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Titre : | Association Between Exercise Capacity and Health-Related Quality of Life During and After Cardiac Rehabilitation in Acute Coronary Syndrome Patients: A Substudy of the OPTICARE Randomized Controlled Trial (2020) |
Auteurs : | Marie de Bakker ; Iris den Uijl ; Nienke ter Hoeve |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (Vol. 101, n° 4, 2020) |
Article en page(s) : | p. 650-657 |
Note générale : |
https://doi.org/10.1016/j.apmr.2019.11.017
|
Langues: | Anglais |
Descripteurs : |
HE Vinci Qualité de vie ; Réadaptation ; Réadaptation cardiaque ; Syndrome coronarien aigu ; Test de marche |
Résumé : |
Objective
To examine the strength of the association between exercise capacity and health-related quality of life (HRQOL) during and after cardiac rehabilitation (CR) in patients with acute coronary syndrome (ACS) who completed CR. Design Prospective cohort study. Setting Outpatient CR center. Participants Patients (N=607) with ACS who completed CR. Interventions Multidisciplinary 12-week exercise-based CR program. Main Outcome Measures At baseline (pre-CR), the 6-Minute Walk Test (6MWT) was performed to determine exercise capacity, and the MacNew Heart Disease Health-related Quality of Life questionnaire was used to assess HRQOL. Measurements were repeated immediately after completion of CR (post-CR): at 12 months and 18 months follow-up. Multivariable linear regression, including an interaction term for time and exercise capacity, was applied to study the association between exercise capacity and HRQOL at different time points relative to CR, whereas model parameters were estimated by methods that accounted for dependency of repeated observations within individuals. Results Mean age in years ± SD was 58±8.9 and 82% of participants were male. Baseline mean 6MWT distance in meters ± SD was 563±77 and median (25th-75th percentile) global HRQOL was 5.5 (4.6-6.1) points. Mean 6MWT distance (P<.001 and the global physical emotional social domains of hrqol improved significantly during cr continued to improve follow-up post-cr. independent timing relative pre-cr post-cr or a difference m distance was associated with mean in domain confidence interval points ci> Conclusions Better exercise capacity was significantly associated with higher scores on the global and physical domains of HRQOL, irrespective of the timing relative to CR, albeit these associations were weak. Hence, CR programs in secondary prevention should continue to aim at enhancing both HRQOL and exercise capacity. |
Disponible en ligne : | Non |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999319314972 |