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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Cardiac rehabilitation for women: a systematic review
Karen Budnick1, Jennifer Campbell, Lauren Esau
1Department of Physical Therapy, Faculty of Rehabilitation Medicine, University of Alberta.
Insights
This systematic review found that cardiac rehabilitation (CR) programs improve physiological and psychosocial outcomes for women. Integrating resistance training and addressing specific educational and social support needs enhances effectiveness.
Area of Science:
- Cardiology
- Exercise Physiology
- Rehabilitation Medicine
Background:
- Cardiac rehabilitation (CR) is crucial for improving outcomes in patients with heart disease.
- Evidence-based components of CR programs for women require systematic evaluation.
- Understanding specific needs of women in CR is essential for optimizing care.
Purpose of the Study:
- To systematically evaluate current cardiac rehabilitation (CR) evidence.
- To identify program components that improve physiological and psychosocial outcomes in women.
- To provide evidence-based recommendations for women's cardiac rehabilitation.
Main Methods:
- Systematic literature search across multiple electronic databases (MEDLINE, Embase, CINAHL, Scopus, Sport Discus, Cochrane Library).
- Inclusion/exclusion criteria applied to select relevant studies on women, heart disease, exercise therapy, and CR.
- Independent evaluation of included articles for evidence level and internal validity by four reviewers.
Main Results:
- Thirty-seven articles involving 3,807 subjects were included.
- Aerobic, resistance, and combined exercise interventions demonstrated significant physiological benefits.
- CR improved health-related quality of life, with women benefiting from psychosocial support.
Conclusions:
- Community/home-based CR programs are as effective as supervised programs for patients with good cardiac function (Level II, B).
- Resistance training should complement aerobic training in CR programs (Level I, A).
- CR programs must address women's specific educational needs and enhance social support (Level I, A; Level II, B).
Purpose:
Current cardiac rehabilitation (CR) evidence was systematically evaluated to identify program components that may yield improvements in physiological and psychosocial outcomes in women.
Methods:
A search was conducted in the electronic databases: MEDLINE, Embase, CINAHL, Scopus, Sport Discus and Cochrane Library. Search terms included women, heart disease, exercise therapy, and cardiac rehabilitation. A systematic elimination process was used with specific inclusion/exclusion criteria. Included articles were independently evaluated by four reviewers for level of evidence and internal validity. Specific recommendations were made based on trends in the literature and strength of supporting evidence.
Results:
Thirty-seven articles were included with a combined sample of 3,807 subjects. Ten studies included an analysis of physiological effects of exercise. Aerobic, resistance, and combined exercise interventions all yield physiological benefits. CR yielded favourable health-related quality of life outcomes and women benefited from psychosocial support in both formal and informal environments.
Conclusions:
The following recommendations are based on the review: 1) For patients with good cardiac function, community/home-based programs are as effective as supervised programs (Level II, B); 2) resistance training should be included as an adjunct to aerobic training (Level I, A); 3) programs need to address the specific educational needs of women (Level I, A) and a stronger emphasis needs to be placed on social support (Level II, B).
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Exercise and Cardiovascular Response
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
