Effectiveness of exercise-based rehab in coronary heart disease patients
a meta-analysis
Journal name: World Journal of Pharmaceutical Research
Original article title: Exercise-based cardiac rehabilitation effectiveness in patients with coronary heart disease
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a meta-analysis
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Abdulrahman Ali Qasem Al Qasim, Hatun Fayez Halawani, Slwan Ali O. Alrabaei, Almaha Ali M. Atafi, Adel Mohammad Hakami, Sultanah Hamoud Alruwaili, Seham Matar Alotaibi, Khaled Ali Ali Hakami, Maryam Abdullah Nahas, Mohanad Mohammad Banaamah, Mohammed Awad Mohammed
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Exercise-based cardiac rehabilitation effectiveness in patients with coronary heart disease
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr201913-16277
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Summary of article contents:
Introduction
Coronary heart disease (CHD) poses significant health challenges, including chest pain and heart attacks due to restricted blood flow to the heart. Recognizing the importance of rehabilitation, exercise-based cardiac rehabilitation (EBCR) has been emphasized as a vital part of patient care. Programs typically involve structured exercise and educational support, aiming to improve patients' overall health, encourage lifestyle changes, and ensure risk factor management. This meta-analysis aims to evaluate the effectiveness of EBCR in CHD patients by examining various clinical studies and their outcomes concerning exercise and usual care.
Impact of Exercise on Mortality Rates
A key finding of the meta-analysis is the significant reduction in all-cause mortality rates among patients engaged in exercise-based rehabilitation compared to those receiving usual care. Out of six studies involving 1242 patients, statistical analysis revealed that participants in the exercise group experienced a highly significant decrease in mortality rates, indicating the critical role that physical activity plays in enhancing longevity among CHD patients. This underscores the necessity of integrating exercise into standard care practices for individuals with coronary artery diseases.
Cardiovascular Mortality and Exercise
In addition to all-cause mortality, the study found a notable decrease in cardiovascular mortality among patients participating in EBCR. The fixed-effects model indicated significant improvements for the exercise group, suggesting that physical activity directly contributes to better cardiovascular outcomes. This correlation is vital as it emphasizes that consistent engagement in structured exercise can lead to a substantial reduction in risks associated specifically with cardiovascular-related diseases, supporting the need for more comprehensive exercise-focused rehabilitation programs within healthcare systems.
Hospital Admission Rates
Conversely, the analysis did not find a significant difference in hospital admission rates between the exercise and usual care groups. This non-significant outcome suggests that while exercise-based rehabilitation improves mortality rates, it may not necessarily influence hospitalization frequency in the studied cohorts. This aspect indicates that other factors may contribute to health system utilization, prompting further investigation into the overall management of CHD patients and how rehabilitation can be optimized in conjunction with other medical interventions.
Conclusion
In conclusion, the findings of this meta-analysis highlight the profound benefits of exercise-based cardiac rehabilitation in reducing mortality rates among patients with stable coronary heart disease, particularly emphasizing its role in lowering all-cause and cardiovascular mortality. However, the absence of a significant impact on hospital admission rates suggests that exercise alone may not suffice to alter all aspects of health outcomes for these patients. Therefore, integrating EBCR into care plans is essential, but it should be complemented with holistic patient management strategies to maximize health benefits and improve quality of life.
FAQ section (important questions/answers):
What is the purpose of the study on cardiac rehabilitation?
The study aims to provide cumulative data about the effects of exercise-based cardiac rehabilitation in patients with coronary heart disease (CHD), focusing on its effectiveness in improving health outcomes.
How many studies were included in the meta-analysis?
A total of six studies were included, involving 1242 patients, with 622 in the exercise group and 620 in the usual care group, to analyze the impact of exercise on CHD.
What were the primary and secondary outcomes measured?
The primary outcome was all-cause mortality rate. The secondary outcomes included cardiovascular mortality and hospital admission rates among patients in exercise and usual care groups.
What were the findings regarding all-cause mortality?
The meta-analysis showed a significant decrease in all-cause mortality in the exercise group compared to the usual care group (p = 0.01), suggesting exercise benefits patients with stable CHD.
Did the study find any impact on hospital admission rates?
No significant difference was observed in hospital admission rates between the exercise group and the usual care group (p > 0.05), indicating exercise may not affect hospitalization.
What conclusion does the study draw about physical activity?
The study concludes that greater physical activity is associated with lower mortality rates in patients with stable coronary heart disease, especially in sedentary individuals with higher mortality risks.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Effectiveness of exercise-based rehab in coronary heart disease patients”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Study (Studying):
A study refers to a systematic investigation conducted to establish facts or principles or to collect information on a subject. In the context of the provided text, it specifically pertains to research designed to analyze the effects of exercise-based cardiac rehabilitation on patients with coronary heart disease, emphasizing its importance in clinical and academic arenas.
