scholarly journals Physical Activity in Cardiac Rehabilitation: Towards Citizen-Centered Digital Evidence-Based Interventions

2020 ◽  
Author(s):  
Johanna Gutenberg ◽  
Stefan Tino Kulnik ◽  
Rada Hussein ◽  
Thomas Stütz ◽  
Josef Niebauer ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Cardiac Rehabilitation ◽  
Exploratory Study ◽  
Survey Methods ◽  
Digital Evidence ◽  
Evidence Based ◽  
Activity Levels ◽  
Physical Activity Levels

Physical activity is a vital part of cardiac rehabilitation (CR). However, heart-healthy physical activity levels in people with cardiovascular disease drop significantly after CR. This exploratory study employs qualitative and survey methods within a co-creation approach. The aim is to understand the mechanisms of healthy behavior and habit formation in order to create a novel evidence-based (post-)rehabilitation approach that employs digital means to sustain long-term physical activity levels in people with cardiovascular disease.

Lessons learned from community- and home-based physical activity programs: A narrative review of factors influencing women’s participation in cardiac rehabilitation

2020 ◽  
pp. 204748732090774 ◽  
Author(s):  
Sol Vidal-Almela ◽  
Brenna Czajkowski ◽  
Stephanie A Prince ◽  
Daniele Chirico ◽  
Kimberley L Way ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Cardiac Rehabilitation ◽  
Physical Function ◽  
Narrative Review ◽  
Large Female ◽  
Activity Levels ◽  
Home Based ◽  
Physical Activity Levels ◽  
Physical Activity Programs

Background Cardiovascular disease remains a leading cause of death in women. Despite the well-known benefits of cardiac rehabilitation, it remains underutilized, especially among women. Physical activity programs in the community, however, attract a large female population, suggesting that they overcome barriers to physical activity encountered by women. The characteristics of interventions that extend beyond the traditional cardiac rehabilitation model and promote physical activity merit examination. Objectives This narrative review aimed to: (a) summarize women’s barriers to attend cardiac rehabilitation; (b) examine the characteristics of community- and home-based physical activity or lifestyle coaching interventions; and (c) discuss which barriers may be addressed by these alternative programs. Methods Studies were included if they: (a) were published within the past 10 years; (b) included ≥70% women with a mean age ≥45 years; (c) implemented a community- or home-based physical activity intervention or a lifestyle education/behavioral coaching program; and (d) aimed to improve physical activity levels or physical function. Results Most interventions reported high (≥70%) participation rates and significant increases in physical activity levels at follow-up; some improved physical function and/or cardiovascular disease risk factors. Community- and home-based interventions address women’s cardiac rehabilitation barriers by: implementing appealing modes of physical activity (e.g. dancing, group-walking, technology-based balance exercises); adapting the program to meet participants’ needs; offering flexible options regarding timing and setting (e.g. closer to home, the workplace or faith-based institutions); and promoting social interactions. Conclusion Cardiac rehabilitation can be enhanced by understanding the specific needs of women; novel elements such as program offerings, convenient settings and opportunities for socialization should be considered when designing cardiac rehabilitation programs.

scholarly journals Dietary education provision within a cardiac rehabilitation programme in the UK: a pilot study

2020 ◽  
Vol 15 (8) ◽  
pp. 1-12
Author(s):  
Chelsea E Moore ◽  
Costas Tsakirides ◽  
Zoe Rutherford ◽  
Michelle G Swainson ◽  
Karen M Birch ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Rehabilitation Programme ◽  
Habitual Physical Activity ◽  
Activity Levels ◽  
Nutrient Intakes ◽  
Cardiac Rehabilitation Programme ◽  
Physical Activity Levels ◽  
Dietary Education ◽  
The Impact

Background/aims The primary aim of this study was to evaluate the effectiveness of two 30-minute dietary education sessions, within cardiac rehabilitation, as a means to optimise nutrient and energy intakes. A secondary aim was to evaluate patients' habitual physical activity levels. Methods Thirty patients (males: n=24, 61.8±11.2 years; females: n=6, 66.7±8.5 years) attended a 6-week early outpatient cardiac rehabilitation programme in the UK and received two 30-minute dietary education sessions emphasising Mediterranean diet principles. Energy intakes and nutrient intakes were measured through completion of 3-day food diaries in weeks one and six (before and after the dietary education sessions) to assess the impact of these sessions on nutrient intakes. At the same time-points, a sub-group (n=13) of patients had their physical activity levels assessed via accelerometery to assess the impact of the cardiac rehabilitation programme on physical activity. Results Estimated energy requirements at week one (1988±366 kcal d−1) were not matched by actual energy intakes (1785±561 kcal d−1) (P=0.047, d=−0.36). Energy intakes reduced to 1655±470 kcal d−1 at week six (P=0.66, d=−0.33) whereas estimated energy requirements increased as a function of increased activity (cardiac rehabilitation sessions). Nutrient intakes remained suboptimal, while no significant increases were observed in healthy fats and fibre, which are core elements of a Mediterranean diet. Statistically significant increases were not observed in physical activity; however, patients decreased sedentary time by 11±12% in week six compared with week one (P=0.009; d=−0.54). Conclusions The present study findings suggest that two 30-minute dietary education sessions did not positively influence energy intakes and nutrient intakes, while habitual physical activity levels were not significantly increased as a result of the cardiac rehabilitation programme. Future research should explore means of optimising nutrition and habitual physical activity within UK cardiac rehabilitation.

