Effectiveness of a home-based cardiovascular disease prevention program during the COVID-19 pandemic
Purpose: Home-based cardiovascular disease (CVD) primary prevention (HBPP) and cardiac rehabilitation (HBCR) programs which occupied a small proportion of the overall Preventive Cardiology work in the past have become mainstream during the COVID-19 pandemic. This study aims to analyze the effectiven...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | Journal of Clinical and Preventive Cardiology |
| Subjects: | |
| Online Access: | http://www.jcpconline.org/article.asp?issn=2250-3528;year=2022;volume=11;issue=2;spage=37;epage=43;aulast=Chockalingam |
| _version_ | 1811294718257004544 |
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| author | Priya Chockalingam Vaishnav Natarajan Tharani Sekar Rajaram Anantharaman Meeranghani Mohamed Yusuf Sengottuvelu Gunasekaran Pradeep G Nayar V Chockalingam |
| author_facet | Priya Chockalingam Vaishnav Natarajan Tharani Sekar Rajaram Anantharaman Meeranghani Mohamed Yusuf Sengottuvelu Gunasekaran Pradeep G Nayar V Chockalingam |
| author_sort | Priya Chockalingam |
| collection | DOAJ |
| description | Purpose: Home-based cardiovascular disease (CVD) primary prevention (HBPP) and cardiac rehabilitation (HBCR) programs which occupied a small proportion of the overall Preventive Cardiology work in the past have become mainstream during the COVID-19 pandemic. This study aims to analyze the effectiveness of a home-based CVD prevention program implemented during the pandemic in India. Methods: A retrospective study was conducted on prepandemic and pandemic enrollees. Health behavior, CVD risk factors, physical and mental component score (PCS, MCS) from SF-12 questionnaire, body mass index (BMI), 6-min walk distance (6MWD), and clinical and biochemical parameters were assessed. A multidisciplinary team consisting of Physician, Physiotherapist, Dietician, and Counseling Psychologist provided the program using telehealth platforms. Results: Of the 66 subjects (55 ± 13 years, 73% male), 17 (26%) enrolled prepandemic and 49 (74%) enrolled during pandemic, 28 (42%) were HBPP, and 38 (58%) were HBCR participants. Majority of the subjects (n = 51, 77%) with significantly more HBCR than HBPP participants harbored 4 or more risk factors (P = 0.04). In the 60 (91%) program completers, BMI, 6MWD, PCS, and MCS had improved significantly. Systolic blood pressure, diastolic blood pressure, left ventricular ejection fraction, glycosylated hemoglobin, total cholesterol, and low-density lipoproteins had improved significantly in affected subjects. Completely home-based participants (n = 44, 67%) who never had any in-person contact with the team during the program also showed significant improvement. No adverse events were reported. Conclusions: Comprehensive home-based CVD prevention programs are effective in improving anthropometric, clinical, biochemical, and psychosocial parameters, are a safe alternative to conventional programs, and could potentially become the standard-of-care in the postpandemic era. |
| first_indexed | 2024-04-13T05:21:37Z |
| format | Article |
| id | doaj.art-f6ac8d0ca59f43ba8fe6ed88c86f7176 |
| institution | Directory Open Access Journal |
| issn | 2250-3528 |
| language | English |
| last_indexed | 2024-04-13T05:21:37Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Clinical and Preventive Cardiology |
| spelling | doaj.art-f6ac8d0ca59f43ba8fe6ed88c86f71762022-12-22T03:00:45ZengWolters Kluwer Medknow PublicationsJournal of Clinical and Preventive Cardiology2250-35282022-01-01112374310.4103/jcpc.jcpc_53_21Effectiveness of a home-based cardiovascular disease prevention program during the COVID-19 pandemicPriya ChockalingamVaishnav NatarajanTharani SekarRajaram AnantharamanMeeranghani Mohamed YusufSengottuvelu GunasekaranPradeep G NayarV ChockalingamPurpose: Home-based cardiovascular disease (CVD) primary prevention (HBPP) and cardiac rehabilitation (HBCR) programs which occupied a small proportion of the overall Preventive Cardiology work in the past have become mainstream during the COVID-19 pandemic. This study aims to analyze the effectiveness of a home-based CVD prevention program implemented during the pandemic in India. Methods: A retrospective study was conducted on prepandemic and pandemic enrollees. Health behavior, CVD risk factors, physical and mental component score (PCS, MCS) from SF-12 questionnaire, body mass index (BMI), 6-min walk distance (6MWD), and clinical and biochemical parameters were assessed. A multidisciplinary team consisting of Physician, Physiotherapist, Dietician, and Counseling Psychologist provided the program using telehealth platforms. Results: Of the 66 subjects (55 ± 13 years, 73% male), 17 (26%) enrolled prepandemic and 49 (74%) enrolled during pandemic, 28 (42%) were HBPP, and 38 (58%) were HBCR participants. Majority of the subjects (n = 51, 77%) with significantly more HBCR than HBPP participants harbored 4 or more risk factors (P = 0.04). In the 60 (91%) program completers, BMI, 6MWD, PCS, and MCS had improved significantly. Systolic blood pressure, diastolic blood pressure, left ventricular ejection fraction, glycosylated hemoglobin, total cholesterol, and low-density lipoproteins had improved significantly in affected subjects. Completely home-based participants (n = 44, 67%) who never had any in-person contact with the team during the program also showed significant improvement. No adverse events were reported. Conclusions: Comprehensive home-based CVD prevention programs are effective in improving anthropometric, clinical, biochemical, and psychosocial parameters, are a safe alternative to conventional programs, and could potentially become the standard-of-care in the postpandemic era.http://www.jcpconline.org/article.asp?issn=2250-3528;year=2022;volume=11;issue=2;spage=37;epage=43;aulast=Chockalingamcardiac rehabilitationcardiovascular diseasesprimary preventionrisk factors for cardiovascular diseasestelerehabilitation |
| spellingShingle | Priya Chockalingam Vaishnav Natarajan Tharani Sekar Rajaram Anantharaman Meeranghani Mohamed Yusuf Sengottuvelu Gunasekaran Pradeep G Nayar V Chockalingam Effectiveness of a home-based cardiovascular disease prevention program during the COVID-19 pandemic Journal of Clinical and Preventive Cardiology cardiac rehabilitation cardiovascular diseases primary prevention risk factors for cardiovascular diseases telerehabilitation |
| title | Effectiveness of a home-based cardiovascular disease prevention program during the COVID-19 pandemic |
| title_full | Effectiveness of a home-based cardiovascular disease prevention program during the COVID-19 pandemic |
| title_fullStr | Effectiveness of a home-based cardiovascular disease prevention program during the COVID-19 pandemic |
| title_full_unstemmed | Effectiveness of a home-based cardiovascular disease prevention program during the COVID-19 pandemic |
| title_short | Effectiveness of a home-based cardiovascular disease prevention program during the COVID-19 pandemic |
| title_sort | effectiveness of a home based cardiovascular disease prevention program during the covid 19 pandemic |
| topic | cardiac rehabilitation cardiovascular diseases primary prevention risk factors for cardiovascular diseases telerehabilitation |
| url | http://www.jcpconline.org/article.asp?issn=2250-3528;year=2022;volume=11;issue=2;spage=37;epage=43;aulast=Chockalingam |
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