Effects of 3 months of detraining following cardiac rehabilitation in patients with atrial fibrillation.
Background: Atrial fibrillation negatively impacts physical fitness and health-related quality of life. We recently showed that 3 months of physiotherapist-led exercise-based cardiac rehabilitation improves physical fitness and muscle function in elderly patients with permanent atrial fibrillation a...
| Publicado en: | European Review of Aging & Physical Activity Vol. 19; no. 1; pp. 1 - 8 |
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| Autores principales: | , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
BioMed Central
4/29/2022
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=156619160&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 156619160 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 18137253 3RAQ jtl: European Review of Aging & Physical Activity issn: 18137253 maglogo: N pubinfo: dt: 4/29/2022 vid: 19 iid: 1 pid: 24147 pub: BioMed Central artinfo: ui: 156619160 10.1186/s11556-022-00293-1 ppf: 1 ppct: 7 formats: fmt: – @attributes: type: T – @attributes: type: P size: 548KB tig: atl: Effects of 3 months of detraining following cardiac rehabilitation in patients with atrial fibrillation. aug: au: Borland, Maria Bergfeldt, Lennart Cider, Åsa Rosenkvist, Agneta Jakobsson, Marika Olsson, Kristin Lundwall, Adam Andersson, Lars Nordeman, Lena affil: Närhälsan Sörhaga Rehabilitation Center, Alingsås, Sweden Region Västra Götaland, Research and Development Primary Health Care, Research and Development Center Södra Älvsborg, Borås Västra Götaland, Sweden Department of Health and Rehabilitation/Physiotherapy, Sahlgrenska Academy, Institute of Neuroscience and Physiology, University of Gothenburg, Gothenburg, Sweden SV Hospital Group rehabilitation Center, Alingsås Hospital, 441 83, Alingsås, Sweden Department of Molecular and Clinical Medicine, Sahlgrenska Academy, Institute of Medicine, University of Gothenburg, Gothenburg, Sweden Department of Cardiology, Sahlgrenska University Hospital, Gothenburg, Sweden Department of Occupational Therapy and Physiotherapy, Sahlgrenska University Hospital, Gothenburg, Sweden Habo Health Center, Bra Liv Health Center, Habo, Jönköping, Sweden SV Hospital Group, Alingsås Hospital, Alingsås, Sweden su: Exercise Physical fitness Atrial fibrillation Cardiac patients Physical activity Physical mobility sug: subj: Exercise Physical fitness Fitness and Recreational Sports Centers Atrial fibrillation Cardiac patients Physical activity Physical mobility keyword: Health- related quality of life Health- related quality of life ab: Background: Atrial fibrillation negatively impacts physical fitness and health-related quality of life. We recently showed that 3 months of physiotherapist-led exercise-based cardiac rehabilitation improves physical fitness and muscle function in elderly patients with permanent atrial fibrillation and concomitant diseases. Little is, however, known about the consequences for physical fitness, physical activity level, and health-related quality of life after ending the rehabilitation period. Methods: Prospective 3 months follow-up study of 38 patients out of 40 eligible (10 women) who, as part of a randomized controlled trial, had completed a 3 months physiotherapist-led cardiac rehabilitation resulting in improved physical fitness,. In the current study, the participants were instructed to refrain from exercise for 3 months after completion of the rehabilitation period. Primary outcome measure was physical fitness measured as highest achieved workload using an exercise tolerance test. Secondary outcome measures were muscle function (muscle endurance tests), physical activity level (questionnaire and accelerometer), and health-related quality of life, (Short Form-36), as in the preceding intervention study. We used the Wilcoxon Signed Rank test to analyse differences between the end of rehabilitation and at follow-up. The effect size was determined using Cohen's d. Results: Exercise capacity and exercise time significantly decresead between end of rehabilitation and at follow-up (p <.0001 for both). A significant reduction in shoulder flexion repetitions (p =.006) was observed as well as reduced health-related quality of life in the Short Form-36 dimensions Physical Function (p =.042), Mental Health (p =.030), and Mental Component Score (p =.035). There were, however, no changes regarding objective and subjective physical activity measurements. Conclusion: In older patients with permanent atrial fibrillation, previously achieved improvements from physiotherapist-led exercise-based cardiac rehabilitation in physical fitness and muscle function were lost, and health-related quality of life was impaired after ending the rehabilitation period. A strategy for conserving improvements after a rehabilitation period is essential. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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