Factors Influencing Walking Fitness Following Cardiac Rehabilitation in Patients With and Without New‐Onset Depression.
Aim: To investigate potential factors that might influence the achievement of the minimum clinically important difference (MCID) in walking fitness following cardiac rehabilitation (CR) in patients with and without new‐onset depression. Methods: The clinical data from the National Audit of CR (NACR)...
| Publicado en: | Perspectives in Psychiatric Care Vol. 2026; pp. 1 - 10 |
|---|---|
| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Wiley-Blackwell
1/7/2026
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=190719786&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 190719786 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 00315990 22L jtl: Perspectives in Psychiatric Care issn: 00315990 maglogo: Y pubinfo: dt: 1/7/2026 vid: 2026 pid: 480 pub: Wiley-Blackwell place: Malden, Massachusetts artinfo: ui: 190719786 190719786 190719786 10.1155/ppc/5149806 190719786 ppf: 1 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: C – @attributes: type: P tig: atl: Factors Influencing Walking Fitness Following Cardiac Rehabilitation in Patients With and Without New‐Onset Depression. aug: au: Sever, Serdar Harrison, Alexander Doherty, Patrick Badicu, Georgian affil: Department of Health Sciences,, University of York,, York, UK, york.ac.uk sug: subj: Walking Psychosocial Factors Physical Fitness Psychosocial Factors Cardiac Patients Psychosocial Factors Rehabilitation, Cardiac Depression United Kingdom Human Male Female Middle Age Aged Retrospective Design Record Review T-Tests Pearson's Correlation Coefficient Logistic Regression Analysis of Variance Multivariate Analysis Odds Ratio Confidence Intervals Data Analysis Software Descriptive Statistics Scales Clinical Assessment Tools Acute Coronary Syndrome Age Factors Sex Factors Sedentary Behavior Obesity Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Aim: To investigate potential factors that might influence the achievement of the minimum clinically important difference (MCID) in walking fitness following cardiac rehabilitation (CR) in patients with and without new‐onset depression. Methods: The clinical data from the National Audit of CR (NACR) indicated that between January 1, 2016, and January 31, 2020, 2027 acute coronary syndrome (ACS) patients with new‐onset depression (15.5%) and 11,059 without new‐onset depression (84.5%) underwent pre‐ and postincremental shuttle walk test (ISWT) measurements. Patients with new‐onset depression had a mean age of 61.7 ± 10.5 years (27.5% female), compared to 64.8 ± 10.3 years (20.6% female) among those without. Comparative analyses were conducted to examine differences in walking fitness between these groups. Subsequently, a binary logistic regression analysis was executed to investigate the factors associated with achieving the MCID in walking fitness, defined as > 70 m improvement in ISWT, following CR. Results: The multivariate analysis results revealed that having new‐onset depression (OR: 0.89, 95% CI: 0.80 and 0.99), older age (OR: 0.96, 95% CI: 0.95 and 0.96), female gender (OR: 0.61, 95% CI: 0.56 and 0.68), physical inactivity (OR: 0.84, 95% CI: 0.78 and 0.91), and obesity (OR: 0.65, 95% CI: 0.60 and 0.71) were all associated with being less likely to achieve MCID in walking fitness adjusting for baseline fitness levels. Patients with new‐onset depression had reduced walking fitness at baseline compared to those without, and they were less likely to meet the MCID for ISWT following CR. The study also generated a novel set of walking fitness reference values for patients with new‐onset depression. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|