August 3, 2026
Ver artículo completoComparing the effectiveness of home-based and center-based cardiac rehabilitation: a randomized clinical trial
Resultado clave
Center-based cardiac rehabilitation achieved superior gains in exercise capacity and better blood pressure control compared to home-based rehabilitation (P<0.001).
Puntos clave
- This study aimed to compare the effectiveness of home-based versus center-based cardiac rehabilitation in patients with cardiovascular disease.
- Randomized trial involving 129 participants receiving either home-based or center-based cardiac rehabilitation.
- Interventions lasted 8 weeks, with outcomes evaluated at baseline and after 6 months.
- Primary outcome focused on changes in exercise capacity along with various secondary outcomes.
- Both home-based and center-based CR improved exercise capacity significantly (p<0.001).
- Center-based CR showed superior gains in exercise capacity and better blood pressure control.
- No significant differences were observed in other secondary outcomes between the groups.
Diseño del estudio
Tipo
RCT (n=129)
PICO estructurado
Does home-based cardiac rehabilitation improve exercise capacity compared to center-based cardiac rehabilitation in patients with cardiovascular disease?
P
Población
129 patients with cardiovascular disease in Iran, followed for 6 months.
I
Intervención
Home-based cardiac rehabilitation for 8 weeks
C
Comparador
Center-based cardiac rehabilitation for 8 weeks
O
Resultado
Change in exercise capacity at 6 monthssurrogate
Center-based cardiac rehabilitation provides superior gains in exercise capacity and blood pressure control compared to home-based CR, although home-based CR remains a practical alternative when access is limited.
Resultado numérico
valor p: p=<0.001
Resumen
PURPOSE: Center-based cardiac rehabilitation (CR) is the standard of care for patients with cardiovascular disease. However, access limitations have led to increased interest in home-based alternatives. This study aimed to compare the effects of home-based and center-based CR in an Iranian population. METHODS: = 129) CR. Interventions lasted 8 weeks, with outcomes assessed at baseline and 6 months. The primary outcome was the change in exercise capacity. Secondary outcomes included exercise capacity, maximum heart rate, blood pressure (BP), lipid profile, fasting blood sugar, body mass index, and waist circumference. RESULTS: < 0.001). No significant between-group differences were observed in other variables. CONCLUSION: Both home-based and center-based CR improved exercise capacity; however, center-based CR achieved superior gains and better blood pressure control. Home-based CR may be a practical alternative when access to supervised programs is limited. CLINICAL TRIAL REGISTRATION: www.IRCT.iridentifier:IRCT20201028049181N1.