Journal of Cardiopulmonary Rehabilitation and Prevention最新文献

{"title":"Frailty Over Time: A 6-MONTH FOLLOW-UP OF MULTIDISCIPLINARY CARDIAC AND PULMONARY REHABILITATION IN OLDER ADULTS WITH CARDIORESPIRATORY DISEASE.","authors":"Nicolò Granata, Martina Vigorè, Roberto Maestri, Giovanna Callegari, Giampaolo Guazzotti, Giancarlo Piaggi, Gioele Cremonese, Silvia Audifreddi, Antonia Pierobon","doi":"10.1097/HCR.0000000000001041","DOIUrl":"10.1097/HCR.0000000000001041","url":null,"abstract":"<p><strong>Purpose: </strong>Chronic heart failure (CHF) and chronic obstructive pulmonary disease (COPD) are associated with psychological distress, reduced health-related quality of life (HRQoL), and functional decline, particularly in older adults where frailty is a growing concern. This study primarily evaluated the effects of cardiac and pulmonary rehabilitation on frailty, as measured by the Clinical Frailty Scale, while also examining secondary outcomes including psychological distress, self-efficacy, and HRQoL.</p><p><strong>Methods: </strong>In this multicentric observational study, participants were evaluated through clinical, psychological, functional, and frailty measures at baseline (T 0 ), discharge (T 1 ), and 6-month follow-up (T 2 ).</p><p><strong>Results: </strong>A total of 195 older inpatients (age ≥65 years) with CHF or COPD were included. Significant improvements were observed over time in psychological distress (T 0 = 3.7 ± 2.6, T 1 = 2.0 ± 2.0, T 2 = 2.1 ± 2.3; P < .0001), HRQoL (T 0 = 58.9 ± 19.7, T 1 = 68.3 ± 19.0, T 2 = 63.1 ± 20.3; P < .0001), and self-efficacy (T 0 = 18.56 ± 3.16, T 2 = 19.41 ± 2.87; P = .0005), while frailty remained stable (T 0 = 3.9 ± 1.1, T 1 = 3.8 ± 1.0, T 2 = 3.9 ± 1.0; P = .12). Regression analysis identified age, sex, Barthel Index score, Braden Scale score, HRQoL, self-efficacy, and Short Physical Performance Battery score as significant predictors of frailty at T 2 .</p><p><strong>Conclusion: </strong>Despite improvements in psychological and HRQoL outcomes in older adults with CHF or COPD, frailty remains a challenge, emphasizing the need for interventions targeting physical, psychological, and functional domains. Further research is needed to explore novel or improved rehabilitation strategies and their effect on long-term outcomes.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217625","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":"Comparison of Acute Hemodynamic Response to One-Set of Resistance Exercise With Low-Load to Concentric Failure and High-Load Resistance Exercise in Patients With Coronary Artery Disease: A RANDOMIZED CROSSOVER TRIAL.","authors":"Adel Ghorbani, Payam Saidie, Tolou Hasandokht, Seyed Mohammad Taghi Razavi Tousi, Arsalan Salari, Susan Marzolini","doi":"10.1097/HCR.0000000000001034","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001034","url":null,"abstract":"<p><strong>Purpose: </strong>This study assessed acute physiological responses to a single set of low-load biceps curls to concentric failure resistance exercise (LLCF-RE; 40% of 1 repetition maximum [1RM]) compared with traditional/recommended high-load resistance exercise (HL-RE; 70% of 1RM, 10 repetitions) in patients with coronary artery disease (CAD).</p><p><strong>Methods: </strong>In this randomized crossover clinical trial, 18 patients with stable CAD were randomized to 1 of 2 sequences: (A) LLCF-RE followed by HL-RE 24 to 48 hours later or (B) HL-RE followed by LLCF-RE 24 to 48 hours later. Hemodynamic responses including rate pressure product (RPP), systolic blood pressure (SBP), diastolic blood pressure (DBP), and heart rate (HR) were measured at baseline, immediately after exercise, and 3-minute post-exercise. Rating of perceived exertion (RPE) was also assessed.</p><p><strong>Results: </strong>Both protocols resulted in significant increases in hemodynamic measures post-exercise (P < .05), with no significant time × condition interactions (P > .05). Bland-Altman analysis demonstrated good agreement between LLCF-RE and HL-RE with small mean biases (RPP: 3.09; SBP: 0.61 mm Hg; DBP: 3.00 mm Hg; HR: 2.28 beats/min; RPE: -0.61) and acceptable limits of agreement (RPP: -30.55 to 36.72; SBP: -25.19 to 26.41 mm Hg; DBP: -10.17 to 16.17 mm Hg; HR: -14.49 to 19.04 beats/min; RPE: -3.47 to 2.25).</p><p><strong>Conclusions: </strong>In screened patients with CAD, LLCF-RE elicits similar cardiovascular responses to traditional HL-RE when performed with proper technique. Given its potential advantages, such as reduced joint stress, LLCF-RE may be a suitable alternative for some patients. Further research is warranted to evaluate safety, particularly across multiple sets, and to determine whether LLCF-RE yields comparable long-term benefits to HL-RE in larger and more diverse populations with CAD.