Journal of Cardiopulmonary Rehabilitation and Prevention最新文献

{"title":"How \"Global\" are Globally Oriented Pulmonary Rehabilitation Studies? Strategies to Promote Equitable Participation From Low- and Middle-Income Countries: A Systematic Review.","authors":"Fanuel M Bickton, Josan Sutherland, Patrick K Kalonde, Alice Namanja, Alison Lupton-Smith, Tao Li, Gift T Banda, Brian W Allwood, Gm Monsur Habib, Rik Gosselink, Jamlick Karumbi, Susan Hanekom, Harriet Shannon, Jamie Rylance, Joyce L Browne, Enock Chisati, Martin Heine","doi":"10.1097/HCR.0000000000000959","DOIUrl":"10.1097/HCR.0000000000000959","url":null,"abstract":"<p><strong>Purpose: </strong>To perform a systematic review of globally oriented pulmonary rehabilitation (PR) studies and describe low- and middle-income country (LMIC) participation including its enablers and barriers.</p><p><strong>Review methods: </strong>Systematic search of PubMed was performed on November 18, 2024 using a search string \"pulmonary rehabilitation\" AND (\"global\" OR \"international\" OR \"consensus\" OR \"standards\" OR \"guidelines\" OR \"recommendations\" OR \"statement\" OR \"position\") followed by citation searching. All PR publications from January 1, 2010 onwards were included if they were globally oriented, reported original research data, and targeted people with chronic respiratory disease (with or without comorbidity). The review followed the Preferred Reporting Items for Systematic reviews and Meta-Analyses guidelines.</p><p><strong>Summary: </strong>Of the initial 1302 records screened in PubMed, 17 were assessed for eligibility by reviewing their full-text articles, which excluded 7 articles. Citation searching and snowballing yielded 5 more eligible articles, resulting in a total of 15 eligible articles included for analysis. Of these, 6 (40%) were explicitly global while the remainder were implicitly global. Study participants (n = 823) originated from 40 different countries, based on reported data or provided by correspondence. Of these, high-income countries contributed 748 participants (91%), followed by upper-middle-income countries with 59 participants (7%), lower-middle-income countries with 15 participants (12%), and one low-income country with 1 participant (<1%). Potential enablers of LMIC participation were using multiple participant recruitment and data collection methods, channels, platforms, and collecting data from participants using their native languages. Limited resources were identified as a potential barrier.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"327-341"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144584011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arterial Stiffness and Physical Activity in Patients With Heart Failure With Reduced Ejection Fraction.","authors":"Aylin Tanriverdi Eyolcu, Buse Ozcan Kahraman, Ebru Ozpelit, Bihter Senturk, Bahri Akdeniz, Mehmet Birhan Yilmaz, Sema Savci","doi":"10.1097/HCR.0000000000000958","DOIUrl":"10.1097/HCR.0000000000000958","url":null,"abstract":"<p><strong>Purpose: </strong>The link between arterial stiffness and physical activity remains unknown in patients with heart failure with reduced ejection fraction (HFrEF). This study aimed to assess the association between arterial stiffness and physical activity in patients with HFrEF.</p><p><strong>Methods: </strong>Seventy-six patients with HFrEF (mean age: 61.40 ± 8.56 years) were recruited in this cross-sectional study. Arterial stiffness was evaluated with carotid-femoral pulse wave velocity (cfPWV). Physical activity was objectively assessed with an accelerometer over 7 days. Physical activity intensity was classified based on the metabolic equivalents of task (MET) as light-intensity physical activity (LPA; 1.5-2.9 MET), moderate-intensity physical activity (MPA; 3.0-6.0 MET), and vigorous-intensity physical activity (VPA; >6.0 MET).</p><p><strong>Results: </strong>There was a significant correlation between cfPWV and the time spent per week in LPA ( r = -0.478, P < .001), MPA ( r = -0.547, P < .001), total physical activity ( r = -0.579, P < .001), and step count ( r = -0.489, P < .001). After adjusting for age, sex, body mass index, mean arterial pressure, and New York Heart Association functional class, the correlations remained significant. When patients were categorized into inactive, active, and highly active groups according to weekly moderate-to-vigorous intensity physical activity (sum of MPA and VPA), there was a significant difference in cfPWV between the groups ( P < .001).