Digital home-based multidisciplinary cardiac rehabilitation : How to counteract physical inactivity during the COVID-19 pandemic
© 2021 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U..
Introduction and Objectives: Center-based cardiac rehabilitation (CR) programs have been forced to close due to COVID-19. Alternative delivery models to maintain access to CR programs and to avoid physical inactivity should be considered. The aim of this study was to assess physical activity (PA) levels after completing a home-based digital CR program.
Methods: A total of 116 cardiovascular disease (CVD) patients (62.6±8.9 years, 95 male) who had been attending a face-to-face CR program were recruited and assessed (baseline and at three months) on the following parameters: PA, sedentary behavior, adherence, cardiovascular and non-cardiovascular symptoms, feelings toward the pandemic, dietary habits, risk factor control, safety and adverse events. The intervention consisted of a multidisciplinary digital CR program, including regular patient assessment, and exercise, educational and psychological group sessions.
Results: Ninety-eight CVD patients successfully completed all the online assessments (15.5% drop-out rate). A favorable main effect of time was an increase in moderate to vigorous PA and a decrease in sedentary time at three months. Almost half of the participants completed at least one online exercise training session per week and attended at least one of the online educational sessions. No major adverse events were reported and only one minor event occurred.
Conclusion: During the pandemic, levels of moderate to vigorous PA improved after three months of home-based CR in CVD patients with previous experience in a face-to-face CR model. Diversified CR programs with a greater variety of content tailored to individual preferences are needed to meet the motivational and clinical requirements of CVD patients.
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2022 |
|---|---|
| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:41 |
|---|---|
| Enthalten in: |
Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology - 41(2022), 3 vom: 01. März, Seite 209-218 |
| Sprache: |
Englisch |
|---|
| Beteiligte Personen: |
Pinto, Rita [VerfasserIn] |
|---|
| Links: |
|---|
| Themen: |
COVID-19 |
|---|
| Anmerkungen: |
Date Revised 02.09.2022 published: Print-Electronic Citation Status PubMed-not-MEDLINE |
|---|
| doi: |
10.1016/j.repc.2021.05.013 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
NLM333775090 |
|---|
| LEADER | 01000naa a22002652 4500 | ||
|---|---|---|---|
| 001 | NLM333775090 | ||
| 003 | DE-627 | ||
| 005 | 20231225222336.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 231225s2022 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1016/j.repc.2021.05.013 |2 doi | |
| 028 | 5 | 2 | |a pubmed24n1112.xml |
| 035 | |a (DE-627)NLM333775090 | ||
| 035 | |a (NLM)34840415 | ||
| 035 | |a (PII)S0870-2551(21)00463-7 | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng | ||
| 100 | 1 | |a Pinto, Rita |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Digital home-based multidisciplinary cardiac rehabilitation |b How to counteract physical inactivity during the COVID-19 pandemic |
| 264 | 1 | |c 2022 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a ƒaComputermedien |b c |2 rdamedia | ||
| 338 | |a ƒa Online-Ressource |b cr |2 rdacarrier | ||
| 500 | |a Date Revised 02.09.2022 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status PubMed-not-MEDLINE | ||
| 520 | |a © 2021 Sociedade Portuguesa de Cardiologia. Published by Elsevier España, S.L.U. | ||
| 520 | |a Introduction and Objectives: Center-based cardiac rehabilitation (CR) programs have been forced to close due to COVID-19. Alternative delivery models to maintain access to CR programs and to avoid physical inactivity should be considered. The aim of this study was to assess physical activity (PA) levels after completing a home-based digital CR program | ||
