Effects of a 12-week mHealth program on peak VO2 and physical activity patterns after completing cardiac rehabilitation: A randomized controlled trial

American Heart Journal
Brian D DuschaWilliam E Kraus

Abstract

Site-based cardiac rehabilitation (CR) provides supervised exercise, education and motivation for patients. Graduates of CR have improved exercise tolerance. However, when participation in CR ceases, adherence to regular physical activity often declines, consequently leading to worsening risk factors and clinical events. Therefore, the purpose of this pilot study was to evaluate if a mHealth program could sustain the fitness and physical activity levels gained during CR. A 12-week mHealth program was implemented using physical activity trackers and health coaching. Twenty-five patients were randomized into mHealth or usual care after completing CR. The combination of a 4.7±13.8% increase in the mHealth and a 8.5±11.5% decrease in the usual care group resulted in a difference between groups (P≤.05) for absolute peak VO2. Usual care decreased the amount of moderate-low physical activity minutes per week (117±78 vs 50±53; P<.05) as well as moderate-high (111±87 vs 65±64; P<.05). mHealth increased moderate-high physical activity (138±113 vs 159±156; NS). The divergent changes between mHealth and usual care in moderate-high physical activity minutes/week resulted in a difference between groups (21±103 vs - 46±36; P<.05). A 12-week m...Continue Reading

Associated Clinical Trials

Citations

Feb 29, 2020·European Journal of Preventive Cardiology·Pernille LundeBirgitta Blakstad Nilsson
Apr 2, 2020·American Journal of Lifestyle Medicine·Gary A SforzoMargaret Moore
Dec 11, 2019·Journal of Cardiovascular Translational Research·Yanxin SongWei Gao
Oct 13, 2020·Journal of Medical Internet Research·Mickael RingevalSpyros Kitsiou
Feb 11, 2020·The Journal of Cardiovascular Nursing·Sabianca DelvaHae-Ra Han
Jan 9, 2021·The International Journal of Behavioral Nutrition and Physical Activity·Stephen BarrettMichael Kingsley
Feb 9, 2021·Journal of Medical Internet Research·Shannon WongvibulsinSeth S Martin
Apr 2, 2021·Circulation. Cardiovascular Quality and Outcomes·Erica N SchorrUNKNOWN American Heart Association Cardiovascular Disease in Older Populations Committee of the Council on Clinical Cardiology and C
Jun 3, 2021·International Journal of Environmental Research and Public Health·Neil HeronMichael Donnelly
May 22, 2021·International Journal of Medical Informatics·Caining LiXinhua Bi
Jun 16, 2021·Obesity Reviews : an Official Journal of the International Association for the Study of Obesity·Claire D MadiganAmanda J Daley
Apr 9, 2021·Journal of Cardiopulmonary Rehabilitation and Prevention·Carmel AshurElizabeth A Jackson

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