</p><p><strong>Conclusions: </strong>This study indicates that LPA, MPA, total physical activity, and step count are independently associated with arterial stiffness in patients with HFrEF. Arterial stiffness is lower in patients who are active or highly active compared to those who are inactive.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"371-376"},"PeriodicalIF":3.1,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144208614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adverse Impact of COVID-19 on Hopelessness Levels in Patients With Ischemic Heart Disease.","authors":"Susan L Dunn, Holli A DeVon, Eileen G Collins, Anna Luong, Heather Pauls Hrynyk, Mia I Cajita, Nathan L Tintle","doi":"10.1097/HCR.0000000000000960","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000960","url":null,"abstract":"<p><strong>Purpose: </strong>The coronavirus disease-2019 (COVID-19) pandemic negatively impacted mental health outcomes. This study aimed to 1) quantify the relationship between perceived impact of COVID-19 and hopelessness in patients with ischemic heart disease (IHD) and 2) identify potential mediators of the relationship.</p><p><strong>Methods: </strong>Participants (n = 110) were recruited from 1 hospital in the Midwestern United States. Data on the perceived impact of COVID-19, state and trait hopelessness, depression, perceived social support (PSS), health-related quality of life (HRQoL), and well-being were collected 2 weeks post-hospitalization from 2020 to 2023. Linear models were used to evaluate associations between variables in adjusted and unadjusted models.</p><p><strong>Results: </strong>Most participants were male (69%), non-Hispanic White (95%), married (64%), and with some college education (66%). Hopelessness showed a modest association with perceived COVID-19 impact (state = 0.23; trait = 0.30), as did anxiety (0.40), HRQoL (0.20), PSS (-0.24), fatigue (0.25), and pain interference (0.25), in adjusted and unadjusted models. Food access, family income/employment, social support access, and stress were associated with hopelessness and perceived COVID-19 impact. The strongest evidence for mediation between hopelessness and perceived COVID-19 impact was anxiety (66% mediation state; 50% mediation trait).</p><p><strong>Conclusions: </strong>In this first study to report hopelessness levels in patients with IHD during the COVID-19 pandemic, the relationship between hopelessness and perceived COVID-19 impact was supported and mediated by anxiety. During a pandemic, food access, social support, family income/employment, and stress in patients with IHD may increase feelings of hopelessness. Further research is required to examine the hopelessness and anxiety relationship.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775443","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the Upper Extremity Exercise Capacity and Associated Variables in Individuals With Heart Failure.","authors":"Habibe Durdu, Ertan Aydin","doi":"10.1097/HCR.0000000000000977","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000977","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate the relationship of upper extremity exercise capacity (UEEC) with activities of daily living (ADL), handgrip strength, handgrip endurance, and anthropometric and clinical characteristics in patients with heart failure (HF).</p><p><strong>Methods: </strong>In 48 patients with HF and 50 age- and sex-matched healthy controls, we evaluated UEEC, handgrip strength and endurance, and AD using the 6-minute pegboard ring test (6PBRT), a hydraulic hand dynamometer, and the London Chest Activity of Daily Living (LCADL) scale, respectively.