Unit:
Κατεύθυνση Καρδιοπνευμονική Αποκατάσταση και Αποκατάσταση Πασχόντων ΜΕΘLibrary of the School of Health Sciences
Supervisors info:
Κωνσταντίνος Δάβος, Ερευνητής Β', Ίδρυμα Ιατροβιολογικών Ερευνών Ακαδημίας Αθηνών
Σπυρίδων Ζακυνθινός, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Νικόλαος Κουλούρης, Καθηγητής, Ιατρική Σχολή, ΕΚΠΑ
Original Title:
Προγράμματα καρδιακής αποκατάστασης σε ασθενείς με στεφανιαία νόσο, αποτελέσματα μετααναλύσεων
Translated title:
Exercise- based cardiac rehabilitation for coronary heart disease patients: a review of meta-analyses
Summary:
Background: Exercise-based cardiac rehabilitation may benefit coronary heart disease patients. The aim of this study was to investigate the results of recent meta-analyses on exercise based cardiac rehabilitation programs.
Objectives: To assess the effects of exercise-based cardiac rehabilitation programs on survival, secondary prevention and cardiovascular risk factors modification. Furthermore, to investigate which type of exercise is more beneficial for coronary artery disease patients.
Search methods: Literature search was performed in Pubmed, The Cochrane Library and Scopus for meta-analyses on exercise-based cardiac rehabilitation interventions between 2003 and 2018. Articles were screened for relevance, based on pre-set inclusion and exclusion criteria. Based on the conclusions drawn by the authors of the included publications, meta-analyses were divided in two groups. The first group included meta-analyses examining the different types of exercise that were used in cardiac rehabilitation programs. The second group included meta-analyses that investigated the effect of the intervention on survival, secondary prevention and cardiovascular risk factors.
Results: After finalizing our literature searches, we included 23 meta-analyses which fulfilled our inclusion criteria. Twelve publications compared the different types of exercise training and eleven studies assessed the effect of exercise training on coronary heart disease.
Conclusions: This study showed that exercise-based cardiac rehabilitation is safe for coronary artery disease patients. Most publications report a reduction in cardiovascular mortality, a significant modification of cardiovascular risk factors and an improvement in health-related quality of life. The number of meta-analyses comparing different types of exercise is not enough to indicate which one is most beneficial for coronary heart disease patients. However, current evidence show that a combination of high intensity interval training and resistance training could the best for this group of patients.
Main subject category:
Health Sciences
Keywords:
Cardiac rehabilitation, Exercise
