Journal of Cardiopulmonary Rehabilitation and Prevention最新文献

{"title":"Comparative Efficacy of Pulmonary Rehabilitation in Patients With COPD, ILD, and Long COVID: PHYSICAL AND PSYCHOSOCIAL OUTCOMES.","authors":"Julia Berkowitz, Frederick Lu, Julianne DeAngelis, James Simmons, Wen-Chih Wu","doi":"10.1097/HCR.0000000000000997","DOIUrl":"10.1097/HCR.0000000000000997","url":null,"abstract":"<p><strong>Introduction: </strong>The benefits of pulmonary rehabilitation (PR) for patients with chronic obstructive pulmonary disease (COPD) are well-established, but data on the relative efficacy of PR in patients with interstitial lung disease (ILD) and prolonged symptoms from coronavirus disease-2019 (Long COVID) remain limited. With the increasing prevalence of Long COVID, understanding the role of PR in this group is essential.</p><p><strong>Methods: </strong>Records of patients enrolled in PR between September 1, 2020, to November 30, 2022, at an academic health system were analyzed. Patients were categorized into COPD, ILD, and Long COVID groups based on primary referral diagnosis. Outcome measures included 6-minute walk test distance, COPD Assessment Tool, Modified Medical Research Council Questionnaire, and psychosocial assessments. Mixed-linear modeling for repeated measures compared pre- and post-PR outcomes within and across groups by referral diagnosis while adjusting for baseline covariates.</p><p><strong>Results: </strong>Of the 316 patients enrolled in PR, 192 completed PR. Demographics were similar across groups, though patients with Long COVID were younger, more likely to be Hispanic, and have higher body mass index than patients referred for COPD. Significant improvements were observed in functional capacity, dyspnea, quality of life, depression, anxiety, and stress in all 3 groups following PR without significant between-group differences in PR outcomes.</p><p><strong>Discussion: </strong>This single-center analysis suggests that PR was associated with significantly improved physical and psychosocial well-being in patients with COPD, ILD, and Long COVID with comparable outcomes across all groups. Future randomized-controlled trials are needed to confirm the benefits of PR for patients with Long COVID.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"176-181"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145966157","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":"Availability and Scope of US Clinical Exercise Internship Experiences: A NATIONAL SURVEY.","authors":"Rachael K Nelson, Moriah R Persondek, Dina L Bittner, Steven J Keteyian, Dennis J Kerrigan, Micah N Zuhl","doi":"10.1097/HCR.0000000000001024","DOIUrl":"10.1097/HCR.0000000000001024","url":null,"abstract":"<p><strong>Purpose: </strong>An internship experience is vital in the training of clinical exercise physiologists (CEP), yet the availability and scope of clinical exercise internships throughout the United States have not been described. We evaluate the availability and scope of clinical exercise internship programs throughout the United States.</p><p><strong>Methods: </strong>Using a survey-based study design, we recruited clinicians (eg, CEP, nurses, respiratory therapists) via email to complete a 31-question survey covering facility characteristics, internship availability and scope, and knowledge/skills needed to work as a CEP.</p><p><strong>Results: </strong>Of the 295 completed surveys, 74% of the respondents, representing 42 US states, reported offering a clinical exercise internship. Among sites offering an internship, 88% included a pre-internship interview, while a few (7%) included a quiz (eg, electrocardiogram, cardiac medications) for evaluating potential student interns. Internship sites reported supervising 4 ± 3 interns annually, 41% included stress testing (96 ± 124 hours), 49% included Phase I experience (55 ± 81 hours), and 95% included Phase II experience (245 ± 134 hours). Additionally, 91% of the sites included other learning opportunities, including developing individualized treatment plans (83%) and working in pulmonary rehabilitation (71%), weight management programs (59%), human performance testing (16%), and exercise oncology (13%). Overall, 88% of all 295 respondents strongly agreed that a clinical internship experience is vital for training future CEP.</p><p><strong>Conclusion: </strong>Our survey data suggest that clinical internships for future CEP are felt to be an important part of student training, and most (95%) internship program settings surveyed include direct patient care experience in cardiac rehabilitation.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"228-231"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105467","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":"An Algorithm for the Optimal Location of Cardiac Rehabilitation Centers: A SPATIAL PERSPECTIVE.","authors":"Thiago Mauro de Lima Moraes, Luís Felipe Leite da Silva, Mauro Augusto Dos Santos, Bruno Dos Reis Jaccoud, Ronaldo Malheiros Gregorio, Erito M de Souza Filho","doi":"10.1097/HCR.0000000000001013","DOIUrl":"10.1097/HCR.0000000000001013","url":null,"abstract":"<p><strong>Purpose: </strong>Geographical distance from a patient's residence to a cardiac rehabilitation (CR) clinic is a significant barrier to the initiation and continuation of CR programs worldwide. This distance can adversely affect patient adherence and clinical outcomes, particularly among patients with high cardiovascular risk who require frequent and consistent CR sessions. Addressing this barrier may enhance the accessibility and effectiveness of CR services.