Why the study?
Cardiac rehabilitation is crucial for secondary prevention of cardiovascular disease, but its impact on lifestyle changes in the Korean population has not been well studied.
Does cardiac rehabilitation improve lifestyle habits (physical activity, smoking cessation, weight reduction) in patients who underwent coronary revascularization?
Does cardiac rehabilitation improve lifestyle habits (physical activity, smoking cessation, weight reduction) in patients who underwent coronary revascularization?
Cardiac rehabilitation after coronary revascularization effectively promotes physical activity but may require supplementary interventions to achieve smoking cessation and weight reduction.
Associated with higher physical activity post-revascularization; leaves open whether adjunctive strategies improve smoking cessation or weight loss.
BACKGROUND: Cardiac rehabilitation (CR) is crucial for the secondary prevention of cardiovascular disease, primarily by promoting lifestyle modifications. However, its impact on lifestyle changes in the Korean population has not been well studied. This study analyzed data from the National Health Insurance Database to evaluate the effect of CR on lifestyle improvement in patients with cardiovascular disease. METHODS: Patients who underwent coronary revascularization in 2017 were included. This study investigated whether the lifestyle habits of patients with cardiovascular disease who were physically inactive, obese, and smoked improved after coronary revascularization. To analyze whether CR affected each lifestyle factor, multiple regression analysis was performed, adjusting for socioeconomic and medical conditions as covariates. RESULTS: CR had a significant effect on the acquisition of regular physical activity among physically inactive patients before revascularization (odds ratio [OR]: 1.205, 95% confidence interval [CI]: 1.046-1.389). However, CR did not have a significant impact on smoking cessation in smokers (OR: 1.172, 95% CI: 0.890-1.545) and weight reduction in patients with obesity (OR: 1.104, 95% CI: 0.977-1.248). CONCLUSION: This nationwide study showed that CR after coronary revascularization significantly improved physical activity in patients with cardiovascular disease. However, CR had no significant effect on smoking cessation or weight reduction, indicating a need for more comprehensive approaches to address these lifestyle factors.
No takes yet. Share an insight, caveat, or question.
Kim et al. (2024) studied this question.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: