Cardiac rehabilitation, physical activity, and the effectiveness of activity monitoring devices on cardiovascular patients: an umbrella review of systematic reviews

被引:14
作者
Dafny, Hila Ariela [1 ,2 ]
Champion, Stephanie [1 ,2 ]
Gebremichael, Lemlem G. [1 ,2 ]
Pearson, Vincent [1 ]
Hendriks, Jeroen M. [1 ,2 ,5 ,6 ]
Clark, Robyn A. [1 ,2 ]
de Plaza, Maria Alejandra Pinero [1 ,2 ,3 ]
Gulyani, Aarti [1 ]
Hines, Sonia [2 ,4 ]
Beleigoli, Alline [1 ,2 ]
机构
[1] Flinders Univ S Australia, Caring Futures Inst CFI, Coll Nursing & Hlth Sci, Sturt Rd,Bedford Pk, Adelaide, SA 5042, Australia
[2] Flinders Univ S Australia, Mparntwe Ctr Evidence Hlth, JBI Ctr Excellence, Alice Springs, NT 0871, Australia
[3] Natl Hlth & Med Res Council, Transdisciplinary Ctr Res Excellence Frailty & Hlt, Ctr Heart Rhythm Disorders, Adelaide, SA, Australia
[4] Flinders Univ S Australia, NT Coll Med & Publ Hlth, Flinders Rural & Remote Hlth, Alice Springs, NT, Australia
[5] Univ Adelaide, Ctr Heart Rhythm Disorders, Adelaide, SA, Australia
[6] Royal Adelaide Hosp, Adelaide, SA, Australia
关键词
Activity-monitoring; Cardiac rehabilitation; Physical activity; Umbrella review; Randomized controlled trials;
D O I
10.1093/ehjqcco/qcad005
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Aims To consolidate the evidence on the effectiveness of activity-monitoring devices and mobile applications on physical activity and health outcomes of patients with cardiovascular disease who attended cardiac rehabilitation (CR) programmes. Methods and results An umbrella review of published randomized controlled trials, systematic reviews, and meta-analyses was conducted. Nine databases were searched from inception to 9 February 2022. Search and data extraction followed the JBI methodology for umbrella reviews and PRISMA guidelines. Nine systematic reviews met the inclusion criteria, comparing outcomes of participants in CR programmes utilizing devices/applications, to patients without access to CR with devices/applications. A wide range of physical, clinical, and behavioural outcomes were reported, with results from 18 712 participants. Meta-analyses reported improvements in physical activity, minutes/week [standardized mean difference (SMD) 0.23, 95% confidence interval (CI) 0.10-0.35] and activity levels (SMD 0.29, 95% CI 0.07-0.51), and a reduction in sedentariness [risk ratio (RR) 0.54, 95% CI 0.39-0.75] in CR participants, compared with usual care. Of clinical outcomes, the risk of re-hospitalization reduced significantly (RR 0.49, 95% CI 0.27-0.89), and there was reduction (non-significant) in mortality (RR 0.27, 95% CI 0.05-1.54). From the behavioural outcomes, reviews reported improvements in smoking behaviour (RR 0.87, 95% CI 0.67-1.13) and total diet quality intake (RR 0.79, 95% CI 0.66-0.94) among CR patients. Conclusions The use of devices/applications was associated with increase in activity, healthy behaviours, and reductions in clinical indicators. Although most effect sizes indicate limited clinical benefits, the broad consistency of the narrative suggests devices/applications are effective at improving CR patients' outcomes.
引用
收藏
页码:323 / 330
页数:8
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