Journal of Cardiopulmonary Rehabilitation and Prevention最新文献

{"title":"Significant Improvement in Atherosclerotic Risk Factors From Intensive Cardiac Rehabilitation (Dean Ornish Program) is Lost Following Program Discontinuation in Rural Elderly Population.","authors":"Samuel A Miller, Ghaith Al Tibi, Joseph Khoury, Eyas Ayesh, Alexis Barker, Madeline Butera, Nicolas Chronos","doi":"10.1097/HCR.0000000000000956","DOIUrl":"10.1097/HCR.0000000000000956","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"297-299"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001723","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":"Machine Learning-Based Prediction Models for Healthcare Outcomes in Patients Participating in Cardiac Rehabilitation: A Systematic Review.","authors":"Xiarepati Tieliwaerdi, Kathryn Manalo, Abulikemu Abuduweili, Sana Khan, Edmund Appiah-Kubi, Brent A Williams, Andrew C Oehler","doi":"10.1097/HCR.0000000000000943","DOIUrl":"10.1097/HCR.0000000000000943","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"247-257"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143968502","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":"Effects of Physical Exercise on Functional Physical Performance in Individuals With Long COVID: A Systematic Review.","authors":"Michele Lacerda de Andrade, Adão Luis do Monte, Aline Mendes Gerage, Leony Morgana Galliano, Eduardo Caldas Costa, Raphael Mendes Ritti Dias, Fernanda Ishida Corrêa","doi":"10.1097/HCR.0000000000000950","DOIUrl":"10.1097/HCR.0000000000000950","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the effect of physical exercise on functional parameters in individuals with long coronavirus disease-2019 (COVID-19).</p><p><strong>Review methods: </strong>A search in MEDLINE, EMBASE, Web of Science, Scielo, and EBSCO was carried out in October 2022, and it was updated in June 2024. For inclusion, studies should have involved physical training without pulmonary rehabilitation, have involved individuals who had long COVID-19, and were prospective trials, clinical trials, or controlled trials. Two reviewers independently performed data extraction and assessed the risk of bias. Seven studies were reviewed, three of high methodological quality. Participants with long COVID-19 were hospitalized in two studies. Interventions lasted 2 to 16 weeks, with frequencies of 2 to 7 days per week, often involving resistance exercise. Strength improved in 67% of studies, cardiorespiratory fitness in 50%, and agility/mobility in 60%. Anxiety improved in 25% of studies, while depression improved in 75%. Quality of life improved across all studies, with dyspnea and fatigue improving in 40% and 80%, respectively.</p><p><strong>Summary: </strong>Results suggest potential benefits of exercise training for subjects with long COVID-19 in several outcomes, mainly in functional capacity, depression symptoms, quality of life, and fatigue.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"239-246"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119794","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":"Canadian Association of Cardiovascular Prevention and Rehabilitation (CACPR) 2025 Spring Conference Abstracts.","authors":"","doi":"10.1097/HCR.0000000000000980","DOIUrl":"10.1097/HCR.0000000000000980","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"E26-E34"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144325861","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":"Differences in Cardiac Rehabilitation Enrollment by Referral Setting.","authors":"Kevin Chen, Julianne DeAngelis, Dana Antinozzi, Julia Berkowitz, Joanne Kerwin, Wen-Chih Wu","doi":"10.1097/HCR.0000000000000947","DOIUrl":"10.1097/HCR.0000000000000947","url":null,"abstract":"<p><strong>Purpose: </strong>National guidelines have focused on increasing early referrals to cardiac rehabilitation (CR) before hospital discharge. However, patients often have not seen their cardiologists for a CR discussion, which may affect their willingness to enroll. This study compared the odds of enrollment between inpatient, outpatient, and dual (inpatient and outpatient) referrals.</p><p><strong>Methods: </strong>A retrospective study was conducted on 1614 patients referred to CR within a university hospital system in Rhode Island from October 1, 2021 to September 30, 2022. Rates of CR enrollment were compared across inpatient (n = 807), outpatient (n = 670), and dual (n = 137) referral settings. Multivariable regression models, including demographics and comorbidities, were used to identify predictors of enrollment.