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148205162","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":"Noninferiority of Randomly Assigned Telehealth and Center-Based Regional Exercise-Based Cardiac Rehabilitation Programs When Delivered With High Fidelity.","authors":"Blake E G Collins, Brett A Gordon, Daniel W T Wundersitz, Jayden R Hunter, Lisa C Hanson, Michael Kingsley","doi":"10.1097/HCR.0000000000001035","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001035","url":null,"abstract":"<p><strong>Purpose: </strong>Telehealth-delivered exercise-based cardiac rehabilitation programs (ExCRP) enhance enrollment but lack objectively measured exercise volume to facilitate valid assessment of program effectiveness. The aim of this project was to explore whether changes in cardiorespiratory fitness following telehealth ExCRP are noninferior to center-based ExCRP when delivered with comparable fidelity.</p><p><strong>Methods: </strong>Adults with coronary heart disease randomly allocated to telehealth or center-based ExCRP were prescribed 30 minutes of continuous aerobic exercise on 3 days per week for 6 weeks, supported by weekly motivational interviewing and cognitive behavioral therapy sessions. Outcomes assessed at baseline and completion of ExCRP included peak oxygen uptake (), exercise volume, cardiovascular function, sleep quality, and quality of life. A between-group difference in of less than 3.5 mL·kg-1·min-1 was hypothesized to demonstrate noninferiority.</p><p><strong>Results: </strong>Telehealth was noninferior to center-based ExCRP (95% confidence interval, -1.6 to 1.3 mL·kg-1·min-1). There was a significant time effect on in the ExCRP group (F1,47 = 13.800, P > .001, η2 = 0.227). Exercise sessions (t47 = 0.337, P = .738) and intensity (t47 = -0.645, P = .207) were equivalent, while the telehealth group exceeded prescribed exercise duration (40 ± 9 vs 30 ± 0 minute; t47 = -5.077, P < .001). Time effect was observed for quality of life (F1,47 ≥ 4.249, P ≤ .045) and vascular augmentation index (F1,45 = 6.781, P = .012). No significant differences existed in heart rate variability or actigraphy sleep assessment (F1,47 ≤ 1.436, P > .237).</p><p><strong>Conclusion: </strong>When completed with equivalent exercise intensity and sessional adherence, telehealth ExCRP is noninferior to center-based ExCRP for effect on cardiorespiratory fitness. Wearable activity monitoring combined with motivational interviewing and cognitive behavioral therapy can support the delivery of high-fidelity ExCRP in regional populations.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148205258","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":"Reduced Gait Speed Is Associated With Poor Prognosis in Patients With Peripheral Artery Disease After Revascularization.","authors":"Koya Takino, Yoji Kuze, Masaya Hori, Shinji Tomita, Munenori Okubo, Tomoko Koeda","doi":"10.1097/HCR.0000000000001038","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001038","url":null,"abstract":"<p><strong>Purpose: </strong>Peripheral artery disease (PAD) causes claudication and distal lower extremity muscle impairment. While endovascular treatment (EVT) improves symptoms, cardiovascular events remain high. Previous studies have linked muscle mass to adverse outcomes, focusing on proximal muscles rather than distal muscle dysfunction. This study investigated whether gait speed demonstrates greater prognostic value than systemic muscle indicators.</p><p><strong>Methods: </strong>This study included 248 patients with PAD who received EVT. Gait speed, isometric knee extensor strength (IKES), and grip strength (GS) were assessed and classified into reduced or preserved groups based on cutoff values (gait speed: <1.0 m/s; IKES: <0.4 kgf/kg; GS: <28 kg for males, <18 kg for females). The primary outcome was a composite of all-cause mortality and major adverse cardiovascular and limb events and was compared between groups using Kaplan-Meier curves and Cox proportional hazards regression analysis.</p><p><strong>Results: </strong>During a median follow-up of 972 days, the primary outcome occurred in 46 (19%) patients. Kaplan-Meier curves demonstrated that reduced gait speed and decreased IKES showed higher rates of primary outcome (P < .001 and P = .016, respectively), while reduced GS showed no association (P = .184). After multivariate adjustment, reduced gait speed remained an independent predictor (HR = 2.38, P = .007), while IKES and GS were no longer significant.</p><p><strong>Conclusions: </strong>In this preliminary study, reduced gait speed, but not IKES and GS, was associated with the composite outcome. This result indicates that gait speed may be a risk stratification tool for patients with PAD following EVT.