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Journal of Cardiopulmonary Rehabilitation and Prevention

Lucia Cugusi, Andrea Manca, Marco Bergamin, Andrea Di Blasio, Tee Joo Yeo, Antonio Crisafulli, Giuseppe Mercuro
PURPOSE: Zumba fitness (ZF) is a well-known exercise program involving dance and fitness. Despite its increasing popularity, no analysis has been conducted on studies focusing on the cardiovascular (CV) profile of women who performed this activity. The aim of this systematic review is to provide insights into the impact of ZF on women's CV health. METHODS: Five clinical databases were searched. To be included, the articles had to include (1) women with or without CV risk factors (CVRF) and (2) CV-related outcomes resulting from a ZF program...
June 26, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Nicole Freene, Margaret McManus, Tarryn Mair, Ren Tan, Rachel Davey
PURPOSE: Physical inactivity and sedentary behavior (SB) are independent risk factors for cardiovascular disease and all-cause mortality. No studies appear to have investigated whether SB in cardiac rehabilitation (CR) participants changes over time. The aim of this study was to objectively assess physical activity (PA) and SB of CR participants over 6 wks. METHODS: Using a prospective cohort study design, 72 CR participants, age = 64.2 ± 9.6 y (mean ± standard deviation [SD]) (79% male), wore an ActiGraph ActiSleep accelerometer for 7 consecutive days at the beginning and end of a 6-wk program to assess daily minutes of moderate-to-vigorous PA (MVPA) and SB (<100 counts/min)...
June 26, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Anke Hildebrandt, Detlev Willemsen, Nils Reiss, Petra Bartsch, Thomas Schmidt, Birna Bjarnason-Wehrens
BACKGROUND: With an increasing number of left ventricular assist devices (LVADs) being implanted, the need for adequate cardiac rehabilitation (CR) regimens meeting the special needs of these patients arises. Only a few studies have reported experience gained on this topic. Structured CR strategies are poorly implemented. The aim was to evaluate the characteristics, therapeutic needs, and scope of LVAD patients at admission to CR within a greater cohort in order to identify their special CR needs...
June 26, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Lisa Wickerson, Dina Brooks, W Darlene Reid, Lianne G Singer, John Granton, Sunita Mathur
PURPOSE: Little is known about the oxygen requirements during physical exertion or exercise in individuals with interstitial lung disease (ILD). This study examined exertional oxygen requirements, the relationships between exertional oxygen use, exercise capacity and aerobic training parameters, and predictors of change in exertional oxygen requirements during pulmonary rehabilitation (PR). METHODS: A retrospective study of lung transplant candidates with advanced ILD who underwent at least 4 wk of outpatient PR between 2004 and 2014 was undertaken...
June 26, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Esperanza Doña, Casilda Olveira, Francisco Javier Palenque, Nuria Porras, Antonio Dorado, Rocío Martín-Valero, Ana M Godoy, Francisco Espildora, Gabriel Olveira
PURPOSE: Pulmonary rehabilitation (PR) is recommended for bronchiectasis, but there is little evidence of its efficacy in these patients. The aim of this study was to assess the effect of PR in normally nourished patients with noncystic fibrosis bronchiectasis compared with the effect of PR plus an oral nutritional supplement (PRONS). METHODS: A single-center randomized controlled trial, parallel treatment design in which participants were randomly assigned to receive PR for 12 wk or PR plus a high-protein nutritional supplement enriched with beta-hydroxy-beta-methylbutyrate...
June 26, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Aline Almeida Gulart, Anelise Bauer Munari, Karoliny Dos Santos, Caroline Tressoldi, Manuela Karloh, Anamaria Fleig Mayer
PURPOSE: This study aimed to analyze the isolated role of unsupported arm activities and the physiological responses and dynamic hyperinflation (DH) induced by activities of daily living in patients with chronic obstructive pulmonary disease. Physiological responses and DH were compared using the Glittre activities of daily living test (TGlittre) and a modified protocol that emphasized unsupported arm activities and excluded squats and bending down to move objects on shelves (TGlittre-M)...
