Technology-assisted cardiac rehabilitation for coronary heart disease patients with central obesity: a randomized controlled trial

Kód výsledku v IS VaVaI

<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F24%3A00079151" target="_blank" >RIV/65269705:_____/24:00079151 - isvavai.cz</a>

Nalezeny alternativní kódy

RIV/00216224:14110/24:00135537

Výsledek na webu

<a href="https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2024N01A0095" target="_blank" >https://www.minervamedica.it/en/journals/europa-medicophysica/article.php?cod=R33Y2024N01A0095</a>

DOI - Digital Object Identifier

<a href="http://dx.doi.org/10.23736/S1973-9087.23.08111-X" target="_blank" >10.23736/S1973-9087.23.08111-X</a>

Jazyk výsledku

angličtina

Název v původním jazyce

Technology-assisted cardiac rehabilitation for coronary heart disease patients with central obesity: a randomized controlled trial

Popis výsledku v původním jazyce

BACKGROUND: Limited empirical evidence is available regarding the effect of technology-assisted cardiac rehabilitation (TACR) among coronary heart disease (CHD) patients with central obesity. AIM: To determine the effects of 12-week TACR on health outcomes of patients with CHD.DESIGN: Two-arm randomized controlled trial.SETTING: Cardiovascular department of a regional hospital.POPULATION: Coronary heart disease patients with central obesity.METHODS: The study randomized 78 hospitalized CHD patients to receive either the 12-week TACR intervention or usual care. Guided by social cognitive theory, the intervention began with an in-person assessment and orientation session to assess and identify individual risks and familiarize with the e-platform/device before discharge. After discharge, patients were encouraged to visit the interactive CR website for knowl-edge and skills acquisition, data uploading, use the pedometer for daily step tracking, and interact with peers and professionals via social media for problem-solving and mutual support. Data were collected at baseline (T0), six-week (T1), and 12-week (T2).RESULTS: Participants in the intervention group showed significant improvement in daily steps at six weeks but not 12 weeks (T1: beta=2713.48, P=0.03; T2:beta=2450.70, P=0.08), weekly sitting minutes (T1: beta=-665.17, P=0.002; T2: beta=-722.29, P=0.02), and total (vigorous, moderate, and walking) exercise at 12-week (beta=-2445.99, P=0.008). Improvement in health-promoting lifestyle profile (T1: beta=24.9, P&lt;0.001; T2: beta=15.50, P&lt;0.001), smoking cessation (T2: beta=-2.28, P&lt;0.04), self-efficacy (T2: beta=0.63, P=0.02), body mass index (T1:beta =-0.97, P=0.03; T2: beta=-0.73, P=0.04) and waist circumferences (T1: beta =-1.97, P=0.003; T2: beta =-3.14, P=0.002) were identified.CONCLUSIONS: Results indicated the effectiveness of the TACR intervention in improving healthy behaviors and anthropometric parameters for CHD patients with central obesity. Individual assessment, collaborative action planning, and ongoing obesity management support should be highlighted in TACR programs for CHD patients.CLINICAL REHABILITATION IMPACT: Central obesity should be assessed and highlighted in TACR intervention as an independent risk factor that requires corresponding behavior change and body fat management.

Název v anglickém jazyce

Technology-assisted cardiac rehabilitation for coronary heart disease patients with central obesity: a randomized controlled trial

Popis výsledku anglicky

BACKGROUND: Limited empirical evidence is available regarding the effect of technology-assisted cardiac rehabilitation (TACR) among coronary heart disease (CHD) patients with central obesity. AIM: To determine the effects of 12-week TACR on health outcomes of patients with CHD.DESIGN: Two-arm randomized controlled trial.SETTING: Cardiovascular department of a regional hospital.POPULATION: Coronary heart disease patients with central obesity.METHODS: The study randomized 78 hospitalized CHD patients to receive either the 12-week TACR intervention or usual care. Guided by social cognitive theory, the intervention began with an in-person assessment and orientation session to assess and identify individual risks and familiarize with the e-platform/device before discharge. After discharge, patients were encouraged to visit the interactive CR website for knowl-edge and skills acquisition, data uploading, use the pedometer for daily step tracking, and interact with peers and professionals via social media for problem-solving and mutual support. Data were collected at baseline (T0), six-week (T1), and 12-week (T2).RESULTS: Participants in the intervention group showed significant improvement in daily steps at six weeks but not 12 weeks (T1: beta=2713.48, P=0.03; T2:beta=2450.70, P=0.08), weekly sitting minutes (T1: beta=-665.17, P=0.002; T2: beta=-722.29, P=0.02), and total (vigorous, moderate, and walking) exercise at 12-week (beta=-2445.99, P=0.008). Improvement in health-promoting lifestyle profile (T1: beta=24.9, P&lt;0.001; T2: beta=15.50, P&lt;0.001), smoking cessation (T2: beta=-2.28, P&lt;0.04), self-efficacy (T2: beta=0.63, P=0.02), body mass index (T1:beta =-0.97, P=0.03; T2: beta=-0.73, P=0.04) and waist circumferences (T1: beta =-1.97, P=0.003; T2: beta =-3.14, P=0.002) were identified.CONCLUSIONS: Results indicated the effectiveness of the TACR intervention in improving healthy behaviors and anthropometric parameters for CHD patients with central obesity. Individual assessment, collaborative action planning, and ongoing obesity management support should be highlighted in TACR programs for CHD patients.CLINICAL REHABILITATION IMPACT: Central obesity should be assessed and highlighted in TACR intervention as an independent risk factor that requires corresponding behavior change and body fat management.

Druh

J_imp - Článek v periodiku v databázi Web of Science

CEP obor

—

OECD FORD obor

30300 - Health sciences

Projekt

—

Návaznosti

I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Rok uplatnění

2024

Kód důvěrnosti údajů

S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Název periodika

European Journal of Physical and Rehabilitation Medicine

ISSN

1973-9087

e-ISSN

1973-9095

Svazek periodika

60

Číslo periodika v rámci svazku

1

Stát vydavatele periodika

IT - Italská republika

Počet stran výsledku

9

Strana od-do

95-103

Kód UT WoS článku

001198532500011

EID výsledku v databázi Scopus

2-s2.0-85186752093