| 520 | |a Methods: A total of 116 cardiovascular disease (CVD) patients (62.6±8.9 years, 95 male) who had been attending a face-to-face CR program were recruited and assessed (baseline and at three months) on the following parameters: PA, sedentary behavior, adherence, cardiovascular and non-cardiovascular symptoms, feelings toward the pandemic, dietary habits, risk factor control, safety and adverse events. The intervention consisted of a multidisciplinary digital CR program, including regular patient assessment, and exercise, educational and psychological group sessions | ||
| 520 | |a Results: Ninety-eight CVD patients successfully completed all the online assessments (15.5% drop-out rate). A favorable main effect of time was an increase in moderate to vigorous PA and a decrease in sedentary time at three months. Almost half of the participants completed at least one online exercise training session per week and attended at least one of the online educational sessions. No major adverse events were reported and only one minor event occurred | ||
| 520 | |a Conclusion: During the pandemic, levels of moderate to vigorous PA improved after three months of home-based CR in CVD patients with previous experience in a face-to-face CR model. Diversified CR programs with a greater variety of content tailored to individual preferences are needed to meet the motivational and clinical requirements of CVD patients | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a COVID-19 | |
| 650 | 4 | |a Cardiovascular disease | |
| 650 | 4 | |a Home-based cardiac rehabilitation | |
| 650 | 4 | |a Secondary prevention | |
| 650 | 4 | |a Telemedicine | |
| 700 | 1 | |a Pires, Madalena Lemos |e verfasserin |4 aut | |
| 700 | 1 | |a Borges, Mariana |e verfasserin |4 aut | |
| 700 | 1 | |a Pinto, Mariana Liñan |e verfasserin |4 aut | |
| 700 | 1 | |a Sousa Guerreiro, Catarina |e verfasserin |4 aut | |
| 700 | 1 | |a Miguel, Sandra |e verfasserin |4 aut | |
| 700 | 1 | |a Santos, Olga |e verfasserin |4 aut | |
| 700 | 1 | |a Ricardo, Inês |e verfasserin |4 aut | |
| 700 | 1 | |a Cunha, Nelson |e verfasserin |4 aut | |
| 700 | 1 | |a Alves da Silva, Pedro |e verfasserin |4 aut | |
| 700 | 1 | |a Correia, Ana Luísa |e verfasserin |4 aut | |
| 700 | 1 | |a Fiúza, Sílvia |e verfasserin |4 aut | |
| 700 | 1 | |a Caldeira, Edite |e verfasserin |4 aut | |
| 700 | 1 | |a Salazar, Fátima |e verfasserin |4 aut | |
| 700 | 1 | |a Rodrigues, Carla |e verfasserin |4 aut | |
| 700 | 1 | |a Cordeiro Ferreira, Mariana |e verfasserin |4 aut | |
| 700 | 1 | |a Afonso, Gisela |e verfasserin |4 aut | |
| 700 | 1 | |a Araújo, Graça |e verfasserin |4 aut | |
| 700 | 1 | |a Martins, Joana |e verfasserin |4 aut | |
| 700 | 1 | |a Ramalhinho, Marta |e verfasserin |4 aut | |
| 700 | 1 | |a Sousa, Paula |e verfasserin |4 aut | |
| 700 | 1 | |a Pires, Susana |e verfasserin |4 aut | |
| 700 | 1 | |a Jordão, Alda |e verfasserin |4 aut | |
| 700 | 1 | |a Pinto, Fausto J |e verfasserin |4 aut | |
| 700 | 1 | |a Abreu, Ana |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i Enthalten in |t Revista portuguesa de cardiologia : orgao oficial da Sociedade Portuguesa de Cardiologia = Portuguese journal of cardiology : an official journal of the Portuguese Society of Cardiology |d 1992 |g 41(2022), 3 vom: 01. März, Seite 209-218 |w (DE-627)NLM012666386 |x 0870-2551 |7 nnns |
| 773 | 1 | 8 | |g volume:41 |g year:2022 |g number:3 |g day:01 |g month:03 |g pages:209-218 |
| 856 | 4 | 0 | |u http://dx.doi.org/10.1016/j.repc.2021.05.013 |3 Volltext |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_NLM | ||
| 951 | |a AR | ||
| 952 | |d 41 |j 2022 |e 3 |b 01 |c 03 |h 209-218 | ||