Deivide Rafael Gomes de Faria, Max Duarte de Oliveira, Hélcio Kanegusuku, Breno Quintella Farah, Tiago Peçanha, Nelson Wolosker, Gabriel Grizzo Cucato, Raphael Mendes Ritti-Dias, Marilia Almeida Correia
{"title":"Comparison of Cardiovascular and Perceptual Responses During Guideline-Recommended and Self-Selected Intensity Exercises in Patients With Peripheral Artery Disease: A Randomized Crossover Study.","authors":"Deivide Rafael Gomes de Faria, Max Duarte de Oliveira, Hélcio Kanegusuku, Breno Quintella Farah, Tiago Peçanha, Nelson Wolosker, Gabriel Grizzo Cucato, Raphael Mendes Ritti-Dias, Marilia Almeida Correia","doi":"10.1097/HCR.0000000000000966","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000966","url":null,"abstract":"<p><strong>Purpose: </strong>Exercises with a self-selected intensity (SSI) have emerged as an alternative to guideline-recommended sessions to improve adherence to exercise programs. We compared the cardiovascular and perceptual responses during a walking exercise performed at SSI and in a session with intensity recommended by clinical guidelines.</p><p><strong>Methods: </strong>Twenty patients (mean 69.2 ± 7.7 years, 55% male, and mean ankle brachial index 0.59 ± 0.15) participated in two experimental sessions: guidelines (3-5 minutes of walking sets, 2-3 minutes of recovery, and moderate intensity by pain perception) and SSI (preferred walking speed and set duration) sessions. Blood pressure, heart rate, heart rate variability threshold, rating of perceived exertion, perception of pain, and affective response were assessed during the exercise.</p><p><strong>Results: </strong>Independent of time, perceived exertion (∆0.8: 95% CI, 0.1-1.5, Psession = .035) and pain (∆0.6: 95% CI, 0.3-0.9, Psession < .001) were lower, while affective responses (∆-0.8: 95% CI, - 1.5 to -0.1, Psession = .029) were higher in SSI session compared to the guideline session. Independent of time, the heart rate (∆5.5: 95% CI, 1.2-9.8 beats/min, Psession = .013) was lower in the SSI session, while blood pressure responses were similar between sessions (Psession > .05). The time spent above the heart rate variability threshold was significantly lower in the SSI session (∆4.2: 95% CI, 1.6-7.0 minutes, Pinteraction = .005).</p><p><strong>Conclusion: </strong>The SSI sessions promoted lower cardiovascular overload and better perceptual responses than guideline sessions in patients with symptomatic PAD.</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":"144591324","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":"Impact of Lower-Extremity Muscle Strength on Exercise Capacity in Patients With Cardiovascular Disease and Diabetes Mellitus.","authors":"Koya Takino, Takuji Adachi, Yoji Kuze, Takashi Nagai, Masaya Hori, Masayasu Nakagawa","doi":"10.1097/HCR.0000000000000962","DOIUrl":"https://doi.org/10.1097/HCR.0000000000000962","url":null,"abstract":"<p><strong>Purpose: </strong>Although skeletal muscle abnormalities caused by diabetes mellitus (DM) suggest that peripheral muscle impairment may have a greater effect on exercise tolerance in patients with DM, the magnitude of this effect on reduced exercise capacity remains unclear. As such, this study aimed to compare the strength of the association between lower-extremity muscle strength and exercise capacity in patients diagnosed with cardiovascular disease (CVD) with and without DM.</p><p><strong>Methods: </strong>This retrospective cross-sectional study included data from 262 patients divided into two groups: patients with DM (DM group; n = 106); and without DM (non-DM group; n = 156). Peak oxygen uptake (VO2peak) and isometric knee extensor strength (IKES) were measured. Correlations between VO2peak and IKES were analyzed using Pearson's correlation test in the DM and non-DM groups. Linear regression analyses were performed with VO2peak as the dependent variable, and IKES, confounders, and the interaction term DM × IKES as the independent variables. Separate linear regression analyses were performed for the DM and non-DM groups.</p><p><strong>Results: </strong>The correlation coefficient between VO2peak and IKES was 0.58 in the DM group and 0.26 in the non-DM group. The interaction term DM × IKES had a significant effect on VO2peak. The IKES was significantly associated with VO2peak in the DM group (β = 0.83, P < .001), but not in the non-DM group (β = 0.01, P = .96).</p><p><strong>Conclusion: </strong>A specific association between lower-extremity muscle strength and VO2peak was observed in patients with both CVD and DM.</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":"144591326","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}
Samantha G Farris, Jasmin C Hutchinson, Clinton A Brawner, Steven J Keteyian, Daniel E Forman, Quinn R Pack