Effects of a Pedometer-Based Intervention on Physical Activity Levels After Cardiac Rehabilitation

2009 ◽  
Vol 29 (2) ◽  
pp. 105-114 ◽  
Author(s):  
Lyra Butler ◽  
Susan Furber ◽  
Philayrath Phongsavan ◽  
Andrew Mark ◽  
Adrian Bauman
Keyword(s):  
Physical Activity ◽  
Cardiac Rehabilitation ◽  
Activity Levels ◽  
Physical Activity Levels

scholarly journals Long-Term Effect of Different Physical Activity Levels on Subclinical Atherosclerosis in Middle-Aged Men: A 25-Year Prospective Study

PLoS ONE ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e85209 ◽  
Author(s):  
Magdalena Kwaśniewska ◽  
Anna Jegier ◽  
Tomasz Kostka ◽  
Elżbieta Dziankowska-Zaborszczyk ◽  
Ewa Rębowska ◽  
...  
Keyword(s):  
Physical Activity ◽  
Prospective Study ◽  
Subclinical Atherosclerosis ◽  
Term Effect ◽  
Activity Levels ◽  
Middle Aged ◽  
Long Term Effect ◽  
Physical Activity Levels

scholarly journals Frailty phenotype of homebound Montreal older community dwellers during the COVID-19 pandemic: Results of a cross-sectional population study

2020 ◽  
pp. 1-2
Author(s):  
C.P. Launay ◽  
L. Cooper-Brown ◽  
V. Ivensky ◽  
O. Beauchet
Keyword(s):  
Physical Activity ◽  
Cardiovascular Disease ◽  
Disease Burden ◽  
Activity Levels ◽  
Frailty Phenotype ◽  
Cross Sectional ◽  
Social Distancing ◽  
Physical Activity Levels ◽  
Insufficient Physical Activity ◽  
Community Dwellers

Recently, Aubertin-Leheurdre & Rolland underscored issues and challenges related to the insufficient physical activity levels observed in the frail older population due to social distancing during the Coronavirus disease 2019 (COVID-19) pandemic (1). Social distancing is an effective intervention to limit the spread of COVID-19 (2). However, for older community dwellers social distancing implies homebound which may lead to a decline in physical activity, increased gait and balance disorders, cardiovascular disease burden and morality risk (1, 3, 4).

scholarly journals Long-Term Bed Rest Delays the Circadian Phase of Core Body Temperature

2021 ◽  
Vol 12 ◽  
Author(s):  
Stefan Mendt ◽  
Katharina Brauns ◽  
Anika Friedl-Werner ◽  
Daniel L. Belavy ◽  
Mathias Steinach ◽  
...  
Keyword(s):  
Physical Activity ◽  
Body Temperature ◽  
Circadian Rhythms ◽  
Core Body Temperature ◽  
Bed Rest ◽  
Phase Delay ◽  
Activity Levels ◽  
Physical Activity Levels ◽  
Core Body

Spaceflight can be associated with sleep loss and circadian misalignment as a result of non-24 h light-dark cycles, operational shifts in work/rest cycles, high workload under pressure, and psychological factors. Head-down tilt bed rest (HDBR) is an established model to mimic some of the physiological and psychological adaptions observed in spaceflight. Data on the effects of HDBR on circadian rhythms are scarce. To address this gap, we analyzed the change in the circadian rhythm of core body temperature (CBT) in two 60-day HDBR studies sponsored by the European Space Agency [n = 13 men, age: 31.1 ± 8.2 years (M ± SD)]. CBT was recorded for 36 h using a non-invasive and validated dual-sensor heatflux technology during the 3rd and the 8th week of HDBR. Bed rest induced a significant phase delay from the 3rd to the 8th week of HDBR (16.23 vs. 16.68 h, p = 0.005, g = 0.85) irrespective of the study site (p = 0.416, g = −0.46), corresponding to an average phase delay of about 0.9 min per day of HDBR. In conclusion, long-term bed rest weakens the entrainment of the circadian system to the 24-h day. We attribute this effect to the immobilization and reduced physical activity levels associated with HDBR. Given the critical role of diurnal rhythms for various physiological functions and behavior, our findings highlight the importance of monitoring circadian rhythms in circumstances in which gravity or physical activity levels are altered.

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