A hybrid exercise-based cardiac rehabilitation program is an effective strategy to improve muscle strength and functional exercise capacity in adults and older people with coronary artery disease
Coronary heart disease is the most common cause of death worldwide. Standard cardiac rehabilitation (face-to-face sessions) has shown benefits in increasing muscle strength and functional exercise capacity in adults and older people. However, it is unknown whether hybrid cardiac rehabilitation (a fi...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-08-01
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| Series: | Frontiers in Physiology |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fphys.2022.948273/full |
| _version_ | 1811315628337790976 |
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| author | Gabriel Nasri Marzuca-Nassr Pamela Seron Claudia Román Claudia Román Manuel Gálvez Rocío Navarro Gonzalo Latin Tania Marileo Juan Pablo Molina Pablo Sepúlveda María José Oliveros |
| author_facet | Gabriel Nasri Marzuca-Nassr Pamela Seron Claudia Román Claudia Román Manuel Gálvez Rocío Navarro Gonzalo Latin Tania Marileo Juan Pablo Molina Pablo Sepúlveda María José Oliveros |
| author_sort | Gabriel Nasri Marzuca-Nassr |
| collection | DOAJ |
| description | Coronary heart disease is the most common cause of death worldwide. Standard cardiac rehabilitation (face-to-face sessions) has shown benefits in increasing muscle strength and functional exercise capacity in adults and older people. However, it is unknown whether hybrid cardiac rehabilitation (a first face-to-face phase + a second remote monitoring phase) will have similar benefits in adults versus older subjects. The aim of this study was to compare the effects of a hybrid exercise-based cardiac rehabilitation program on muscle strength and functional exercise capacity in “adult” versus “older” people with coronary artery disease. We hypothesized that a hybrid exercise-based cardiac rehabilitation program would improve muscle strength and functional exercise capacity, but the impact would be smaller in the older group than the adult individuals. This study is part of a larger project (The Hybrid Cardiac Rehabilitation Trial-HYCARET). We subjected 22 adult (<60 y) females and males (ADULT; n = 5/17 (f/m); 52 ± 5 y; 28.9 ± 3.4 kg·m-2) and 20 older (≥60 y) females and males (OLDER; n = 6/14 (f/m); 66 ± 4 y; 27.4 ± 3.9 kg·m-2) with coronary artery disease to 12 weeks of hybrid exercise-based cardiac rehabilitation program. Prior to and after 12 weeks of a hybrid exercise-based cardiac rehabilitation program, grip strength (handgrip), leg strength (chair stand test), and functional exercise capacity (6-minute walk test, 6MWT) were assessed. The hybrid exercise-based cardiac rehabilitation program resulted in a 9.4 ± 14.6% and a 6.2 ± 12.1% grip strength increase, a 14.4 ± 39.4% and a 28.9 ± 48.1% legs strength increase, and a 14.6 ± 26.4% and a 6.8 ± 14.0% functional exercise capacity improvement in ADULT and OLDER, respectively (p < 0.05) with no differences between groups. In conclusion, a hybrid exercise-based cardiac rehabilitation program could increase muscle strength and improve functional exercise capacity in adults and older people with coronary artery disease. More future studies comparing effectiveness among these age groups are needed to strengthen this conclusion. |
| first_indexed | 2024-04-13T11:33:39Z |
| format | Article |
| id | doaj.art-0cba58b1a4754d6abe4aa25c579be622 |
| institution | Directory Open Access Journal |
| issn | 1664-042X |
| language | English |
| last_indexed | 2024-04-13T11:33:39Z |
| publishDate | 2022-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Physiology |
| spelling | doaj.art-0cba58b1a4754d6abe4aa25c579be6222022-12-22T02:48:30ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2022-08-011310.3389/fphys.2022.948273948273A hybrid exercise-based cardiac rehabilitation program is an effective strategy to improve muscle strength and functional exercise capacity in adults and older people with coronary artery diseaseGabriel Nasri Marzuca-Nassr0Pamela Seron1Claudia Román2Claudia Román3Manuel Gálvez4Rocío Navarro5Gonzalo Latin6Tania Marileo7Juan Pablo Molina8Pablo Sepúlveda9María José Oliveros10Departamento de Ciencias de la Rehabilitación, Facultad de Medicina, Universidad de La Frontera, Temuco, ChileDepartamento de Ciencias de la Rehabilitación, Facultad de Medicina, Universidad de La Frontera, Temuco, ChileDepartamento Ciencias de la Salud, Facultad de Medicina, Pontificia Universidad Católica, Santiago, ChileComplejo Hospitalario San José, Santiago, ChileComplejo Hospitalario