducted to determine whether there was a significant change in mean 6MWT distance (6MWD) throughout CR. A three-way-mixed ANOVA was performed to determine the influence of categorical variables on the progression in 6MWD between groups. Significant differences in mean 6MWD between consecutive measurements were observed. Two subgroups were identified based on the change in distance between baseline and end-of-study. Patients who increased most showed a linear progression. In the other group progression leveled off halfway through rehabilitation. Moreover, the improvement during the initial phase of CR seemed to be indicative for overall progression. The current study adds to the understanding of the short-term progression in exercise capacity of patients diagnosed with cardiovascular disease throughout a CR program. The results are not only of interest for CR in general, but could be particularly relevant in the setting of home-based CR. MDPI 2020-09-29 /pmc/articles/PMC7601310/ /pubmed/33003544 http://dx.doi.org/10.3390/jcm9103160 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
De Cannière, Hélène
Smeets, Christophe J. P.
Schoutteten, Melanie
Varon, Carolina
Morales Tellez, John F.
Van Hoof, Chris
Van Huffel, Sabine
Groenendaal, Willemijn
Vandervoort, Pieter
Short-Term Exercise Progression of Cardiovascular Patients throughout Cardiac Rehabilitation: An Observational Study
title Short-Term Exercise Progression of Cardiovascular Patients throughout Cardiac Rehabilitation: An Observational Study
title_full Short-Term Exercise Progression of Cardiovascular Patients throughout Cardiac Rehabilitation: An Observational Study
title_fullStr Short-Term Exercise Progression of Cardiovascular Patients throughout Cardiac Rehabilitation: An Observational Study
title_full_unstemmed Short-Term Exercise Progression of Cardiovascular Patients throughout Cardiac Rehabilitation: An Observational Study
title_short Short-Term Exercise Progression of Cardiovascular Patients throughout Cardiac Rehabilitation: An Observational Study
title_sort short-term exercise progression of cardiovascular patients throughout cardiac rehabilitation: an observational study
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7601310/
https://www.ncbi.nlm.nih.gov/pubmed/33003544
http://dx.doi.org/10.3390/jcm9103160
work_keys_str_mv AT decannierehelene shorttermexerciseprogressionofcardiovascularpatientsthroughoutcardiacrehabilitationanobservationalstudy
AT smeetschristophejp shorttermexerciseprogressionofcardiovascularpatientsthroughoutcardiacrehabilitationanobservationalstudy
AT schouttetenmelanie shorttermexerciseprogressionofcardiovascularpatientsthroughoutcardiacrehabilitationanobservationalstudy
AT varoncarolina shorttermexerciseprogressionofcardiovascularpatientsthroughoutcardiacrehabilitationanobservationalstudy
AT moralestellezjohnf shorttermexerciseprogressionofcardiovascularpatientsthroughoutcardiacrehabilitationanobservationalstudy
AT vanhoofchris shorttermexerciseprogressionofcardiovascularpatientsthroughoutcardiacrehabilitationanobservationalstudy
AT vanhuffelsabine shorttermexerciseprogressionofcardiovascularpatientsthroughoutcardiacrehabilitationanobservationalstudy
AT groenendaalwillemijn shorttermexerciseprogressionofcardiovascularpatientsthroughoutcardiacrehabilitationanobservationalstudy
AT vandervoortpieter shorttermexerciseprogressionofcardiovascularpatientsthroughoutcardiacrehabilitationanobservationalstudy