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Updated: May 15, 2026
04:24
A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Exercise training programs in Dutch cardiac rehabilitation centres.
Summary
Dutch cardiac rehabilitation centres show significant variation in determining exercise intensity and in the volume and intensity of training programs. This lack of uniformity impacts exercise prescription in cardiac rehabilitation.
Area of Science:
- Cardiology
- Exercise Physiology
- Rehabilitation Medicine
Background:
- Cardiac rehabilitation (CR) programs are essential for patients with cardiovascular conditions.
- Standardized methods for exercise intensity determination and program design are crucial for effective CR.
- Previous research indicates potential variability in CR practices.
Purpose of the Study:
- To evaluate the methods used for exercise intensity determination in Dutch CR centres.
- To investigate variations in the content, volume, and intensity of exercise training programs within these centres.
Main Methods:
- A survey questionnaire was distributed to all Dutch CR centres.
- The questionnaire included 85 questions targeting patients with acute coronary syndrome (ACS) or after coronary revascularisation, and patients with chronic heart failure (CHF).
- Responses were collected from 45 centres, representing a 58% completion rate.
Main Results:
- Symptom-limited exercise testing was employed in 76% (Group 1) and 64% (Group 2) of centres.
- Maximum heart rate percentage was the primary parameter for exercise intensity in 65% (Group 1) and 56% (Group 2) of centres.
- Significant variation was observed in both aerobic and strength training intensity and volume across centres.
Conclusions:
- Considerable heterogeneity exists among Dutch CR centres regarding exercise intensity determination methods.
- There is a lack of standardization in training volume and intensity within CR programs.
- These findings highlight the need for greater uniformity in exercise prescription for cardiac rehabilitation.
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