Digital home-based multidisciplinary cardiac rehabilitation: How to counteract physical inactivity during the COVID-19 pandemic
| Autor: | Pedro Alves da Silva, Madalena Lemos Pires, Fátima Salazar, Sílvia Fiúza, Ana Abreu, Edite Caldeira, Carla Rodrigues, Nelson Cunha, Alda Jordão, Rita Pinto, Gisela Afonso, I Ricardo, Graça Araújo, Sandra Miguel, Marta Ramalhinho, Mariana Pinto, Joana Martins, Fausto J. Pinto, Olga Santos, M Borges, Ana L. Branco Correia, Susana Pires, Paula Sousa, Mariana Ferreira, Catarina Sousa Guerreiro |
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| Přispěvatelé: | Repositório da Universidade de Lisboa |
| Rok vydání: | 2022 |
| Předmět: |
Gynecology
Sedentary time medicine.medical_specialty 2019-20 coronavirus outbreak Reabilitação cardíaca domiciliária Coronavirus disease 2019 (COVID-19) business.industry Secondary prevention Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) Prevenção secundária Physical activity COVID-19 Doença cardiovascular Telemedicina Sedentary behavior Patient assessment Cardiovascular disease Article Telemedicine Online assessment Home-based cardiac rehabilitation Medicine Cardiology and Cardiovascular Medicine business |
| Zdroj: | Revista Portuguesa De Cardiologia |
| ISSN: | 0870-2551 |
| Popis: | © 2021 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espa ̃na, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/) Introduction and objectives: Center-based cardiac rehabilitation (CR) programs have been forced to close due to COVID-19. Alternative delivery models to maintain access to CR programs and to avoid physical inactivity should be considered. The aim of this study was to assess physical activity (PA) levels after completing a home-based digital CR program. Methods: A total of 116 cardiovascular disease (CVD) patients (62.6±8.9 years, 95 male) who had been attending a face-to-face CR program were recruited and assessed (baseline and at three months) on the following parameters: PA, sedentary behavior, adherence, cardiovascular and non-cardiovascular symptoms, feelings toward the pandemic, dietary habits, risk factor control, safety and adverse events. The intervention consisted of a multidisciplinary digital CR program, including regular patient assessment, and exercise, educational and psychological group sessions. Results: Ninety-eight CVD patients successfully completed all the online assessments (15.5% drop-out rate). A favorable main effect of time was an increase in moderate to vigorous PA and a decrease in sedentary time at three months. Almost half of the participants completed at least one online exercise training session per week and attended at least one of the online educational sessions. No major adverse events were reported and only one minor event occurred. Conclusion: During the pandemic, levels of moderate to vigorous PA improved after three months of home-based CR in CVD patients with previous experience in a face-to-face CR model. Diversified CR programs with a greater variety of content tailored to individual preferences are needed to meet the motivational and clinical requirements of CVD patients. |
| Databáze: | OpenAIRE |
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