What does this research mean for the field?

Early outpatient cardiac rehabilitation programs increase patients' total and moderate-intensity physical activity, particularly on attendance days, but patients still fail to meet physical activity targets for coronary risk reduction upon program exit. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

September 1, 2009Journal of Cardiopulmonary Rehabilitation and Prevention

Physical Activity Habits of Cardiac Patients Participating in an Early Outpatient Rehabilitation Program

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Why the study?

Does a 4 to 6 week early outpatient cardiac rehabilitation program improve physical activity habits in cardiac patients?

Key Points

To determine whether daily physical activity habits change over a 4-to-6-week early outpatient cardiac rehabilitation program and examine differences between attendance and non-attendance days.
Enrolled 22 cardiac patients (14 men, 8 women; mean age = 65.6 ± 13.2 years, body mass index = 29.1 ± 4.6 kg/m²) participating in a 4-to-6-week early outpatient cardiac rehabilitation program.
Measured movement using accelerometers during entry and exit weeks to evaluate daily steps, activity counts per observation minute, inactive time, and minutes of light- versus moderate-intensity physical activity.
Total physical activity increased from entry to exit (194.4 ± 2 to 217.8 ± 15.3 activity counts per observation minute), as did time spent in moderate-intensity physical activity (13.9 ± 2.3 to 18.7 ± 2.5 min/day).
Patients demonstrated significantly higher activity on days attending rehabilitation than on non-attendance days for both total activity (224.0 ± 15.6 vs 188.2 ± 14.5 counts/min) and moderate-intensity activity (19.7 ± 3.3 vs 12.8 ± 2.0 min/day).

Structured PICO

Does a 4 to 6 week early outpatient cardiac rehabilitation program improve physical activity habits in cardiac patients?

Population

22 cardiac patients (14 men, 8 women), mean age 65.6 +/- 13.2 years, participating in an early outpatient cardiac rehabilitation program.

Intervention

4 to 6 weeks of an early outpatient cardiac rehabilitation (CR) program

Comparator

Baseline (entry to CR) and days not attending CR

Outcome

Change in physical activity habits (steps per day, activity counts per observation minute, percentage time spent inactive, light-intensity and moderate-intensity PA minutes per day) measured by accelerometersurrogate

Early outpatient cardiac rehabilitation programs significantly increase total and moderate-intensity physical activity levels in cardiac patients, particularly on days they attend the program.

Authors

TSTroy G. StevensonUniversity of Maryland, Baltimore KRKatrina RigginIndiana University Health PNPaul R. NagelkirkBall State University

Discussion

No takes yet. Share an insight, caveat, or question.

Implication

May support short-term activity gains during early cardiac rehab; leaves open causal effects on long-term habits.

Cite This Study

Stevenson et al. (2009) studied this question.

synapsesocial.com/papers/6a1e46407f6e8bbb2368b59a https://doi.org/10.1097/hcr.0b013e3181b4ca61

Topics

Coronary artery disease

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Physical Activity Habits of Cardiac Patients Participating in an Early Outpatient Rehabilitation Program

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Topics

Physical Activity Habits of Cardiac Patients Participating in an Early Outpatient Rehabilitation Program

Key Points

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

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