</p><p><strong>Methods: </strong>A p -median optimization model was developed to strategically allocate resources for CR in Rio de Janeiro, Brazil. Six scenarios were created to accommodate patients with high cardiovascular risk, with the aim of identifying optimal clinic locations to minimize the average travel distance for patients.</p><p><strong>Results: </strong>The implementation of 4 additional CR clinics demonstrated a 14% to 17% improvement in accessibility, as indicated by a reduction in travel distances for the target patient population. The model also revealed a concentration of clinics within a single region of the city, underscoring disparities in access and highlighting the inequitable distribution of CR services.</p><p><strong>Conclusions: </strong>The optimal allocation of CR clinics using an optimization model can significantly enhance healthcare system efficiency. This approach may ensure optimal resource distribution and treatment accessibility, aligning with the principles of value-based healthcare.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"197-203"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146029801","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":"Verbal and Visuo-Graphic Measures of Illness Perceptions Predict Quality of Life and Symptoms Among Patients With Interstitial Lung Disease.","authors":"Charles F Emery, Ihsan Rodriguez, Nitin Bhatt, Vincent Esguerra, Alice Staaby","doi":"10.1097/HCR.0000000000001015","DOIUrl":"10.1097/HCR.0000000000001015","url":null,"abstract":"<p><strong>Purpose: </strong>Prior research indicates that verbal reports of illness perceptions are associated with quality of life among individuals with interstitial lung disease (ILD). However, individuals with diverse language and verbal abilities may have difficulty providing verbal ratings of illness status. This study evaluated both verbal and visuo-graphic measures of perceived illness as predictors of illness-related quality of life and self-reported pulmonary symptoms among individuals with ILD.</p><p><strong>Methods: </strong>This was a cross-sectional study in a convenience sample of patients with ILD recruited from a clinic setting. Forty adults (63% female; mean age: 62.8; range: 32-85 years) with ILD completed standard medical evaluations of pulmonary function and exercise capacity. Study participants also completed self-report questionnaires (pulmonary symptoms, illness-related quality of life, and illness perceptions) and the lung coloring task (LCT), a standardized visuo-graphic measure of illness perceptions developed for this study. The primary approach to data analysis was multiple regression analysis predicting illness-related quality of life and self-rated symptoms from pulmonary function, illness perceptions, and LCT.</p><p><strong>Results: </strong>Both forced vital capacity and illness perceptions were significant predictors of illness-related quality of life, accounting for approximately 55% of the variance. The symptom dimension of illness-related quality of life was predicted by forced vital capacity, illness perceptions, and LCT, accounting for approximately 40% of the variance.</p><p><strong>Conclusions: </strong>Illness perceptions are important for understanding illness-related quality of life among individuals with chronic lung disease. Visuo-graphic measures of illness perceptions may be especially useful for evaluating symptom experiences in chronic lung disease.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"182-189"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105605","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"It Was a Blur\": A QUALITATIVE STUDY OF BARRIERS TO PARTICIPATION IN CARDIAC REHABILITATION AMONG PATIENTS WITH HEART FAILURE.","authors":"Christene DeJong, Carol Haywood, Joshua Erban, Anna Cichon, Quinn R Pack, Peter K Lindenauer, Tara Lagu","doi":"10.1097/HCR.0000000000001029","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001029","url":null,"abstract":"<p><strong>Purpose: </strong>Fewer than 10% of eligible patients with heart failure (HF) participate in cardiac rehabilitation (CR). To identify patient-centered opportunities to improve CR participation rates, we identified factors influencing HF patient decisions to enroll in CR.</p><p><strong>Methods: </strong>We recruited patients with HF referred to CR from the hospital, clinic, or CR program to participate in interviews focusing on the referral process, barriers, and facilitators to participation and general perceptions of CR. Patients who had not yet attended CR were interviewed 8 weeks later to assess CR attendance. Interviews were audio-recorded, transcribed, and analyzed using constant comparative analysis.</p><p><strong>Results: </strong>We enrolled 18 patients; 5 in CR, 9 referred to CR during a hospitalization, and 4 referred to CR from the clinic. We conducted follow-up interviews with 5 patients. Emergent themes impacting CR attendance included (1) limited memory of inpatient CR referral and education; (2) uncertainty of whether CR is appropriate for them; (3) inconsistent understanding of what CR entails; (4) concerns about symptom burden; (5) fears about safety of exercise; and (6) desire to get healthy and stay alive.