Digital home-based multidisciplinary cardiac rehabilitation: the way to counteract physical inactivity during the COVID-19 pandemic?
| Autor: | M Linan Pinto, Sandra Miguel, C Sousa Guerreiro, I Ricardo, A Abreu, M Cordeiro Ferreira, M Lemos Pires, P Alves Da Silva, Regina Menezes Pinto, Fausto J. Pinto, Oscar Oliveira Santos, M Borges, S Fiuza, Marta Ramalhinho, N Cunha |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Rehabilitation Coronavirus disease 2019 (COVID-19) Epidemiology business.industry Life style medicine.medical_treatment Physical activity Cardiovascular Rehabilitation Home based Physical medicine and rehabilitation Multidisciplinary approach Pandemic medicine AcademicSubjects/MED00200 Cardiology and Cardiovascular Medicine business Self report |
| Zdroj: | European Journal of Preventive Cardiology |
| ISSN: | 2047-4881 2047-4873 |
| Popis: | Funding Acknowledgements Type of funding sources: None. Introduction Centre-based cardiac rehabilitation (CR) programs have been forced to close due to the need for physical and social distancing imposed by COVID-19 pandemic. A major problem emerges concerning the potential harmful effects resulting from the suspension of the centre-based CR programs, leading to physical inactivity and unhealthy lifestyle routines. Therefore, the development of alternative delivery models to maintain access to CR programs and to avoid physical inactivity should be organized and tested. Purpose To assess the physical activity (PA) levels in a group of patients with known cardiovascular disease (CVD), after completing 3-months of a home-based multidisciplinary digital CR program, organized as an alternative method to the centre-based CR suspended program. Methods One hundred and sixteen patients with CVD (62.6 ± 8.9 years, 95 males) who were previously attending a face-to-face CR program were included and the following parameters were assessed at baseline and 3 months: self-reported PA and sedentary behaviour, adherence to the online CR program, cardiovascular and non-cardiovascular symptoms, feelings towards the pandemic, dietary habits, risk factor control, safety and adverse events. The intervention consisted in a multidisciplinary digital CR program, including online exercise training sessions, online educational sessions, psychological online group sessions, risk factor control, nutritional and psychological consults and patient regular assessment by cardiologist and nurse. Results Ninety-eight CVD patients successfully completed all the online assessments (15.5% drop-out). It was observed a significant increase from moderate-to-vigorous PA (230 ± 198 mins/week to 393 ± 378 mins/week, p Conclusion Patients with CVD, who suspended centre-based CR due to COVID-19 pandemic and started a home-based multidisciplinary digital CR program, had a significant improvement in moderate to vigorous PA after 3 months. Therefore, home-based CR programs showed to be a good option for selected clinically stable patients, who are eligible for CR and cannot attend a centre-based CR program due to COVID-19 pandemic or eventually other reasons. |
| Databáze: | OpenAIRE |
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