</p><p><strong>Results: </strong>A total of 874 (54%) patients enrolled with 40% of patients with inpatient referrals enrolling compared to 70% and 60% of those with outpatient and dual referrals, respectively ( P < .005). The average time between referral to initial visit was 24.2 ± 20.0 days. Regression modeling showed that patients with outpatient (OR = 3.74: 95% CI, 2.97-4.72) and those with dual referrals (OR = 2.09: 95% CI, 1.44-3.05) had higher odds of enrolling than those with inpatient referrals. Additionally, patients >80 years had lower odds of enrolling (OR = 0.50: 95% CI, 0.36-0.71) compared to younger patients.</p><p><strong>Conclusions: </strong>Patients with outpatient referrals and dual referrals had greater odds of CR enrollment compared to those with inpatient referrals. Older patients (age >80 years) had lower odds of enrollment compared to those aged 50 to 65 years. Studies should focus on how to strengthen the inpatient CR referral process and tailor the CR discussion to meet older patient needs.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"265-270"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119763","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":"Effect of Masking Secondary to the COVID-19 Pandemic on Pulmonary Rehabilitation Outcomes.","authors":"Frederick Lu, Arlene Gaw, Jacqueline Pierce, Julianne DeAngelis, James Simmons, Wen-Chih Wu","doi":"10.1097/HCR.0000000000000949","DOIUrl":"10.1097/HCR.0000000000000949","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"294-296"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119765","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":"Heatwaves and Heart Health: A Survey Study and Discussion on the Current Knowledge and Attitudes of Cardiac Rehabilitation Clinicians.","authors":"Georgia K Chaseling, Sarah Gauci, Matthew Hollings, Susie Cartledge, Julie Redfern, Tom Briffa, Robyn Gallagher, Adrienne O'Neil","doi":"10.1097/HCR.0000000000000951","DOIUrl":"10.1097/HCR.0000000000000951","url":null,"abstract":"<p><strong>Purpose: </strong>Heat-related cardiovascular deaths are increasingly common for people with cardiovascular disease (CVD) in the face of a warming climate. Cardiac rehabilitation clinicians are well placed to educate people with CVD about the risks of heatwaves, but little is understood about their knowledge of this issue. We conducted an Australia-wide survey to understand cardiac rehabilitation clinician knowledge and attitudes regarding the health impacts of heatwaves for people with CVD.</p><p><strong>Methods: </strong>This online REDCap survey was distributed through the National Heart Foundation, Australian Cardiovascular Health and Rehabilitation Association, and SOLVE-CHD networks to cardiac rehabilitation clinicians across Australia. Questions were open-ended and multiple choice about the health impacts of heatwaves and available support for people with CVD. Open-ended questions were thematically coded, and all other responses were presented as percentages.</p><p><strong>Results: </strong>Ninety-nine clinicians in 7 states/territories (70% registered nurses) completed the survey. Only 17% believed sufficient information existed on the heat-health impacts for people with CVD, and 16% thought those with CVD were aware of these negative effects. Half (51%) of the respondents were aware that medication could influence physiological responses to heat but raised concerns regarding a lack of clear hydration guidance for people taking diuretics during a heatwave. Forty-five percent of clinicians said adequate information was available regarding exercise in the heat. Electric fan use (65%) and visiting a cooling center (64%) were the most recommended cooling strategies.</p><p><strong>Conclusions: </strong>Generating educational material and incorporating evidence-based heat management strategies into rehabilitation programs will be vital to reduce cardiovascular events during heatwaves.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"271-277"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144119796","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 Basic Science of Behavior Change in COPD: Testing Self-Determination Theory to Support Home-Based Rehabilitation With Health Coaching.","authors":"Maria Benzo, Minji Lee, Matthew M Clark, Roberto Benzo","doi":"10.1097/HCR.0000000000000957","DOIUrl":"10.1097/HCR.0000000000000957","url":null,"abstract":"<p><strong>Purpose: </strong>Home-based pulmonary rehabilitation (HBPR) with health coaching (HC) in people with chronic obstructive pulmonary disease (COPD) has been reported to produce behavior change by improving accelerometry-measured physical activity level and quality of life (QoL). However, a theoretical framework supporting the observed behavior change has not been tested in people with COPD. Therefore, the purpose of this secondary analysis was to examine the mechanism by which HBPR with HC improved physical and emotional QoL, by testing a theoretical framework that may support the positive effect of the intervention. The hypothesis was that the Self-Determination Theory (SDT) supports the behavior change observed after the 12-week HBPR with HC in patients with moderate to very severe COPD. This theory posits that by supporting the individual's experience of autonomy, competence, and relatedness can foster the most volitional and high-quality forms of motivation and engagement for a behavior change.