The effects of maintenance cardiac rehabilitation: A systematic review and Meta-analysis, with a focus on sex

dc.contributor.authorChowdhury, Mohiul
dc.contributor.authorHeald, Fiorella Andani
dc.contributor.authorSanchez-Delgado, Juan C.
dc.contributor.authorPakosh, Maureen
dc.contributor.authorJacome Hortua, Adriana Marcela
dc.contributor.authorGrace, Sherry
dc.date.accessioned2022-02-15T22:51:10Z
dc.date.available2022-02-15T22:51:10Z
dc.date.issued2021-07
dc.description.abstractPhase III/IV cardiac rehabilitation (CR) is recommended to promote maintenance of benefits achieved during Phase II; there has been no meta-analysis to test this to date. This study determined the effects of maintenance CR on any outcome, with consideration of sex. Seven databases were searched from inception-January 2020. Randomized controlled trials on the effects of maintenance CR in cardiovascular disease patients who had graduated from CR were included. Level of evidence was evaluated with GRADEPro. 819 citations were identified, with 10 trials (21 papers) included (5238 participants; 859 [16.4%] female). Maintenance CR resulted in lower low-density lipoprotein (mean difference [MD]=-0.58; 95% confidence interval [CI]=- 1.06–-0.10, n=392) and greater quality of life (MD=0.28, 95% CI=0.05–0.52, n=118) when compared to usual care only. Outcomes for women and sex differences were mixed. In conclusion, maintenance programs appear to sustain patient’s quality of life, but more focus on women’s outcomes is needed.en_US
dc.identifier.citationChowdhury, M., Heald, F. A., Sanchez-Delgado, J. C., Pakosh, M., Jacome-Hortua, A. M., & Grace, S. L. (2021). The effects of maintenance cardiac rehabilitation: A systematic review and Meta-analysis, with a focus on sex. Heart & Lung, 50(4), 504–524. https://doi.org/10.1016/j.hrtlng.2021.02.016en_US
dc.identifier.issn0147-9563
dc.identifier.urihttps://doi.org/10.1016/j.hrtlng.2021.02.016en_US
dc.identifier.urihttp://hdl.handle.net/10315/38987
dc.language.isoenen_US
dc.publisherHeart & Lungen_US
dc.rights© 2021. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/en_US
dc.rightsAttribution-NonCommercial-NoDerivatives 4.0 International*
dc.rights.articlehttps://doi.org/10.1016/j.hrtlng.2021.02.016en_US
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/*
dc.subjectCardiac rehabilitationen_US
dc.subjectSecondary preventionen_US
dc.subjectCardiovascular diseasesen_US
dc.subjectExerciseen_US
dc.subjectReviewen_US
dc.subjectRisk reductionen_US
dc.titleThe effects of maintenance cardiac rehabilitation: A systematic review and Meta-analysis, with a focus on sexen_US
dc.typeArticleen_US

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