Long-term follow-up with a smartphone application improves exercise capacity post cardiac rehabilitation: A randomized controlled trial.

Autor: Lunde P; Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Norway., Bye A; Department of Nursing and Health Promotion, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Norway.; Regional Advisory Unit for Palliative Care, Department of Oncology, Oslo University Hospital, Norway., Bergland A; Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Norway., Grimsmo J; Norwegian Heart and Lung Patient Organization, LHL-Hospital Gardermoen, Norway., Jarstad E; Norwegian Sport Medicine Clinic (NIMI), Department of Cardiology and Exercise Physiology, Norway., Nilsson BB; Department of Physiotherapy, Faculty of Health Sciences, OsloMet - Oslo Metropolitan University, Norway.; Section for Physiotherapy, Division of Medicine, Oslo University Hospital, Norway.
Jazyk: angličtina
Zdroj: European journal of preventive cardiology [Eur J Prev Cardiol] 2020 Nov; Vol. 27 (16), pp. 1782-1792. Date of Electronic Publication: 2020 Feb 28.
DOI: 10.1177/2047487320905717
Abstrakt: Background: Mobile health interventions, especially smartphone applications (apps), have been proposed as promising interventions for supporting adherence to healthy behaviour in patients post cardiac rehabilitation (CR). The overall aim of the study was to examine the effect of individualized follow-up with an app for one year on peak oxygen uptake (VO 2peak ) in patients completing CR.
Design: The study was designed as a single-blinded multicentre randomized controlled trial.
Methods: The intervention group (IG) received individualized follow-up enabled with an app for one year, while the control group (CG) received usual care. The primary outcome was difference in VO 2peak . Secondary outcomes included exercise performance (time to exhaustion, peak incline (%) and peak velocity (km/h)), bodyweight, resting blood pressure, lipid profile, triglycerides, exercise habits, health-related quality of life, health status and self-perceived goal achievement.
Results: In total, 113 patients completing CR (73.4% with coronary artery disease, 16.8% after valve surgery and 9.8% with other heart diseases) were randomly allocated to the IG or CG. Intention to treat analyses showed a statistically significant difference in VO 2peak between the groups at follow-up of 2.2 ml/kg/min, 95% confidence interval 0.9-3.5 ( p  < 0.001). Statistically significant differences were also observed in exercise performance, exercise habits and in self-perceived goal achievement.
Conclusions: Individualized follow-up for one year with an app significantly improved VO 2peak , exercise performance and exercise habits, as well as self-perceived goal achievement, compared with a CG in patients post-CR. There were no statistically significant differences between the groups at follow-up in the other outcome measures evaluated.
Databáze: MEDLINE
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