Younger age (<65 years) did not significantly influence the feasibility of an online intensive cardiac rehabilitation program compared to older age, with participation rates of 90.3% vs 92.4% (p=0.66).
Cohort (n=19)
Does an online intensive cardiac rehabilitation program improve lifestyle and coronary risk factors similarly in younger and older Japanese patients with CAD?
An online intensive cardiac rehabilitation program is feasible and improves CAD risk factors such as body weight and systolic blood pressure in both younger and older Japanese male patients.
Absolute Event Rate: 90.3% vs 92.4%
p-value: p=0.66
Abstract Background/Introduction Comprehensive programs of lifestyle change are recommended as cardiac rehabilitation (CR) for patients with coronary artery disease (CAD) patients. Online program for lifestyle changes as CR are also becoming widespread. However, the difference in the feasibility and efficacy of such a program depend on the age of patients were not well investigated. Purpose We investigated the difference of the change on lifestyle and coronary risk factors after participating an online-based comprehensive CR program named "intensive cardiac rehabilitation for Japanese patients with CAD (J-ICR)" between older and younger age. The J-ICR program consisted of four parts: guidance of multi-component aerobic exercise training, dietary guidance for the Japan diet, stress management training through mindfulness, and group support. It takes 3 hours per session, once a week for 3 months (36 hours total). We can identify the age group that is best suited for this program as sub-analysis. Methods We defined the patients under 65 years old as the Younger group and over 65 years old as the Older group. We compared the adherence to the program and changes of physical findings, nutritional indices and typical CAD risks from the baseline to post and 3 months after the program. Results The current study population consisted of 19 male patients with CAD and 9 patients in Younger group and 10 patients in Older group. Mean age was 59.9 years old in Younger group and 72.3 years old in Older group, respectively. Regarding baseline patient characteristics, past history was similar between two groups however, atrial fibrillation was relatively frequent in Older group (Younger group vs Older group, 0% vs 30%; p=0.25). Program participation rate was not different between group (90.3% vs 92.4%; p=0.66). Skeletal muscle mass was significantly higher at baseline in Younger group (51.8±4.1kg vs 46.8±3.0kg, p=0.01), however the reduction during 3months after the program were significantly larger in Younger group (Mean change -1.1±0.9kg vs -0.1±0.8kg, p=0.02). Healthy Eating Index-2015 (HEI-2015) for the evaluation of nutritional education was significantly lower in the Younger group (51.1±9.5 vs 63.4±10.0, p=0.01), however the score numerically increased in Younger group (mean change 9.6±11.1 vs -1.4±12.2, p=0.06) and the score at the 3months after the program was similar between the groups (60.7±9.1 vs 62.0±5.1, p=0.70). Body weight and systolic blood pressure significantly reduced in total patients (-1.6 ± 1.9 kg, p0.01 and -4.4 ± 7.2 mmHg, p=0.02, respectively), however there were no differences between the groups. Conclusion The online J-ICR program showed good feasibility and may yield improvements in CAD risk factors regardless of age. Since this is a pilot study to explore the feasibility of the online J-ICR, its secondary prevention effect should be verified with appropriately powered randomized trials at multiple centers.
Kaneda et al. (Mon,) conducted a cohort in Coronary artery disease (n=19). Younger age (<65 years) vs. Older age (>65 years) was evaluated on Program participation rate (p=0.66). Younger age (<65 years) did not significantly influence the feasibility of an online intensive cardiac rehabilitation program compared to older age, with participation rates of 90.3% vs 92.4% (p=0.66).