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).
Abstract

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