June 26, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Danielle C Bentley, Scott G Thomas
PURPOSE: Growing evidence supports handgrip exercise training for reducing resting blood pressure (BP), with inconsistent exercise protocols reported throughout the literature. To verify safety of such protocols, real-time cardiovascular responses must be assessed. Consequently, this research sought to evaluate the acute impact of dissimilar handgrip protocols on the cardiovascular responses of BP, heart rate (HR), and forearm blood flow. METHODS: Using a randomized intraindividual crossover design, 20 post-menopausal women completed 2 distinct handgrip protocols compared with a nonexercise control: 4 × 2-min sustained grips at 30% moderate intensity with 1-min rest between sets (ZONA), and 32 × 5-sec intermittent grips at maximal intensity with 5-sec rest between sets (MINT)...
June 26, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Giuseppe Vitale, Silvia Sarullo, Laura Vassallo, Antonino Di Franco, Giorgio Mandalà, Stefania Marazia, Giuseppe M Raffa, Francesco Giallauria, Filippo M Sarullo
PURPOSE: This single-center retrospective analysis aimed to evaluate the prognostic relevance of 6-min walk test (6MWT) in patients admitted to an in-hospital cardiovascular rehabilitation program after open-heart valve surgery. METHODS: One hundred one patients able to perform a 6MWT within the first week of admission (time after surgery: 16 ± 8 d) were included (age 68 ± 11 y; 55% female; median left ventricular ejection fraction 55% [interquartile range: 50-60]; 51% after aortic valve surgery)...
June 26, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Tina Pittman Wagers, Courtney J Stevens, Kaitlin V Ross, Katherine Kelly Leon, Kevin S Masters
PURPOSE: Spontaneous coronary artery dissection (SCAD) is a nonatherosclerotic type of acute myocardial infarction that primarily affects young, healthy women without typical risk factors for heart disease. Few investigations have examined psychosocial variables in this population and none have looked at patient perceptions of the experience and stresses associated with having a SCAD event or the resources currently available to SCAD survivors. This investigation describes survivors' subjective experiences of SCAD...
June 22, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Murillo Frazão, Paulo Eugênio Silva, Wanessa Frazão, Vinícius Zacarias Maldaner da Silva, Marco Aurélio de Valois Correia, Mansueto Gomes Neto
PURPOSE: To investigate the correlation between a plateau in minute ventilation VE during cardiopulmonary exercise tests (CPETs) and its impact on cardiac performance. METHODS: This retrospective study analyzed 2575 CPETs of patients with chronic obstructive pulmonary disease. The study randomly selected 10 patients with a plateau in the VE curve, suggesting dynamic hyperinflation, 10 patients with normal pattern for the VE curve, and 10 healthy persons. Classic CPET variables, the new ventilation hyperinflation index, and the dynamic cardiac constraint index were analyzed...
June 22, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Jonathan Lin, Alexandra Banathy, Carla Winters, Lars Andersen, Cindy Hudson, Heidi Testa, Joy Reardon, Peter Alagona
PURPOSE: The 2013 American College of Cardiology/American Heart Association Guideline on the Treatment of Blood Cholesterol to Reduce Atherosclerotic Cardiovascular Risk in Adults recommends high-intensity statin therapy in patients aged ≤75 y with clinical coronary artery disease (CAD). The effectiveness of cardiac rehabilitation (CR) in lipid management and guideline adherence is unknown. The purpose of this study is to determine whether CR participation affects guideline-driven achievement for statin use...
May 12, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Felicity C Blackstock, Kate E Webster, Christine F McDonald, Catherine J Hill
PURPOSE: To determine whether people with chronic obstructive pulmonary disease (COPD) have characteristics that predict a clinically meaningful response to pulmonary rehabilitation (PR) that includes an education component compared with exercise training alone. METHODS: Participants were classified as responders or nonresponders to 2 models of PR; exercise training and education (ET + ED, n = 113) or exercise training alone (ET, n = 85). Responders were defined as those who achieved a clinically meaningful change in 6-min walk distance (6MWD) or any of the 4 domains of the Chronic Respiratory Questionnaire (CRQ)...
May 11, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Dejana Popovic, Nikhil Kumar, Sundeep Chaudhry, Akshay Bagai, Ross Arena, Naresh Kumar
PURPOSE: Improvements in cardiorespiratory fitness (VO2peak) post-cardiac rehabilitation (post-CR) are used to gauge therapeutic efficacy. The aim of the present study was to assess the effect of supervised CR on other cardiopulmonary exercise testing (CPX) variables, specifically those that reflect ventilatory efficiency and VO2 changes in relation to changes in work rate (WR). METHODS: Patients (n = 142; mean age 63 ± 9 y; 23% female) with coronary artery disease (CAD) participated in supervised CR for 3 to 6 mo completing 60 ± 17 sessions (range: 32-96 sessions), with intensity derived from the baseline CPX...