</p><p><strong>Conclusions: </strong>Among patients with HF referred to CR, the timing, content, and quality of CR education and referral appear important for encouraging enrollment. Many patients could not recall documented inpatient conversations about CR, raising questions about the impact of referrals made during hospitalization and discharge for patients with HF. Patients suggested that repetition of education would increase the likelihood of enrollment, along with support to address health-related social needs and eligibility specific to the HF population.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633570","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":"Integration of People With Peripheral Artery Disease Into Cardiac Rehabilitation Exercise Programs: A SCOPING REVIEW.","authors":"Krist Feka, Claire V Burley, Belinda J Parmenter, Mia A Schaumberg, Tony Stanton, Christopher D Askew","doi":"10.1097/HCR.0000000000001026","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001026","url":null,"abstract":"<p><strong>Purpose: </strong>Supervised exercise therapy is a class IA recommendation for the management of people with peripheral artery disease (PAD). However, access to exercise programs is limited for most patients. Cardiac rehabilitation (CR) programs are widely available and have the potential to facilitate broader access to exercise therapy. The quality of evidence supporting the efficacy of CR in people with PAD is unclear. This review aimed to summarize the characteristics and quality of studies that have integrated people with PAD into CR.</p><p><strong>Review methods: </strong>Electronic databases (Scopus, PubMed, Web of Science, CINAHL, CENTRAL) were searched from inception up to March 20, 2024. Eligible studies included any that integrated people with PAD into exercise-based CR. Reviews, gray literature, case reports, and surveys were excluded. This review was registered with Open Science Framework on February 24, 2023 (https://osf.io/n7qm3). Of 12 966 articles identified, 21 studies were included comprising 4095 participants with PAD. There were only 2 randomized-controlled trials. Most participants (68%) were included in CR due to cardiac disease with a comorbidity of PAD. Only 5 studies fully adhered to current PAD exercise recommendations. While there were limited high-quality data, CR was associated with improvements in walking capacity, quality of life, and long-term mortality and morbidity rates. However, there were limited PAD-specific assessments and inconsistent outcome measures.</p><p><strong>Summary: </strong>The number of randomized-controlled trials is low, and further high-quality studies are needed to assess the efficacy of CR in people with PAD. Future trials should aim to follow PAD-specific exercise recommendations and assess PAD-specific outcomes.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512462","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":"Effectiveness of a Hybrid Cardiac Rehabilitation Program: A PRAGMATIC RANDOMIZED CONTROLLED TRIAL.","authors":"Pamela Tanguay, Nicole Marquis, Monique Dufour Doiron, Pierre Philippe Wilson Registe, Saïd Mekari, Mathieu Bélanger","doi":"10.1097/HCR.0000000000001030","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001030","url":null,"abstract":"<p><strong>Purpose: </strong>Evaluate the effectiveness of a hybrid cardiac rehabilitation (CR) program compared with a traditional CR program and to assess the long-term effectiveness of the hybrid program in terms of promoting improvements in physical activity, functional capacity, health-related quality of life (HRQoL), and symptoms of anxiety and depression.</p><p><strong>Methods: </strong>A pragmatic randomized clinical trial was conducted across nine centers. The traditional program involved in-center exercise sessions twice a week for 12 weeks. The hybrid program included in-center sessions twice a week for 6 weeks, followed by a gradual replacement of in-center sessions by home-based sessions over the next 6 weeks. Physical activity levels, functional capacity, HRQoL, and symptoms of anxiety and depression were assessed at baseline, at the end of the program, and at a 6-month follow-up. A generalized linear mixed model was used to assess between-group differences.</p><p><strong>Results: </strong>Of the 295 participants recruited, 224 completed the end-of-program assessment (76%), and 169 were followed up at 6 months (57%). There were no statistically significant differences between the groups for all variables except for HRQoL. Between baseline and discharge, both groups showed significant improvements in all variables. At 6 months, no significant changes or differences between groups were found, indicating that the benefits were maintained over time.</p><p><strong>Conclusions: </strong>No statistically significant differences were observed between groups for most outcomes. Both hybrid and traditional CR programs led to significant improvements in all outcomes. These benefits were sustained 6 months after completing either type of program.