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Titre : | Exercise-based cardiac rehabilitation increases daily physical activity of patients following myocardial infarction: subanalysis of two randomised controlled trials (2017) |
Auteurs : | F. Ribeiro ; Nórton Luís Oliveira ; G. Silva |
Type de document : | Article |
Dans : | Physiotherapy (2017/1, 2017) |
Article en page(s) : | pp. 59-65 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Exercice physique ; Maladie des artères coronaires ; Réadaptation cardiaque |
Mots-clés: | Accelerometry ; Accélérométrie ; Exercise ; Coronary artery disease ; Cardiac rehabilitation |
Résumé : |
Objective To assess the effects of an exercise-based cardiac rehabilitation programme on daily physical activity levels of patients following myocardial infarction. Design Subanalysis of two randomised, prospective controlled trials. Setting Outpatient clinic of a secondary hospital. Participants Fifty consecutive patients randomised to the exercise group {n = 25; 23 males; mean age 54 [standard deviation (SD) 9] years} or the control group [n = 25; 20 males; mean age 58 (SD 9) years]. Interventions The exercise group participated in an 8-week aerobic exercise programme plus usual medical care and follow-up. The control group received usual medical care and follow-up. Main outcome measures The primary outcome measure was change in time spent undertaking moderate-to-vigorous physical activity per day, assessed by accelerometer over 7 consecutive days. Secondary outcome measures were cardiorespiratory fitness, body mass, and resting blood pressure and heart rate. Results Moderate-to-vigorous physical activity levels increased significantly in the exercise group [43.2 (SD 36.3) to 53.5 (SD 31.9) minutes/day, P = 0.030], and remained unchanged in the control group [40.8 (SD 26.2) to 36.8 (SD 26.5) minutes/day, P = 0.241] from baseline to the end of the programme. Cardiorespiratory fitness increased significantly in the exercise group (mean difference 2.8; 95% of the difference 1.3 to 4.4 ml/kg/minute, P = 0.001) after the 8-week programme. Conclusions In patients under optimal medication following myocardial infarction, participation in an 8-week exercise-based cardiac rehabilitation programme was found to improve physical activity levels consistent with health-related benefits. Future studies are needed to determine whether the increase in physical activity is maintained in the long term. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0031940615038626 |