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217789","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":"Predicting Outpatient Cardiac Rehabilitation Enrollment: CAN STAFF MEMBERS ACCURATELY ASSESS PATIENTS FUTURE BEHAVIOR?","authors":"Emma Busenkell, Kamryn Jebb, Madeline Broccoli, Patrick Schilling, Kyle McAnally, Tara C Lagu, Peter K Lindenauer, Quinn R Pack","doi":"10.1097/HCR.0000000000001033","DOIUrl":"https://doi.org/10.1097/HCR.0000000000001033","url":null,"abstract":"<p><strong>Purpose: </strong>Hospital-based interventions can increase cardiac rehabilitation (CR) enrollment but require staff time and resources. Enrollment could potentially be optimized if staff members focused on undecided patients who might respond to intensive interventions. The purpose of this study was to evaluate whether staff members can accurately predict whether patients will attend CR.</p><p><strong>Methods: </strong>After a standard phase I CR visit, staff members at the Baystate Medical Center were asked to estimate patient likelihood to attend outpatient phase II CR. This score ranged from 0 (\"Not likely at all\") to 10 (\"Extremely likely\"). We used logistic regression to predict attendance at ≥1 CR session as the outcome. Model strength was evaluated using the C-statistic from the receiver operating curve.</p><p><strong>Results: </strong>Eleven staff members scored 876 patients for likelihood to attend CR. A total of 524 (60%) patients attended CR at 1 of 11 regional programs. A higher likelihood score was associated with higher odds of attendance (OR = 1.16 per 1-point increase: 95% CI, 1.08-1.25; P < .0001), but this model had poor discrimination (C-statistic 0.58). The addition of facility, staff member, medical/surgical treatment, language, and insurance type improved model discrimination (C-statistic 0.67, P < .001).</p><p><strong>Conclusion: </strong>CR staff members can somewhat predict CR attendance, but these subjective evaluations are not reliable enough for routine use, even when adding other key variables. Yet staff member performance significantly influences CR attendance. Thus, until better models are developed, all patients need an equally intensive intervention to promote CR, and staff performance should be monitored and optimized.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148217780","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":"Heart Rate Variability-Guided Exercise Training Compared With Standard Exercise Training in Patients With Coronary Artery Disease: A RANDOMIZED CLINICAL TRIAL.","authors":"Florent Besnier, Mathieu Gayda, Pierre-Olivier Magnan, Josep Iglesies-Grau, Antoine Bouvard, Nicolas Martin, Sarah Clavet, Maxime Duclos, Anil Nigam, Martin Juneau, Philippe L'Allier, Louis Bherer","doi":"10.1097/HCR.0000000000001017","DOIUrl":"10.1097/HCR.0000000000001017","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to compare heart rate variability-guided (HRV-G) exercise training versus standard exercise training (SET) on peak oxygen uptake (V̇O₂ peak ) in patients experiencing an acute coronary syndrome event.</p><p><strong>Methods: </strong>This randomized controlled trial included 48 patients randomized to HRV-G or SET. Both groups consisted of 3 aerobic exercise sessions per week for 3 months. For the HRV-G group, daily exercise was based on a 5-minute morning heart rate recording and the root mean square of successive differences between normal heartbeats (RMSSD). If RMSSD was within ±0.5 SD from baseline, a high-intensity interval training session was performed; if beyond ±0.5 SD , an active recovery session was prescribed. The SET group did 2 sessions of moderate-intensity continuous exercise and 1 session of high-intensity interval training per week, irrespective of HRV status.</p><p><strong>Results: </strong>The V̇O₂ peak increased significantly in both groups (+1.9 mL·kg -1 ·min -1 , P = .002 for SET and +2.1 mL·kg -1 ·min -1 , P < .001 for HRV-G) with no significant group-by-time interaction ( P = .794). Fifty percent of patients were considered responders (ΔV̇O₂ peak change post-pre >5%) in the SET group versus 75% in the HRV-G group ( P = .111). There was a significant time-by-group interaction for V̇O 2 at the first ventilatory threshold, adjusted for lean body mass, showing greater improvement in the HRV-G group compared with the SET group ( P = .043). The training load was significantly lower in HRV-G.</p><p><strong>Conclusions: </strong>In patients with coronary artery disease, HRV-G exercise training led to similar V̇O₂ peak improvements and prevalence of responders but a larger improvement in V̇O 2 at the first ventilatory threshold adjusted for lean body mass compared with SET, despite a lower training load.