2) Disease:
Disease denotes a pathological condition of a bodily part, an organism, or system resulting from various causes. In the text, coronary heart disease (CHD) is specifically referenced as a prevalent cardiovascular condition that impacts blood flow to the heart, underlining the significance of managing and rehabilitating such diseases through targeted interventions.
3) Education:
Education is the process of facilitating learning or acquisition of knowledge and skills. In the document, it describes the educational component of exercise-based cardiac rehabilitation, highlighting how knowledge transfer about heart health and lifestyle modification plays a critical role in the overall management and recovery of CHD patients.
4) Activity:
Activity refers to the state of being active or engaging in actions that promote health and fitness. In the context of the text, physical activity is emphasized as a crucial aspect of cardiac rehabilitation, suggesting that increased activity levels among patients with CHD are linked to improved health outcomes and reduced mortality.
5) Training:
Training encompasses the methods and practices aimed at improving performance or skills over a period. Here, it relates to the structured exercise programs that are central to cardiac rehabilitation for CHD patients, suggesting that such training enhances cardiovascular health and should be a primary focus in treatment plans.
6) Forest:
In this context, 'forest' refers to a forest plot, a graphical representation used in meta-analysis to display the results of individual studies alongside the combined results. This visual tool is critical for examining the efficacy of exercise interventions against usual care in CHD patients, illustrating the statistical significance of the findings.
7) Table:
A table presents organized data systematically in rows and columns to facilitate comparative analysis. The use of tables in the study serves to summarize patient characteristics and outcome measures, offering clear insights into the effectiveness of exercise-based rehabilitation interventions for coronary heart disease patients.
8) Blood:
Blood is the vital fluid that circulates in the cardiovascular system, delivering oxygen and nutrients while removing waste. In the context of CHD, the text highlights the importance of blood flow and its relationship to heart health, where exercise interventions can improve circulation and overall cardiovascular function.
9) King:
King in this context refers to King Abdulaziz University, an educational institution that is a part of the affiliations of the authors. This reference situates the research within a specific organizational framework, underscoring the collaboration between medical interns from various universities which enriches the scientific inquiry presented in the study.
10) Male:
Male refers to one of the two primary biological sexes. In the study, male participants are noted as representing a specific percentage among the patients analyzed. Understanding gender differences is relevant in health studies as it can influence disease prevalence, outcomes, and responses to rehabilitation interventions in patients with coronary heart disease.
11) Ovid:
Ovid is a reference to a database that provides access to medical and scientific literature. In the context of the research, searching Ovid aligns with the systematic review process, ensuring that the study is based on comprehensive, peer-reviewed findings which enhance the credibility and robustness of the conclusions drawn about exercise-based interventions.
12) Discussion:
Discussion is an essential part of a research paper where findings are interpreted, implications are considered, and relationships with existing literature are addressed. It allows for critical analysis and synthesis of the results regarding exercise-based cardiac rehabilitation, providing insights into both the relevance of the findings and future directions for research.
13) Medicine:
Medicine is the science and practice of diagnosing, treating, and preventing illness. Within the paper, it encapsulates the broader field concerning coronary heart disease and cardiac rehabilitation, emphasizing the integration of lifestyle interventions into medical care and the importance of a multidisciplinary approach to patient management.
14) Quality:
Quality signifies the standard of something as measured against other things of a similar kind. In the context of the study, quality of life measures can be an outcome of exercise-based cardiac rehabilitation, reflecting how such programs enhance not only survival rates but also patients' self-reported health status and life satisfaction.
15) Reason:
Reason refers to the cause or justification for an action or decision. In the study, it underlines the rationale behind employing exercise regimens in cardiac rehabilitation, linking increased physical activity to positive outcomes in mortality and health recovery for patients with coronary heart disease, substantiating the need for such interventions.
16) Doubt:
Doubt is a state of uncertainty or lack of conviction regarding something. In research publications, it can signify the necessity of further verification or replication of findings. The discussion of doubt in interpreting results urges researchers to approach conclusions with critical thinking, especially in contexts where the data may not demonstrate significant outcomes.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Effectiveness of exercise-based rehab in coronary heart disease patients’. Further sources in the context of Science might help you critically compare this page with similair documents:
Physical activity, Coronary heart disease, Systematic search, Cardiovascular mortality, Psychosocial Well-Being, All-cause mortality, Cumulative Data, Meta-analysis study, Random-effects model.