</p><p><strong>Results: </strong>Clinical characteristics were similar between patients with HF (mean age 63.21 ± 8.55 years, 42% female) and healthy controls (mean age 60.16 ± 8.64 years, 54 % female, P > .05). Patients with HF had significantly reduced 6PBRT scores (Cohen's d = - 1.906), handgrip strength (Cohen's d = - 0.595), and handgrip endurance (Cohen's d = - 1.791), as well as higher LCADL scores (Cohen's d = 1.628) compared to healthy controls (P < .05). The 6PBRT score showed strong positive correlation with handgrip endurance (r = 0.595, P < .001) and moderate positive correlation with total work capacity (r = 0.497, P < .001). The LCADL%total revealed a moderate negative correlation with handgrip strength (r = - 0.495, P < .001) and total work capacity (r = - 0.493, P < .001) and a moderate positive correlation with body mass index (r = 0.477, P = .001) in patients with HF. Performance of ADL was not correlated to 6PBRT score in patients with HF. Also, the diagnosis of HF and handgrip endurance were the strongest predictors for 6PBRT score (P < .05).</p><p><strong>Conclusions: </strong>Patients with HF exhibited a clinically significant decrease in their UEEC. Based on our findings, this decline is likely associated with handgrip endurance.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775447","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kinesiophobia After Atrial Fibrillation Ablation: Associated Risk Factors and Impacts on Postprocedural Syndrome.","authors":"Kexin Wang, Zhe Wang, Caiyi Jin, Weizhu Ju, Minglong Chen","doi":"10.1097/HCR.0000000000000970","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000970","url":null,"abstract":"<p><strong>Purpose: </strong>Exercise-based cardiac rehabilitation (CR) after atrial fibrillation (AF) ablation is beneficial for patients with AF; however, kinesiophobia has been demonstrated to be a significant barrier to CR. The aim of the study was to investigate the perioperative risk factors for kinesiophobia, as well as its impact on postprocedural syndrome after AF ablation.</p><p><strong>Methods: </strong>Consecutive patients with paroxysmal AF who underwent ablation between January 2023 and April 2023 were included. Kinesiophobia and exercise self-efficacy were assessed 48 to 72 hours after ablation. Scheduled follow-up was conducted 1, 2, 3, and 6 months after the procedure.</p><p><strong>Results: </strong>Among the 87 patients enrolled, 54 (62%) suffered from a high level of postoperative kinesiophobia. Patients with kinesiophobia were more likely to suffer from postoperative nonspecific symptoms (P < .001) and decreased exercise tolerance (P < .001) during early recovery period. The anesthesia method (OR = 0.05: 95% CI, 0.01-0.17) and preoperative European Heart Rhythm Association (EHRA) score (OR = 6.60: 95% CI, 1.85-26.95) were important risk factors for postoperative kinesiophobia. The anesthesia method and preoperative EHRA score were associated with nonspecific symptoms and decreased exercise tolerance, which is fully mediated by kinesiophobia.</p><p><strong>Conclusions: </strong>Kinesiophobia was significantly correlated with adverse experiences during the early recovery period after AF ablation. The choice of anesthesia, management of AF-related symptoms, and patient education are crucial for reducing kinesiophobia.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Physical Activity, Cardiorespiratory Fitness, and Health Care Costs.","authors":"Isaac J Wedig, Hadley T Ninow, Barry A Franklin, Steven J Elmer","doi":"10.1097/HCR.0000000000000971","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000971","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Home-Based Rehabilitation With Health Coaching in Patients Living With Bronchiectasis.","authors":"Caitlin Batzlaff, Johanna Hoult, Roberto Benzo","doi":"10.1097/HCR.0000000000000983","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000983","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Arm-Ergometry Versus Treadmill Exercise in Patients With Peripheral Artery Disease: INFLAMMATORY AND ENDOTHELIAL OUTCOMES IN THE ARMEX TRIAL.","authors":"Sandra Magalhães, Mário Santos, Sofia Viamonte, Manuel Teixeira, Fernando Ribeiro, Henrique Cyrne-Carvalho","doi":"10.1097/HCR.0000000000000973","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000973","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2025-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144775444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Dose-Response Relationship of Aerobic Exercise on Cardiorespiratory Fitness in Cardiac Rehabilitation: A SYSTEMATIC REVIEW AND META-ANALYSIS.","authors":"Blake E G Collins, Brett A Gordon, Daniel W T Wundersitz, David Carey, Michael I C Kingsley","doi":"10.1097/HCR.0000000000000963","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000963","url":null,"abstract":"<p><strong>Objective: </strong>To explore the incremental dose-response effect of aerobic exercise-based cardiac rehabilitation programs (ExCRP) on cardiorespiratory fitness in comparison to non-exercise controls among people with coronary heart disease (CHD).