Why the study?
With falling CHD mortality rates, an increasing number of people living with CHD may need support to manage symptoms and prognosis, prompting this update to assess exercise-based cardiac rehabilitation.
Does exercise-based cardiac rehabilitation improve mortality, morbidity, and health-related quality of life in adults with coronary heart disease compared to no exercise control?
Population
23,430 people with CHD across 85 randomised controlled trials
Comparison
Exercise-based cardiac rehabilitation vs no exercise control
Design
Systematic review and meta-analysis of randomised controlled trials
Follow-up
Median longest follow-up 12 months
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Captured external expert commentary on this paper, strongest first. Original sources are linked where available.
“Exercise-based cardiac rehabilitation is an inexpensive and cost-effective intervention, but right now it's underfunded and unprioritized. We want this option to be available to everyone. This new research shows you don't even have to go into a rehab center to benefit – you can participate from home and still see the benefits.”
“This review confirms that exercise is a great tool for improving the overall health of people with coronary heart disease. By adding newer studies to this update, we're able to see that digital programs work as well as in-person programmes, which really changes the game here. These approaches may help us reach people who cannot attend traditional center-based services.”
“These results show that everyone with specific heart conditions can benefit from cardiac rehabilitation. It offers health gains for a broad group of people with heart problems, regardless of age, gender, or baseline health. This demonstrates that this form of prevention is valuable for all.”
Supports routine CR referral in CHD; confirms prior RCT evidence with added trials on events and HRQoL.
Does exercise-based cardiac rehabilitation improve mortality, morbidity, and health-related quality of life in adults with coronary heart disease compared to no exercise control?
Exercise-based cardiac rehabilitation provides important clinical benefits for patients with coronary heart disease, including reduced risks of myocardial infarction and all-cause hospitalization, alongside improved quality of life.
A 2021 study studied this question.
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