What is the clinical evidence from this study?

Study design: Cohort. Population: Cardiovascular diseases (n=40822). Intervention: Calendar year (2001-2025). Primary outcome: Temporal trends in sociodemographic characteristics, cardiometabolic risk factors, and health behaviours (OR 1.004, 95% CI 1.001-1.008, p=0.02).

What does this research mean for the field?

Over a 25-year period, patients entering cardiovascular rehabilitation have become older and modestly more diverse with improved cardiometabolic risk factor profiles, although women and non-White individuals remain underrepresented. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

September 28, 2026European Heart Journal - Quality of Care and Clinical OutcomesOpen Access

Temporal trends in sociodemographic and risk factors among patients enrolled in cardiovascular rehabilitation over 25 years

Q: What are the key findings of this study?

Over 25 years, cardiovascular rehabilitation enrollees demonstrated significant trends toward older age, greater odds of being female (OR 1.004; 95% CI 1.001-1.008), and improved risk factors.

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Key result

Cardiovascular rehabilitation enrollees trend older and increasingly female with improved risk factors over 25 years.

OR 1.004
95% CI 1.001-1.008
P=0.02
n=40,822

Population

40,822 patients with cardiovascular diseases enrolled in a cardiovascular rehabilitation program at Canada's…

Design

Cohort

Authors

MHMatheus HausenOttawa Heart Institute AVAriany Marques VieiraUniversity of Ottawa JHJennifer HarrisOttawa Heart Institute

Discussion

Member takes

Implication

May indicate broadening cardiac rehab access; leaves open whether trends improve outcomes or reflect selection bias.

Key Points

To assess 25-year temporal trends in sociodemographic characteristics, cardiometabolic risk factors, and health behaviors among individuals entering cardiovascular rehabilitation.
Retrospective cohort study analyzing patients enrolled in a cardiovascular rehabilitation program at Canada's largest cardiovascular health centre between 2001 and 2025 (N=40,822).
Evaluated baseline sociodemographics, cardiometabolic factors (systolic blood pressure, LDL cholesterol), physical activity levels, smoking, nutrition, and mental health indices.
Mean participant age increased by 0.3 years annually (p < 0.001), with progressively higher odds of being female (OR = 1.004; 95% CI: 1.001–1.008; p = 0.02), non-White (OR = 1.02; 95% CI: 1.01–1.03; p < 0.001), and unmarried (OR = 1.02; 95% CI: 1.02–1.03; p < 0.001).
Coronary artery disease was the primary diagnosis (59.5%), followed by valvular disease (14%) and arrhythmias (10%).
Cardiometabolic profiles improved significantly over time, including annual declines in systolic blood pressure (-0.37 mmHg; 95% CI: -0.41 to -0.33; p < 0.001) and LDL cholesterol (-0.02 mmol/L; 95% CI: -0.02 to -0.02; p < 0.001), alongside reduced odds of physical inactivity (OR = 0.98; 95% CI: 0.98–0.99; p < 0.001) and moderate-to-high anxiety symptoms (OR = 0.98; 95% CI: 0.98–0.99; p < 0.001).

Study Design

Type

Cohort (n=40,822)

Multicenter

Structured PICO

Population

40,822 patients with cardiovascular diseases (mean age 63 years, 30.7% female) enrolled in a cardiovascular rehabilitation program at a single Canadian center between 2001 and 2025.

Exposure

Cardiovascular rehabilitation enrollment over time (2001-2025)

Outcome

Temporal trends in sociodemographic characteristics, cardiometabolic risk factors, and health behaviours

Main Result

Odds Ratio: 1.004 (95% CI 1.001–1.008)

p-value: p=0.02

Over 25 years, cardiovascular rehabilitation enrollment showed increasing sociodemographic diversity and improvements in baseline cardiometabolic risk factors, though equity gaps persist for females and non-White individuals.

Cite This Study

Hausen et al. (2026) conducted a cohort in Cardiovascular diseases (n=40,822). Calendar year (2001-2025) was evaluated on Temporal trends in sociodemographic characteristics, cardiometabolic risk factors, and health behaviours (OR 1.004, 95% CI 1.001-1.008, p=0.02). Over 25 years, cardiovascular rehabilitation enrollees demonstrated significant trends toward older age, greater odds of being female (OR 1.004; 95% CI 1.001-1.008), and improved risk factors.

synapsesocial.com/papers/6ab9b4d47822ec8fc3d8f00c https://doi.org/10.1093/ehjqcco/qcag150

Topics

Coronary artery disease

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Temporal trends in sociodemographic and risk factors among patients enrolled in cardiovascular rehabilitation over 25 years

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Cite This Study

Topics

Temporal trends in sociodemographic and risk factors among patients enrolled in cardiovascular rehabilitation over 25 years

Discussion

Member takes

Implication

Key Points

Study Design

Structured PICO

Main Result

Cite This Study

Also Consider

Topics

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