May 11, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Sumedha Singh, Jamal Ali Moiz, Mir Shad Ali, Deepak Talwar
PURPOSE: To determine the reliability, validity, and responsiveness of the incremental shuttle walk test (ISWT) in patients with interstitial lung disease (ILD). METHODS: This was a cross-sectional longitudinal study. Patients (n = 27, 10 males; mean age ± SD, 61 ± 9.8 y) with ILD of any etiology, who participated in an outpatient pulmonary rehabilitation (PR) program, were recruited. Reliability was determined by comparing the distance covered in meters between the ISWT-1 and the ISWT-2...
May 11, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Matthew C Whited, Jordan M Ellis, John Taylor Freeman, Ansley T Corson, Stacey B Greenway, Andrew M Busch, Amanda L Whited, Samuel F Sears
PURPOSE: To explore the effects of implementation of the "Open Gym" (OG) scheduling model of cardiovascular rehabilitation administration on the rate of patient engagement and change in commonly measured clinical outcomes. Little data exist on the potential benefits of the OG model on patient completion, attendance, and clinical outcomes. METHODS: A retrospective chart review was conducted that included the 1-y period both before and after OG model implementation...
May 11, 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Quinn R Pack, Gerene Bauldoff, Steven W Lichtman, Maria Buckley, Kent Eichenauer, Anne Gavic, Chris Garvey, Marjorie L King
BACKGROUND: In 2014, the American Association of Cardiovascular and Pulmonary Rehabilitation Quality of Care Committee was asked to develop performance measures (PMs) to assess program quality and aid in program improvement and certification. METHODS: A 3-step process was used to prioritize, develop, and then validate new PMs for both cardiac and pulmonary rehabilitation programs. First, we surveyed national leadership, medical directors, and program directors to identify and rank various American Association of Cardiovascular and Pulmonary Rehabilitation potential PM topics...
July 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Larry F Hamm
No abstract text is available yet for this article.
July 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Anna Torri, Claudia Panzarino, Anna Scaglione, Maddalena Modica, Bruno Bordoni, Raffaella Redaelli, Renata De Maria, Maurizio Ferratini
BACKGROUND: Although cardiac rehabilitation (CR) is cost- effective in improving the health of patients with coronary heart disease (CHD), less than half of eligible CHD patients attend a CR program. Innovative web-based technologies might improve CR delivery and utilization. We assessed the feasibility and impact on functional capacity and secondary prevention targets of a long-term web-monitored exercise-based CR maintenance program. METHODS: Low- to moderate-risk CHD patients were recruited at discharge from inpatient CR after a coronary event or revascularization...
July 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Ray W Squires, Leonard A Kaminsky, John P Porcari, Jeanne E Ruff, Patrick D Savage, Mark A Williams
Aerobic and resistance exercise training is a cornerstone of early outpatient cardiac rehabilitation (CR) and provides impressive benefits for patients. The components of the exercise prescription for patients with cardiovascular diseases are provided in guideline documents from several professional organizations and include frequency (how many sessions per week); intensity (how hard to exercise); time (duration of the exercise training session); type (modalities of exercise training); volume (the total amount or dose of exercise); and progression (the rate of increasing the dose of exercise)...
May 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
Fabiana B R Moreira, Marcelo B de Fuccio, Giane Amorim Ribeiro-Samora, Marcelo Velloso
PURPOSE: Chronic obstructive pulmonary disease reduces functional capacity, which is strongly correlated with the morbidity and mortality of patients. The BODE index considers the multifactorial nature of the disease, including the functional capacity measured by the 6-min walk test (6MWT), and this index predicts the mortality in patients with chronic obstructive pulmonary disease. Our aim was to assess whether association exists between the original BODE index and the modified BODE index by replacing the 6MWT with the scores from the Pulmonary Functional Status and Dyspnea Questionnaire-Modified version (PFSDQ-M), Human Activity Profile (HAP) questionnaire, and the results of the Glittre ADL Test (TGlittre)...
May 2018: Journal of Cardiopulmonary Rehabilitation and Prevention
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