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"211-218"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105578","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":"Expanding Pulmonary Rehabilitation Beyond Chronic Obstructive Pulmonary Disease and Long COVID: ITS ROLE IN COMPARATIVE EVIDENCE.","authors":"Tetsuro Maeda, Abebaw Mengistu Yohannes","doi":"10.1097/HCR.0000000000001054","DOIUrl":"10.1097/HCR.0000000000001054","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":"46 3","pages":"155-157"},"PeriodicalIF":3.1,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147815576","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":"Cascade of Cardiac Rehabilitation Referral, Enrollment, and Completion and Its Major Predictors in a Large Hospital System.","authors":"Lena Mathews, Siyu Zou, Lisa R Yanek, Thomas Kaszmetskie, Lisa A Benz Scott, Roger S Blumenthal, Lisa A Cooper, Kerry J Stewart, Chiadi E Ndumele, Kunihiro Matsushita","doi":"10.1097/HCR.0000000000001014","DOIUrl":"10.1097/HCR.0000000000001014","url":null,"abstract":"<p><strong>Purpose: </strong>Cardiac rehabilitation (CR) is an effective but underused secondary prevention strategy. We evaluated where the relative gap in the implementation of CR occurs and characteristics related to CR utilization.</p><p><strong>Methods: </strong>We analyzed electronic health records from a large academic health system (2017-2019). We included patients aged ≥18 years, hospitalized with a cardiac event, with an indication for CR. We evaluated crude proportions and used mixed-effects logistic regression to examine the association of characteristics with referral, enrollment (≥1 session), and completion (≥36 sessions), accounting for multiple admissions.</p><p><strong>Results: </strong>Among 4084 patient encounters (mean age: 65.3 ± 14.6 years, 45% female, and 42% Black), 25% were referred, 29% of those referred, enrolled, and 21% of those enrolled, completed CR. We identified characteristics associated with lower CR referral, for example, Black patients (OR = 0.64: 95% CI, 0.50-0.80), female patients (OR = 0.68: 95% CI, 0.56-0.83), and discharge from noncardiology services (eg, OR = 0.07: 95% CI, 0.05-0.10 for general medicine). Post-discharge outpatient visits were associated with higher CR referrals (eg, OR = 1.94: 95% CI, 1.56-2.41 for cardiology follow-up visits). The pattern was largely similar for enrollment and completion, except for higher enrollment for cardiac surgery and lower enrollment for lower-income patients.</p><p><strong>Conclusions: </strong>In the CR care cascade, significant bottlenecks exist at each step, with the narrowest bottleneck noted at the completion stage. We also identified demographic and health system characteristics related to lower CR utilization, which can guide system- and individual-level efforts to promote CR use.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"219-227"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146105602","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":"A Contemporary Review of Spontaneous Coronary Artery Dissection: CLINICAL CARE, CARDIAC REHABILITATION, AND FUTURE DIRECTIONS.","authors":"Patricia Carey, Ashley E Battenberg, Sharonne N Hayes, Amanda R Bonikowske, Laura Suarez Pardo, Kathryn F Larson, Marysia S Tweet","doi":"10.1097/HCR.0000000000001016","DOIUrl":"10.1097/HCR.0000000000001016","url":null,"abstract":"<p><strong>Purpose: </strong>Spontaneous coronary artery dissection (SCAD) has emerged as an important cause of acute coronary syndrome predominantly affecting women. Although the knowledge of SCAD has expanded over the past 2 decades, limited evidence exists to guide post-event management and prevention of future adverse events. This review aims to synthesize the current understanding of SCAD and outline considerations for exercise prescription and cardiac rehabilitation (CR) in this unique population.</p><p><strong>Review methods: </strong>A comprehensive literature review was conducted, incorporating original research articles, systematic reviews, meta-analyses, and current clinical guidelines related to SCAD and CR.</p><p><strong>Summary: </strong>Current literature demonstrates that CR is safe in this population and is associated with improvement in measures of physical and mental health. Expert consensus supports reintroduction of exercise and an individualized multidisciplinary CR framework.This review highlights current evidence and expert recommendations for the multidisciplinary outpatient management of patients with SCAD.</p>","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"158-167"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13339835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146104779","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":"Cardiovascular Rehabilitation Program in Pediatric and Young Adult Patients With Congenital Heart Disease: SINGLE-CENTER 4-YEAR EXPERIENCE.","authors":"Ling Li, Caleb Ross, Michael Randone, Windy W Alonso, Scott Fletcher, Camille Hancock Friesen","doi":"10.1097/HCR.0000000000001006","DOIUrl":"10.1097/HCR.0000000000001006","url":null,"abstract":"","PeriodicalId":15192,"journal":{"name":"Journal of Cardiopulmonary Rehabilitation and Prevention","volume":" ","pages":"E13-E15"},"PeriodicalIF":2.9,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13124250/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146142539","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}