{"title":"Recommendations for Providing Feedback and Medical Reassurance Following Maximal-Graded Exercise Testing for Exercise Prescription in Cardiac Rehabilitation.","authors":"Samantha G Farris, Jasmin C Hutchinson, Clinton A Brawner, Steven J Keteyian, Daniel E Forman, Quinn R Pack","doi":"10.1097/HCR.0000000000000968","DOIUrl":"10.1097/HCR.0000000000000968","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":"45 4","pages":"236-238"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512018","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 Cardiovascular Rehabilitation on Myocardial Perfusion and Functional Exercise Capacity in Patients with Stable Coronary Artery Disease and Myocardial Ischemia: Erratum.","authors":"Guillermo Mazzucco, Leonardo Pilón, Rodrigo Torres-Castro, Ana Lista-Paz, Silvana López, Nicolás Chichizola, Gerardo Zapata, Jorge López, Alejandro Berenguel-Senén, Abel Magini, Ane Arbillaga-Etxarri","doi":"10.1097/HCR.0000000000000974","DOIUrl":"10.1097/HCR.0000000000000974","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":"45 4","pages":"303"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144512017","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}
Andrea Raisi, Tommaso Piva, Jonathan Myers, Valentina Zerbini, Erica Menegatti, Sabrina Masotti, Giovanni Grazzi, Gianni Mazzoni, Simona Mandini
{"title":"Joint Associations Between Cardiorespiratory Fitness, Adiposity, and Mortality in Cardiac Outpatients Within a Secondary Prevention Program.","authors":"Andrea Raisi, Tommaso Piva, Jonathan Myers, Valentina Zerbini, Erica Menegatti, Sabrina Masotti, Giovanni Grazzi, Gianni Mazzoni, Simona Mandini","doi":"10.1097/HCR.0000000000000945","DOIUrl":"10.1097/HCR.0000000000000945","url":null,"abstract":"<p><strong>Purpose: </strong>Both cardiorespiratory fitness (CRF) and obesity have been well-established as predictors of cardiometabolic risk and mortality. This study sought to investigate the joint association of CRF and adiposity measures with all-cause and cardiovascular (CVD) mortality in a cohort of patients with stable CVD.</p><p><strong>Methods: </strong>Data were extracted from the ITER registry. The sample was composed of 2860 cardiac patients involved in an exercise-based secondary prevention program between 1997 and 2023. Patient CRF was estimated using the 1-km treadmill walking test, and measures of body mass index (BMI) and predicted body fat percentage (pBF%) were determined. Cox proportional hazard models were used to determine associations with mortality. All results were adjusted for demographic and clinical confounders.</p><p><strong>Results: </strong>A total of 1034 deaths (463 of CVD) occurred over a median of 11 years. Each of the fitness-fatness combinations was associated with an increased risk of mortality as compared with normal weight-fit or low pBF%-fit groups. As regards BMI, compared to the reference group, higher mortality risks were observed for overweight-unfit (HR = 1.93: 95% CI, 1.55-2.41; P < .0001), and obese-unfit patients (HR = 1.63: 95% CI, 1.28-2.08; P < .0001). Similar magnitudes were detected in the moderate pBF%-unfit (HR = 2.47: 95% CI, 1.99-3.06) and high pBF%-unfit (HR = 2.07: 95% CI, 1.69-2.54; P < .0001) groups. A similar pattern was observed for CVD mortality.</p><p><strong>Conclusion: </strong>While overweight and obesity have been associated with an increased risk of death, maintaining CRF can mitigate this risk. These findings support the fundamental role of CRF in exercise assessment and prescription in secondary prevention programs.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"258-264"},"PeriodicalIF":3.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143998743","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}
Xiarepati Tieliwaerdi, Kathryn Manalo, Abulikemu Abuduweili, Sana Khan, Edmund Appiah-Kubi, Brent A Williams, Andrew C Oehler
{"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":3.1,"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}
Michele Lacerda de Andrade, Adão Luis do Monte, Aline Mendes Gerage, Leony Morgana Galliano, Eduardo Caldas Costa, Raphael Mendes Ritti Dias, Fernanda Ishida Corrêa
{"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":3.1,"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}
Samuel A Miller, Ghaith Al Tibi, Joseph Khoury, Eyas Ayesh, Alexis Barker, Madeline Butera, Nicolas Chronos
{"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":3.1,"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":"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":3.1,"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}
Frederick Lu, Arlene Gaw, Jacqueline Pierce, Julianne DeAngelis, James Simmons, Wen-Chih Wu
{"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":3.1,"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}