Compliance with rehabilitation programs in secondary prevention of coronary artery disease
Authors:
J. Bajorek 1; I. Buriánková 1; H. Cypriánová 2; V. Drbošalová 2; E. Sovová 3
Authors‘ workplace:
I. interní klinika, FN a LF UP Olomouc
Přednosta: doc. MUDr. Miloš Táborský, CSc., FESC, MBA
1; Centrum kinantropologického výzkumu, Fakulta tělesné kultury UP Olomouc
Vedoucí: prof. PhDr. Karel Frömel, DrSc.
2; Klinika tělovýchovného lékařství, FN a LF UP Olomouc
Přednostka: doc. MUDr. Sovová Eliška, PhD., MBA
3
Published in:
Prakt. Lék. 2010; 90(12): 723-727
Category:
Of different specialties
Overview
Using heart rate monitors, pedometers and accelerometers, we studied the compliance of patients with angiographically diagnosed coronary heart disease with home-based cardiac rehabilitation programs, in order to assess the motivational effect of these devices. Compliance was assessed based on the patients’ attendance at check-up sessions (at months 3, 6, 9 and 12), physical activity records, and objective measurement of energy expenditure with an accelerometer.
Of 320 patients, sixty-one (19 %) gave informed consent to their participation in study. The individual check-ups were attended by 34 (56 %), 24 (39 %), 14 (23 %) and 5 (8 %) patients, respectively, less than half of whom provided records with sufficient physical activity. Compliance of the groups using heart rate monitors and pedometers was identical, both the same as or lower than compliance with centre-based rehabilitation reported in meta-analyses.
Accelerometer data (applicable in 64–70% of records), however, gave evidence of sufficient energy expenditure. Thus, it may be concluded that in the group, compliance with the recommended energy expenditure was better than compliance with the rehabilitation program.
Key words:
coronary heart disease, exercise therapy, compliance, ambulatory monitoring.
Sources
1. Balady, G.J., Williams, M.A., Ades, P.A. Core components of cardiac rehabilitation/secondary prevention programs: 2007 update. A scientific statement from the American Heart Association exercise, cardiac rehabilitation, and prevention committee, the council on clinical cardiology; the councils on cardiovascular nursing, epidemiology and prevention, and nutrition, physical activity, and metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation 2007, 115, p. 2675-2682.
2. Bunker, S.J., Goble, A.J. Cardiac rehabilitation: under-referral and underutilization. Med. J. Aust. 2003, 179, p. 332-333.
3. Burke, L.E., Dunbar-Jacob, J.M., Hill, M.N. Compliance with cardiovascular disease prevention strategies: a review of the research. Ann. Behav. Med. 1997, 19, p. 239-263.
4. Burt, A., Thornley, P., Illingworth, D. et al. Stopping smoking after myocardial infarction. Lancet 1974, 1, p.304-306.
5. Colberg, S.R., Grieco, C.R. Exercise in the treatment and prevention of diabetes. Curr. Sports Med. Rep. 2009, 8(4), p. 169-175.
6. Cortes, O., Heather, M.A. Determinants of referral to cardiac rehabilitation programs in patients with coronary artery diasese: A systematic review. Am. Heart. J., 2006, 151, p. 249-256.
7. Dalal, H.M., Evans, P.H., Campbell, J.L. et al. Home-based versus hospital-based rehabilitation after myocardial infarction: a randomized trial with preference arms-Cornwall heart attack rehabilitation management study (CHARMS). Int. J. Cardiol. 2007, 119, p. 202-211.
8. DeBusk, R.F., Haskell, W.L., Miller, N.H. et al. Medically directed at-home rehabilitation soon after clinically uncomplicated acute myocardial infarction: A new model patient care. Am. J. Cardiol. 1985, 55(4), p. 251-257.
9. Dunbar-Jacob, J., Dwyer, K., Dubbing, E.J. Compliance with antihypertensive regimen: A review of the research in the 1980s. Ann. Behav. Med. 1991, 13(1), p. 31-39.