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473772","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 Individualized Physical Activity Counseling Added to Pulmonary Rehabilitation on Physical Activity, Sedentary Behavior, and Exercise Motivation in Individuals With COPD: A RANDOMIZED CONTROLLED TRIAL.","authors":"Tiago Pastilha, Rui Macedo, Susana Vale, Rita Santos, Vitória Martins, Joana Borges, Viviana Sebastião, Ana S Alexandrino","doi":"10.1097/HCR.0000000000001027","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001027","url":null,"abstract":"<p><strong>Purpose: </strong>Individual counseling during pulmonary rehabilitation (PR) has the potential to modify physical activity levels and motivation for exercise in patients with chronic obstructive pulmonary disease (COPD). This study analyzes the effect of an individual counseling session, added to a PR program, on physical activity, sedentary behavior, and motivation for exercise in patients with COPD.</p><p><strong>Methods: </strong>A double-blind randomized controlled trial was conducted at the Hospital Distrital da Figueira da Foz PR center. Twenty patients with COPD were randomly allocated to an intervention group (IG) or a control group (CG). The IG received an individual physical activity counseling session during PR for 3 months. The CG received the PR. The number of steps and light, moderate, vigorous, and moderate-to-vigorous physical activity was studied as well as sedentary behavior, using the Actigraph wGT3X-BT accelerometer. Motivation for exercise was assessed with the Behavioral Regulations in Exercise Questionnaire. Data were collected at baseline and after 3 months. Data collectors and analysts were blinded.</p><p><strong>Results: </strong>No significant differences were found between groups at baseline. After 3 months, the IG increased the number of steps (P = .001), light (P = .033) and moderate (P =.001) physical activity, and moderate-to-vigorous physical activity (P = .001) compared with CG. Sedentary behavior decreased in IG (P = .009) compared with CG. Motivation for exercise was significantly higher in IG (P = .012).</p><p><strong>Conclusions: </strong>The individual counseling session, when added to PR, may improve physical activity, reduce sedentary behavior, and increase motivation to exercise in COPD.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147473786","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":"\"Fit for Surgery\": Physical Activity, Fitness, and Postoperative Outcomes.","authors":"Barry A Franklin, Hadley T Ninow, Isaac J Wedig, Steven J Elmer","doi":"10.1097/HCR.0000000000001008","DOIUrl":"10.1097/HCR.0000000000001008","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"E10-E12"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145966149","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":"Depression Symptoms in Patients With COPD: A Randomized Study of Home-Based Pulmonary Rehabilitation With Health Coaching.","authors":"Roberto Benzo, Madison Roy, Benjamin Thomas, Maria Benzo, Matthew M Clark","doi":"10.1097/HCR.0000000000000990","DOIUrl":"10.1097/HCR.0000000000000990","url":null,"abstract":"<p><strong>Purpose: </strong>Patients with chronic obstructive pulmonary disease (COPD) and symptoms of depression have increased health care utilization and lower quality of life. There is a knowledge gap regarding feasible and effective approaches for the management of depressive symptoms in patients with COPD. The objective of this randomized clinical trial sub-study is to determine whether 12-weeks of home-based pulmonary rehabilitation (PR) with health coaching is feasible and effective for improving depressive symptoms in patients with COPD.</p><p><strong>Methods: </strong>Patients with severe COPD and symptoms of depression (Patient Health Questionnaire-9 [PHQ-9] ≥5 points) randomized to the intervention (N = 90) or control (N = 78) groups in the parent study were included. The primary outcome of this sub-study was the 12-week change in the PHQ-9 score. Secondary outcomes included dyspnea, fatigue, emotions, and mastery (self-management) as measured by the Chronic Respiratory Questionnaire (CRQ) and daily physical activity and sleep measured by ActiGraph.</p><p><strong>Results: </strong>Home-based PR with health coaching was associated with improved measures of depression ( P = .07), dyspnea, fatigue, emotion, and mastery (self-management) ( P < .001). Being in the intervention group was associated with a higher odds of improving by the minimal clinically important difference on the PHQ-9 (OR = 2.10: 95% CI, 1.06-4.27), CRQ-Dyspnea (OR = 2.37: 95% CI, 1.11-5.26), CRQ-Fatigue (OR = 3.35: 95% CI, 1.59-7.35), CRQ-Emotions (OR = 4.59: 95% CI, 2.13-10.40), and CRQ-Mastery (OR = 3.36: 95% CI 1.60-7.28) after multivariable adjustment. The improvement in depression symptoms was maintained for 3 and 6 months after finishing the intervention.</p><p><strong>Conclusion: </strong>Home-based PR with health coaching is feasible and possibly effective in improving depressive symptoms and quality of life in patients with COPD and symptoms of depression.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"125-131"},"PeriodicalIF":3.1,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145604177","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}