Key result
Small community walking significantly improved subjective well-being compared to walking alone in older patients with cardiovascular disease, while both interventions similarly increased physical activity.
Why the study?
Older patients with cardiovascular disease in the maintenance phase of cardiac rehabilitation need increased physical activity alongside positive psychosocial approaches.
Does a small community walking intervention improve physical activity, well-being, and social capital in older patients with cardiovascular disease in the maintenance phase compared to walking alone?
RCT (n=55)
Single-blind
Randomly permuted blocks and stratum allocation by sex
Yes
Does a small community walking intervention improve physical activity, well-being, and social capital in older patients with cardiovascular disease in the maintenance phase compared to walking alone?
Absolute Event Rate: 5.7% vs 5.4%
p-value: p=0.03
A small community walking intervention, combined with wearable device guidance, may effectively enhance well-being in older patients undergoing maintenance cardiac rehabilitation.
SCW boosts sustained PA and well-being in maintenance CR; extends RCT evidence for community-based group interventions in older CVD patients.
[Purpose] Older patients with cardiovascular disease should increase their physical activity and prioritize positive psychological and social approaches in the maintenance phase of their cardiac rehabilitation. This study aimed to clarify the effect of small community walking on physical activity, well-being, and social capital in older patients with cardiovascular disease in the maintenance phase. [Participants and Methods] We conducted a multicenter study in Kumamoto, Japan. We randomly divided 55 patients with cardiovascular disease into two groups: small community walking and walking alone. For three months, a registered cardiac rehabilitation instructor provided walking guidance to both groups using a wearable device. We measured physical activity, social capital, and subjective happiness before and after the intervention. [Results] Results revealed a statistically significant main effect of time on physical activity and social participation. In the subjective happiness scale, there was an association between group and time. [Conclusion] Our results suggest that walking guidance using a wearable device was beneficial in improving overall physical activity, regardless of whether the individual did small community walking or walking alone. Furthermore, small community walking intervention may effectively enhance well-being. The relationship between physical activity and social participation needs to be further investigated.
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Yamashita et al. (2024) conducted an RCT in Cardiovascular disease in the maintenance phase (n=55). Small community walking vs. Walking alone was evaluated on Subjective happiness scale (p=0.03). Small community walking significantly improved subjective well-being compared to walking alone in older patients with cardiovascular disease, while both interventions similarly increased physical activity.
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