10. Erdman, R.A.M., Duivenvoorden, H.J., Verhage, F. et al. Predictability of beneficial effects in cardiac rehabilitation: A randomized clinical trial of psychosocial variables. J. Cardiopulm. Rehabil. 1986, 6, p. 206-213.
11. Ferguson, E.E. Cardiac rehabilitation-an effective and comprehensive but underutilized program to reduce cardiovascular risk in patients with CVD. US Cardiovascular Disease 2006 [on-line]. Dostupné na http://www.touchcardiology.com/articles/cardiac-rehabilitation-an-effective-and-comprehensive-underutilized-program-reduce-cardiova.
12. Frajer, J.A., Scheyer, R.D., Mattson, R.H. Compliance declines between clinic visits. Arch. Intern. Med.1990, 150, p. 1509-1510.
13. Freedson, P.S., Melanson-Sirard, J. Calibration of the computer science and applications, Inc. accelerometer. Med. Sci. Sports Exerc. 1998, 30, p. 777-781.
14. Glanz, K. Dietitians’ effectiveness and patient compliance with dietary regimens. J Am. Diet. Assoc. 1979, 75, p. 631-636.
15. Graham, H.A. Conceptual map for studying long-term exercise adherence in a cardiac population. Rehabil. Nurs. 2003, 28(3), p. 80-86.
16. Graham, I., Atar, D., Borch-Johnsen, K. et al. European guidelines on cardiovascular disease prevention in clinical practice. Fourth Joint Task Force of the European Society of Cardiology and other societies on cardiovascular disease prevention in clinical practice (constituted by representatives of nine societies and by invited experts). Eur. J. Cardiovasc. Prev. Rehabil. 2007, 14 (suppl 2), p. 1-113S.
17. Chaloupka, V., Siegelová, J., Špinarová, L. Rehabilitace u nemocných s kardiovaskulárním onemocněním Doporučení ČKS. Cor. Vasa 2006, 48(7-8): K127-K145.
18. Jolliffe, J., Rees, K., Tailor, R.R.S. Exercise-based rehabilitation for coronary heart disease (Review) Cochrane Database of Systematic Reviews (1), 2001, CD001800.
19. Kasapis, C., Thompson, P.D. The effects of physical activity on serum C-reactive protein and inflammatory markers: a systematic review. Am. Coll. Cardiol. 2005, 45, p.1563-1599.
20. Kruse, W.H. Compliance with treatment of hyperlipoproteinemia in medical practice and clinical trials. In Kamer, JA, Spilker, B. Patient compliance in medical practice and clinical trials. New York: Raven Press, 1991, p. 175-186.
21. Leon, A.S., Sanchez O.A. Response of blood lipids to exercise training alone or combined with dietary intervention. Med. Sci. Sports Exerc. 2001, 33(6 Suppl), S502-S515.
22. Lindberg, R. Active living: on the road with the 10,000 steps program. J. Am. Diet. Assoc. 2000, 100(8), p. 878-879.
23. Máček, M., Máčková, J., Smolíková, L. Počet kroků jako ukazatel zdatnosti. Medicina spletiva, 2010, 19, s. 2115-2120.
24. Oldridge, N.B. Compliance and dropout in cardiac exercise rehabilitation. J. Card. Rehabil. 1984, 4, p. 166-177.
25. Schuler, G.R., Hambrecht, G., Schlierf, J. et al. Regular physical exercise and low-fat diet. Effects on progression of coronary artery disease. Circulation 1992, 86, p. 1-11.
26. Thompson, P.D., Buchner, D., Pina I. et al. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: a statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity). Circulation 2003, 107, p. 3109-3116.
27. Whelton, S.P., Chin, A., Xin, X. et al. Effect of aerobic exercise on blood pressure: a meta-analysis of randomized, controlled trials. Ann. Intern. Med. 2002, 136 (7), p. 493-503.
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