San José, Santiago, ChileHospital Clínico Universidad de Chile, Santiago, ChileHospital Clínico San Borja-Arriarán, Santiago, ChileHospital Regional de Antofagasta, Antofagasta, ChileHospital San Juan de Dios, Santiago, ChileDepartamento de Ciencias de la Rehabilitación, Facultad de Medicina, Universidad de La Frontera, Temuco, ChileDepartamento de Ciencias de la Rehabilitación, Facultad de Medicina, Universidad de La Frontera, Temuco, ChileCoronary heart disease is the most common cause of death worldwide. Standard cardiac rehabilitation (face-to-face sessions) has shown benefits in increasing muscle strength and functional exercise capacity in adults and older people. However, it is unknown whether hybrid cardiac rehabilitation (a first face-to-face phase + a second remote monitoring phase) will have similar benefits in adults versus older subjects. The aim of this study was to compare the effects of a hybrid exercise-based cardiac rehabilitation program on muscle strength and functional exercise capacity in “adult” versus “older” people with coronary artery disease. We hypothesized that a hybrid exercise-based cardiac rehabilitation program would improve muscle strength and functional exercise capacity, but the impact would be smaller in the older group than the adult individuals. This study is part of a larger project (The Hybrid Cardiac Rehabilitation Trial-HYCARET). We subjected 22 adult (<60 y) females and males (ADULT; n = 5/17 (f/m); 52 ± 5 y; 28.9 ± 3.4 kg·m-2) and 20 older (≥60 y) females and males (OLDER; n = 6/14 (f/m); 66 ± 4 y; 27.4 ± 3.9 kg·m-2) with coronary artery disease to 12 weeks of hybrid exercise-based cardiac rehabilitation program. Prior to and after 12 weeks of a hybrid exercise-based cardiac rehabilitation program, grip strength (handgrip), leg strength (chair stand test), and functional exercise capacity (6-minute walk test, 6MWT) were assessed. The hybrid exercise-based cardiac rehabilitation program resulted in a 9.4 ± 14.6% and a 6.2 ± 12.1% grip strength increase, a 14.4 ± 39.4% and a 28.9 ± 48.1% legs strength increase, and a 14.6 ± 26.4% and a 6.8 ± 14.0% functional exercise capacity improvement in ADULT and OLDER, respectively (p < 0.05) with no differences between groups. In conclusion, a hybrid exercise-based cardiac rehabilitation program could increase muscle strength and improve functional exercise capacity in adults and older people with coronary artery disease. More future studies comparing effectiveness among these age groups are needed to strengthen this conclusion.https://www.frontiersin.org/articles/10.3389/fphys.2022.948273/fullagingelderlycoronary hearth diseaseexercisephysical performance |
| spellingShingle | Gabriel Nasri Marzuca-Nassr Pamela Seron Claudia Román Claudia Román Manuel Gálvez Rocío Navarro Gonzalo Latin Tania Marileo Juan Pablo Molina Pablo Sepúlveda María José Oliveros A hybrid exercise-based cardiac rehabilitation program is an effective strategy to improve muscle strength and functional exercise capacity in adults and older people with coronary artery disease Frontiers in Physiology aging elderly coronary hearth disease exercise physical performance |
| title | A hybrid exercise-based cardiac rehabilitation program is an effective strategy to improve muscle strength and functional exercise capacity in adults and older people with coronary artery disease |
| title_full | A hybrid exercise-based cardiac rehabilitation program is an effective strategy to improve muscle strength and functional exercise capacity in adults and older people with coronary artery disease |
| title_fullStr | A hybrid exercise-based cardiac rehabilitation program is an effective strategy to improve muscle strength and functional exercise capacity in adults and older people with coronary artery disease |
| title_full_unstemmed | A hybrid exercise-based cardiac rehabilitation program is an effective strategy to improve muscle strength and functional exercise capacity in adults and older people with coronary artery disease |
| title_short | A hybrid exercise-based cardiac rehabilitation program is an effective strategy to improve muscle strength and functional exercise capacity in adults and older people with coronary artery disease |
| title_sort | hybrid exercise based cardiac rehabilitation program is an effective strategy to improve muscle strength and functional exercise capacity in adults and older people with coronary artery disease |
| topic | aging elderly coronary hearth disease exercise physical performance |
| url | https://www.frontiersin.org/articles/10.3389/fphys.2022.948273/full |
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