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Effect of an exercise consultation on maintenance of physical activity after completion of phase III exercise-based cardiac rehabilitation.
Eur J Cardiovasc Prev Rehabil. 2007 Feb; 14(1):114-21.EJ

Abstract

BACKGROUND

Many patients do not maintain physical activity levels after completion of phase III exercise-based cardiac rehabilitation.

DESIGN

This study determined the effect of an exercise consultation on maintenance of physical activity and cardiorespiratory fitness 12 months after completion of a phase III exercise programme. Seventy cardiac patients were randomized to the experimental (exercise consultation and exercise information) or control groups (exercise information only).

METHODS

Outcomes recorded at baseline, 6 and 12 months were: physical activity (stage of change, 7-day recall, accelerometer), cardiorespiratory fitness, lipids, quality of life, anxiety and depression.

RESULTS

Both groups were regularly active at baseline. The between-group difference for the change in total activity (min/week) assessed by the 7-day recall was significant from baseline to 12 months [98% confidence interval (CI) -295, -20]. Total activity was maintained in the experimental group (98% CI -63, 154) and significantly decreased in the control group (115 min/week; 98% CI -228, -28) from baseline to 12 months. The between-group difference for the change in accelerometer counts/week was not significant from baseline to 6 (98% CI -1 143 720, 607 430) or 12 months (98% CI -1 131 128, 366 473). A comparable, significant decrease in peak oxygen uptake occurred from baseline to 12 months in experimental (1.8 ml/kg per min; 98% CI -3.2, -0.3) and control participants (2.3 ml/kg per min; -3.8, -0.8). Lipids, quality of life, anxiety and depression were normal at baseline and did not significantly change in either group over time.

CONCLUSION

Exercise consultation was effective in maintaining self-reported physical activity, but not peak oxygen uptake, for 12 months after completion of phase III.

Authors+Show Affiliations

University of Glasgow, Division of Developmental Medicine, Yorkhill Hospitals, Scotland. adrienne.hughes@stir.ac.ukNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

17301636

Citation

Hughes, Adrienne R., et al. "Effect of an Exercise Consultation On Maintenance of Physical Activity After Completion of Phase III Exercise-based Cardiac Rehabilitation." European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, vol. 14, no. 1, 2007, pp. 114-21.
Hughes AR, Mutrie N, Macintyre PD. Effect of an exercise consultation on maintenance of physical activity after completion of phase III exercise-based cardiac rehabilitation. Eur J Cardiovasc Prev Rehabil. 2007;14(1):114-21.
Hughes, A. R., Mutrie, N., & Macintyre, P. D. (2007). Effect of an exercise consultation on maintenance of physical activity after completion of phase III exercise-based cardiac rehabilitation. European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, 14(1), 114-21.
Hughes AR, Mutrie N, Macintyre PD. Effect of an Exercise Consultation On Maintenance of Physical Activity After Completion of Phase III Exercise-based Cardiac Rehabilitation. Eur J Cardiovasc Prev Rehabil. 2007;14(1):114-21. PubMed PMID: 17301636.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effect of an exercise consultation on maintenance of physical activity after completion of phase III exercise-based cardiac rehabilitation. AU - Hughes,Adrienne R, AU - Mutrie,Nanette, AU - Macintyre,Paul D, PY - 2007/2/16/pubmed PY - 2007/5/18/medline PY - 2007/2/16/entrez SP - 114 EP - 21 JF - European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology JO - Eur J Cardiovasc Prev Rehabil VL - 14 IS - 1 N2 - BACKGROUND: Many patients do not maintain physical activity levels after completion of phase III exercise-based cardiac rehabilitation. DESIGN: This study determined the effect of an exercise consultation on maintenance of physical activity and cardiorespiratory fitness 12 months after completion of a phase III exercise programme. Seventy cardiac patients were randomized to the experimental (exercise consultation and exercise information) or control groups (exercise information only). METHODS: Outcomes recorded at baseline, 6 and 12 months were: physical activity (stage of change, 7-day recall, accelerometer), cardiorespiratory fitness, lipids, quality of life, anxiety and depression. RESULTS: Both groups were regularly active at baseline. The between-group difference for the change in total activity (min/week) assessed by the 7-day recall was significant from baseline to 12 months [98% confidence interval (CI) -295, -20]. Total activity was maintained in the experimental group (98% CI -63, 154) and significantly decreased in the control group (115 min/week; 98% CI -228, -28) from baseline to 12 months. The between-group difference for the change in accelerometer counts/week was not significant from baseline to 6 (98% CI -1 143 720, 607 430) or 12 months (98% CI -1 131 128, 366 473). A comparable, significant decrease in peak oxygen uptake occurred from baseline to 12 months in experimental (1.8 ml/kg per min; 98% CI -3.2, -0.3) and control participants (2.3 ml/kg per min; -3.8, -0.8). Lipids, quality of life, anxiety and depression were normal at baseline and did not significantly change in either group over time. CONCLUSION: Exercise consultation was effective in maintaining self-reported physical activity, but not peak oxygen uptake, for 12 months after completion of phase III. SN - 1741-8267 UR - https://www.unboundmedicine.com/medline/citation/17301636/Effect_of_an_exercise_consultation_on_maintenance_of_physical_activity_after_completion_of_phase_III_exercise_based_cardiac_rehabilitation_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=17301636.ui DB - PRIME DP - Unbound Medicine ER -