COMPARISONS OF CARDIOVASCULAR ENDURANCE AND PHYSICAL ACTIVITY BETWEEN SUPERVISED AND HOME-BASED 8-WEEK EXERCISE TRAINING PROGRAMS IN INDIVIDUALS WITH BELOW-KNEE AMPUTATION - A PRELIMINARY REPORT.

Low-risk cardiac patients should start exercise training (ET) as early as possible after the index event to maintain or improve their cardiorespiratory fitness, muscular strength, and prognosis. Ideally, ET is provided within a multidisciplinary cardiac rehabilitation (CR) programme. It can be delivered as an early outpatient or home-based (HB) programme or as a combination of the two approaches, based on patient preference and local facilities. ET should be prescribed on an individual basis after careful clinical and functional assessment, including risk stratification, evaluation of fitness level, behavioural characteristics, personal goals, and exercise preferences. Importantly, the programme should empower the patient for individual long-term physical activity and ET. Aerobic endurance training three to five times weekly should be prescribed, with a goal of at least 150 min of moderate to vigorous exercise per week. Resistance training (RT) twice to three times weekly should also be prescribed. The initial duration and intensity of ET should be adapted to the patient’s condition and gradually increased.

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Exercise Training Programs and Cardiorespiratory Adaptation

Clinics in Sports Medicine ◽

10.1016/s0278-5919(20)30656-6 ◽

1991 ◽

Vol 10 (1) ◽

pp. 19-32

Author(s):

Michael H. Cox

Keyword(s):

Exercise Training ◽

Training Programs

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Effects of bronchodilator therapy and exercise training, added to a self-management behaviour-modification programme, on physical activity in COPD

Pneumologie ◽

10.1055/s-0037-1598543 ◽

2017 ◽

Vol 71 (S 01) ◽

pp. S1-S125

Author(s):

T Troosters ◽

KL Lavoie ◽

N Leidy ◽

F Maltais ◽

M Sedeno ◽

...

Keyword(s):

Physical Activity ◽

Exercise Training ◽

Self Management ◽

Behaviour Modification ◽

Bronchodilator Therapy ◽

Management Behaviour

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Home-based Exercise Training in Patients With Pulmonary Arterial Hypertension: Effect on Skeletal Muscular Function and Metabolism

Case Medical Research ◽

10.31525/ct1-nct04241497 ◽

2020 ◽

Author(s):

Keyword(s):

Pulmonary Arterial Hypertension ◽

Exercise Training ◽

Arterial Hypertension ◽

Home Based ◽

Pulmonary Arterial ◽

Muscular Function

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Effectiveness of mHealth Interventions on Physical Activity and Physical Fitness in Outpatient and Home-Based Cardiac Rehabilitation Programs: A Systematic Review (Preprint)

10.2196/preprints.13972 ◽

2019 ◽

Author(s):

Sheeba Nadarajah ◽

Susan Buchholz ◽

Kristen Dickins

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Physical Fitness ◽

Cardiac Rehabilitation ◽

Text Messaging ◽

English Language ◽

Rehabilitation Program ◽

Cardiac Rehabilitation Program ◽

Mixed Effect ◽

Home Based

BACKGROUND Globally, cardiovascular disease is the leading cause of death. Cardiovascular mortality can be decreased by participation in cardiac rehabilitation. Researchers are exploring the use of mHealth technology in cardiac rehabilitation. OBJECTIVE The aim of this systematic review is to examine the effectiveness of randomized controlled trials that use a mHealth intervention as a part of an outpatient and/or home-based cardiac rehabilitation program on improving physical activity and physical fitness outcomes. METHODS For this systematic review, mHealth interventions were limited to text messaging, mobile apps, and use of a mobile phone network for data transmission, used to deliver cardiac rehabilitation program. Using six databases, the search strategy included published English language studies through 2016. Data was extracted independently by two reviewers, and then synthesized. RESULTS The initial search yielded 149 articles, of which 15 articles that represented nine studies met inclusion criteria. Articles were published from 2010 to 2016 and came from two continents. The majority (84%) of participants were male. Generally, the participant mean age was late 50s to early 60s. Text messaging was the most frequently used intervention. The results of the physical activity and physical fitness findings were mixed. Effect sizes for intervention as measured by the 6-minute walk test ranged from 0.46 to 0.58 and peak VO2 ranged from 0.03 to 1.35. CONCLUSIONS Globally, use of mHealth in outpatient and/or home-based cardiac rehabilitation is being studied with greater attention. However, these studies are limited by geography, gender, and age. Therefore, further research in the area of cardiac rehabilitation and mHealth is recommended, especially in developing countries, among women, and older adults.

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“Randomized trial of physical activity on quality of life and lung cancer biomarkers in patients with advanced stage lung cancer: a pilot study”

BMC Cancer ◽

10.1186/s12885-021-08084-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Brett C. Bade ◽

Geliang Gan ◽

Fangyong Li ◽

Lingeng Lu ◽

Lynn Tanoue ◽

...

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Lung Cancer ◽

Randomized Trial ◽

Cancer Biomarkers ◽

Advanced Stage ◽

Home Based ◽

Advanced Stage Lung Cancer ◽

Stage Lung Cancer

Abstract Background Lung cancer survivors need more options to improve quality of life (QoL). It is unclear to what extent patients with advanced stage disease are willing to participate in home-based physical activity (PA) and if these interventions improve QoL. The goal of our study was to determine interest in participating in our 3-month home-based walking regimen in patients with advanced stage lung cancer. We used a randomized design to evaluate for potential benefit in PA and patient-reported outcomes. Methods We performed an open-label, 1:1 randomized trial in 40 patients with stage III/IV non-small cell lung cancer (NSCLC) evaluating enrollment rate, PA, QoL, dyspnea, depression, and biomarkers. Compared to usual care (UC), the intervention group (IG) received an accelerometer, in-person teaching session, and gain-framed text messages for 12 weeks. Results We enrolled 56% (40/71) of eligible patients. Participants were on average 65 years and enrolled 1.9 years from diagnosis. Most patients were women (75%), and receiving treatment (85%) for stage IV (73%) adenocarcinoma (83%). A minority of patients were employed part-time or full time (38%). Both groups reported low baseline PA (IG mean 37 (Standard deviation (SD) 46) vs UC 59 (SD 56) minutes/week; p = 0.25). The IG increased PA more than UC (mean change IG + 123 (SD 212) vs UC + 35 (SD 103) minutes/week; p = 0.051)). Step count in the IG was not statistically different between baseline (4707 step/day), week 6 (5605; p = 0.16), and week 12 (4606 steps/day; p = 0.87). The intervention improved EORTC role functioning domain (17 points; p = 0.022) with borderline improvement in dyspnea (− 13 points; p = 0.051) compared to UC. In patients with two blood samples (25%), we observed a significant increase in soluble PD-1 (219.8 (SD 54.5) pg/mL; p < 0.001). Conclusions Our pilot trial using a 3-month, home-based, mobile health intervention enrolled over half of eligible patients with stage III and IV NSCLC. The intervention increased PA, and may improve several aspects of QoL. We also identified potential biomarker changes relevant to lung cancer biology. Future research should use a larger sample to examine the effect of exercise on cancer biomarkers, which may mediate the association between PA and QoL. Clinical trial registration Clinicaltrials.gov (NCT03352245).

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