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[Efficacy of Home-Based Exercise Training and Adherence to Therapy in Patients After Coronary Artery Bypass Grafting]

S A Pomeshkina1, E B Loktionova1, N V Arkhipova1

  • 1Research Institute for Complex Problems of Cardiovascular Diseases, Kemerovo, Russia.

Kardiologiia
|March 15, 2017
PubMed

Insights

Home-based exercise training (HBET) after coronary artery bypass grafting (CABG) is safe but less effective than supervised training. Its benefits on exercise tolerance and adherence diminish over time.

Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Exercise Physiology

Background:

  • Cardiac rehabilitation is crucial for patients post-coronary artery bypass grafting (CABG).
  • Home-based exercise training (HBET) offers a potential alternative to supervised programs.
  • Assessing HBET's efficacy and impact on treatment adherence in the outpatient setting is important.

Purpose of the Study:

  • To evaluate the effectiveness of HBET during the outpatient phase of cardiac rehabilitation for CABG patients.
  • To determine HBET's influence on patient adherence to medical and non-medical therapies.
  • To compare HBET with supervised cycling training programs (SCTP) and usual care.

Main Methods:

  • 112 male patients post-CABG were divided into three groups: SCTP, HBET with walking sessions (WS), and usual care.
  • Patients completed a rehabilitation program in a sanatorium before study enrollment.
  • Assessments were conducted at 1, 4 months, and 1 year post-CABG.

Main Results:

  • Supervised cycling training (SCTP) showed the greatest improvements in exercise tolerance and risk factor modification.
  • Home-based exercise training (HBET) yielded intermediate results, with benefits decreasing by the 1-year follow-up.
  • The usual care group exhibited the lowest exercise tolerance and adherence to therapies.

Conclusions:

  • Home-based exercise training (HBET) is a safe, feasible, and affordable option for post-CABG patients.
  • HBET is less effective than supervised training programs (SCTP).
  • The positive effects of HBET were found to be temporary, highlighting the need for sustained interventions.
Abstract

Keywords:
coronary artery bypass graftinghome-based exercise trainingrehabilitationsupervised cycling training programwalking sessions

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