</p><p><strong>Methods: </strong>Structural Equation Models (Path Analysis) tested the underlying assumption that competence, autonomy, and relatedness were the factors associated with improvement in the physical and emotional QoL post-intervention.</p><p><strong>Results: </strong>The path models supported the effect HBPR with HC on physical and emotional QoL through a direct effect on competence and relatedness ( P <.01) and an indirect effect through autonomy via competence and relatedness.</p><p><strong>Conclusions: </strong>The effect of HBPR with HC in patients with COPD is mechanistically supported by SDT. Addressing competence, relatedness, and autonomy during the pulmonary rehabilitation process may impact physical and emotional QoL, which is of utmost importance to these patients.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"286-293"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144234233","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":"Cost-Effectiveness of Case Management and Financial Incentives to Increase Participation in Cardiac Rehabilitation.","authors":"Donald S Shepard, Jiaye Shen, Blair K Yant, Deborah E Denkmann, Patrick D Savage, Robin K Collier, Brian R Katz, Philip A Ades, Diann E Gaalema","doi":"10.1097/HCR.0000000000000952","DOIUrl":"10.1097/HCR.0000000000000952","url":null,"abstract":"<p><strong>Purpose: </strong>As cardiac rehabilitation (CR) is highly effective, cost-effective, and professionally recommended, policymakers seek to increase utilization. Here we applied results from a randomized trial of case management (CM) and financial incentives (FI), paid as retail gift cards, separately and combined. We modeled their impact and cost-effectiveness compared to usual care (UC) in increasing quality-adjusted life years (QALYs).</p><p><strong>Methods: </strong>Staff time logs, FI payouts, and CR attendance records generated short-term data. We derived the lifetime QALYs and cost-effectiveness (in 2022 US dollars) from a 2024 cost-effectiveness study of CR calibrated from an observational cohort of 601 099 CR-eligible Medicare beneficiaries. That cohort study controlled for confounding using instrumental variables (IV) and propensity-based (PB) matching.</p><p><strong>Results: </strong>The FI alone and CM + FI combined interventions increased CR sessions significantly. Additional CR sessions per participant averaged 7.04 (95% CI, 0.93-13.15) with FI and 13.63 (95% CI, 7.86-19.41) with CM + FI. The CM alone intervention did not increase sessions significantly (mean = 1.53: 95% CI, -4.23 to 7.56). The CM + FI intervention generated the most lifetime QALYs, 0.733 (IV) and 1.100 (PB), and displayed a powerful synergy between CM and FI. Under CM + FI, the cost of financial payouts averaged $1088 (range $0-$1966), and total intervention costs averaged $2388. The lifetime cost-effectiveness of CM + FI was 29.966 (95% CI, 29.636-30.296, IV) or 29.257 (95% CI, 28.935-29.579 PB) QALYs/$million. Both values substantially surpassed the average threshold of the United States health care system (10.421 QALYs/$million).</p><p><strong>Conclusions: </strong>The CM + FI intervention proved highly effective and more than twice as cost-effective as the average of all health interventions in the United States. Thus, CM + FI, combined with other effective interventions such as automatic referral and home-based CR, merit widespread implementation and funding.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"278-285"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101894","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":"Cardiac Rehabilitation for Secondary Prevention After Transient Ischemic Attacks or Mild Non-Disabling Strokes: A Feasibility and Effectiveness Randomized Controlled Trial.","authors":"Melissa Majoni, Saverio Stranges, Richard K T Chan, Neville Suskin, Peter L Prior","doi":"10.1097/HCR.0000000000000955","DOIUrl":"10.1097/HCR.0000000000000955","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"300-302"},"PeriodicalIF":3.3,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144284502","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}