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Please use this identifier to cite or link to this item: http://hdl.handle.net/1942/16483

Title: Increasing the medium-term clinical benefits of hospital-based cardiac rehabilitation by physical activity telemonitoring in coronary artery disease patients.
Authors: Frederix, Ines
Van Driessche, Niels
Hansen, Dominique
Berger, Jan
Bonne, Kim
Alders, Toon
Dendale, Paul
Issue Date: 2013
Citation: European Journal of Preventive Cardiology, 22 (2); p. 150-158
Abstract: Background:The purpose of this study was to evaluate the effect of a physical activity telemonitoring program on daily physical activity level, oxygen uptake capacity (VO2peak), and cardiovascular risk profile in coronary artery disease (CAD) patients who completed phase II cardiac rehabilitation (CR). Methods:Eighty CAD patients who completed phase II CR were randomly assigned to an additional telemonitoring intervention or standard CR. The patients in the intervention group (n¼40) wore a motion sensor continuously for 18 weeks. Each week these patients received a step count goal, with the aim to gradually increase the patients’ physical activity level. In the control group (n¼40), the patients wore an unreadable motion sensor for seven days for measurement purposes only (at start of follow-up, and after six and 18 weeks). At start of follow-up and after 18 weeks blood lipid profile, glycemic control, waist circumference and body mass index was assessed. VO2peakwas assessed at start of follow-up, and after six and 18 weeks. Re-hospitalisation rate was followed during this timeframe. Results:In the intervention group, VO2peakincreased significantly during follow-up (P¼0.001), in the control group it did not (P¼0.273). A significant correlation was found between daily aerobic step count and improvement in VO2peak (P¼0.030,r¼0.47). Kaplan-Meier curve analysis showed a trend towards fewer re-hospitalisations for patients in the telemonitoring group (P¼0.09). Conclusions:The study showed that, to maintain exercise tolerance and lower re-hospitalisation rate after hospitalbased CR in CAD patients, a physical activity telemonitoring program might be an effective intervention.
Notes: Frederix, I (reprint author), Beatrijslaan 105, B-3110 Rotselaar, Belgium. ines.frederix@gmail.com
URI: http://hdl.handle.net/1942/16483
DOI: 10.1177/2047487313514018
ISI #: 000348115400002
ISSN: 2047-4873
Category: A1
Type: Journal Contribution
Validation: ecoom, 2016
Appears in Collections: Research publications

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