</p><p><strong>Review methods: </strong>Medline, CINAHL, Cochrane, SCOPUS, and SPORTDiscus were searched from January 1, 2000 until December 4, 2023. Articles were eligible for selection if they satisfied the following criteria: randomized controlled studies assessing change in cardiorespiratory fitness among people with CHD in non-exercise and aerobic intervention groups, established peak oxygen uptake via cardiopulmonary exercise test, minimum of 4-week program duration, and reported frequency, intensity, and duration of prescribed exercise. The study was prospectively registered (PROSPERO ID: CRD42021274924).</p><p><strong>Summary: </strong>Thirty-three studies, including 1901 participants were included in the continuous dose-analysis. A significant difference in cardiorespiratory fitness was identified between ExCRP and non-exercise control that favored exercise by 3.4 (3.0-3.9) mL·kg -1 ·min -1 . No difference existed between interval and continuous training when matched for exercise dose. Dose-response analyses identified a significant increase in cardiorespiratory fitness (3.4 [2.9-5.5] mL·kg -1 ·min -1 ) associated with program completion, with no additional benefit related to increased exercise dose. When compared to non-exercise control, participating in ExCRP with a minimum total program intervention dose of 2194 metabolic equivalent minutes significantly improves cardiorespiratory fitness. However, no additional benefit was discernible from higher exercise doses. Although the recommended dose for ExCRP augments medical treatment and is sufficient to improve cardiorespiratory fitness, it is likely that the narrow range in prescribed exercise dose and variations in the fidelity of exercise interventions limit interpretation.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144608462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of a Rehabilitation Program With Blood Pressure-Guided Exercise Intensity Restrictions for Patients With Thoracic Aortic Dissection or Aneurysm.","authors":"Karoline Stentoft Rybjerg Larsen, Mariann Tang, Jacob William Budtz-Lilly, Lotte Sørensen","doi":"10.1097/HCR.0000000000000965","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000965","url":null,"abstract":"<p><strong>Purpose: </strong>Aortic disease presents a significant risk of mortality and morbidity, with hypertension considered the primary driver of disease progression. Blood pressure naturally increases during physical activity, and patients need guidance on the optimal level of exercise. The purpose of this study was to evaluate change in cardiopulmonary fitness after attending a rehabilitation program using blood pressure-guided exercise intensity.</p><p><strong>Methods: </strong>The cohort included patients with thoracic aortic dissection (type A and B) and surgically operated thoracic aortic aneurysm. All participated in a rehabilitation program with maximum workload recommendations based on cardiopulmonary exercise tests which were performed before and after the rehabilitation program.</p><p><strong>Results: </strong>63 patients were included. At ventilatory threshold, workload increased by 17-32 watt and oxygen uptake by 1.8-2.9 ml/kg/min. 22 patients were able to perform both tests to exhaustion without exceeding blood pressure restrictions of 160-180 mmHg. These patients improved maximum workload by 20.6 watt (95% CI, 13.0-28.3) and peak oxygen uptake by 2.3 ml/kg/min (95% CI, 1.2-3.5). Only two cases of light dizziness at the end of test were reported.</p><p><strong>Conclusions: </strong>Generally, patients with aortic disease improved oxygen uptake and workload during the rehabilitation program. One-third of the patients were able to perform both cardiopulmonary exercise tests to exhaustion without exceeding blood pressure restrictions. No serious adverse events occurred during test or exercise.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144591325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}