What question did this study set out to answer?

Identify baseline demographic, physiological, and behavioral predictors of exercise session compliance over three years in male myocardial infarction survivors.

July 1, 2001Medicine & Science in Sports & Exercise

Correlates of compliance in a randomized exercise trial in myocardial infarction patients

View Full Paper

Ask AI

Bookmark

Population

308 male myocardial infarction survivors, 30-64 years of age, who were randomized to the exercise treatment…

Design

Cohort, randomized (parent trial)

Follow-up

3 years

Authors

JDJoan M. DornRoche (Switzerland)JNJohn NaughtonAlbert Einstein College of Medicine DIDai ImamuraRakuten (Japan)

Discussion

Member takes

Implication

Higher-risk post-MI patients showed lower exercise compliance; hypothesis-generating for targeted adherence strategies, should not yet change practice.

Key Points

Identify baseline demographic, physiological, and behavioral predictors of exercise session compliance over three years in male myocardial infarction survivors.
Secondary analysis of the multicenter, randomized clinical trial (National Exercise and Heart Disease Project, 1976–1979) following 308 men aged 30–64 assigned to an exercise program meeting three times weekly for three years.
Compliance was calculated as the percentage of attended sessions over total conducted sessions and evaluated against baseline patient characteristics.
Compliance decreased over the 3-year trial, experiencing the steepest reduction after the initial 8 weeks, with the multivariable baseline model explaining 22.2% of compliance variance (r² = 0.222).
Session attendance correlated positively with exercise test duration (last completed stage, r = 0.17, P < 0.01) and negatively with body mass index (r = -0.19, P = 0.001), total cholesterol (r = -0.18, P < 0.01), triglycerides (r = -0.16, P < 0.01), and skinfold thickness (r = -0.15, P < 0.01).
Current smoking status was significantly associated with worse compliance relative to former and non-smokers (r = -0.21, P < 0.001).

Structured PICO

Population

308 male myocardial infarction (MI) survivors, 30-64 years of age, who were randomized to the exercise treatment group of a multicenter clinical trial.

Intervention

Exercise-based rehabilitation program meeting three times per week.

Outcome

Exercise session compliance over 3 years (defined as the number of sessions attended divided by the number of sessions conducted).

In male myocardial infarction survivors, compliance to a 3-year exercise rehabilitation program decreased over time and was significantly lower in patients with higher baseline cardiovascular risk factors.

Cite This Study

Dorn et al. (2001) studied this question.

synapsesocial.com/papers/6a83fb0b656944f6ed4a0bf0 https://doi.org/10.1097/00005768-200107000-00003

View Full Paper

Ask AI

Bookmark

Implication

Higher-risk post-MI patients showed lower exercise compliance; hypothesis-generating for targeted adherence strategies, should not yet change practice.

Correlates of compliance in a randomized exercise trial in myocardial infarction patients

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Correlates of compliance in a randomized exercise trial in myocardial infarction patients

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Also Consider

Also Consider