scholarly journals Factors associated with non-participation in and dropout from cardiac rehabilitation programmes: a systematic review of prospective cohort studies

2018 ◽  
Vol 18 (1) ◽  
pp. 38-47 ◽  
Author(s):  
Davinia Maria Resurrección ◽  
Patricia Moreno-Peral ◽  
Marta Gómez-Herranz ◽  
Maria Rubio-Valera ◽  
Luis Pastor ◽  
...  
Keyword(s):  
Cohort Studies ◽  
Cardiac Rehabilitation ◽  
Health System ◽  
Prospective Cohort ◽  
Data Extraction ◽  
Clinical Factors ◽  
Cardiac Rehabilitation Programme ◽  
Factors Associated ◽  
Prospective Cohort Studies ◽  
System Factors

Background: Although evidence exists for the efficacy of cardiac rehabilitation programmes to reduce morbidity and mortality among patients with cardiovascular disease, cardiac rehabilitation programmes are underused. We aimed systematically to review the evidence from prospective cohort studies on factors associated with non-participation in and/or dropping out from cardiac rehabilitation programmes. Methods: MedLine, Embase, Scopus, Open Grey and Cochrane Database were searched for relevant publications from inception to February 2018. Search terms included (a) coronary heart disease and other cardiac conditions; (b) cardiac rehabilitation and secondary prevention; and (c) non-participation in and/or dropout. Databases were searched following the PRISMA statement. Study selection, data extraction and the assessment of study quality were performed in duplicate. Results: We selected 43 studies with a total of 63,425 patients from 10 different countries that met the inclusion criteria. Factors associated with non-participation in and dropout from cardiac rehabilitation were grouped into six broad categories: intrapersonal factors, clinical factors, interpersonal factors, logistical factors, cardiac rehabilitation programme factors and health system factors. We found that clinical factors, logistical factors and health system factors were the main factors assessed for non-participation in cardiac rehabilitation. We also found differences between the factors associated with non-participation and dropout. Conclusions: Several factors were determinant for non-participation in and dropout from cardiac rehabilitation. These findings could be useful to clinicians and policymakers for developing interventions aimed at improving participation and completion of cardiac rehabilitation, such as E-health or home-based delivery programmes. Trial Registration: International Prospective Register of Systematic Reviews (PROSPERO) identifier: CRD42016032973.

scholarly journals Physical Activity For Multimorbidity Prevention And Management: A Systematic Review of Longitudinal Prospective Studies

2021 ◽  
Author(s):  
Danielle Hargan ◽  
Dáire McCartan ◽  
Leandro M. T. Garcia
Keyword(s):  
Physical Activity ◽  
Systematic Review ◽  
Cohort Studies ◽  
Prospective Cohort ◽  
Data Extraction ◽  
Current Evidence ◽  
Randomised Control Trial ◽  
Physically Active ◽  
Prospective Cohort Studies ◽  
Current Evidence Base

Abstract Background: The objective of this study was to determine whether physical activity can be used in the prevention and management of multimorbidity.Methods: A systematic review was carried out using Pubmed, Web of Science, EMBASE, and Scopus databases to find experimental and prospective cohort studies that investigated the relationship between physical activity and prevention and management of multimorbidity. Participants consisted of general population, non-institutionalised adults aged 18 or more. Screening, data extraction, and risk of bias assessment were conducted by two independent reviewers.Results: From a total of 1,724 studies identified, eight prospective cohort studies and one randomised control trial were included in the analysis. Four out of nine studies found evidence that higher levels of physical activity reduced the risk of multimorbidity. Three of four studies found evidence that physical activity reduces the risk of developing or worsening multimorbidity within subgroups with chronic conditions at the baseline.Conclusion: The current evidence base indicates that it is unclear whether healthy individuals are more likely to develop multimorbidity if they are less physically active. However, it seems more likely for people to develop or worsen multimorbidity when they have one or any number of conditions at baseline if they are less physically active.

scholarly journals Association between diabetes mellitus and the risk for major cardiovascular outcomes and all-cause mortality in women compared with men: a meta-analysis of prospective cohort studies

BMJ Open ◽  
2019 ◽  
Vol 9 (7) ◽  
pp. e024935
Author(s):  
Hao Wang ◽  
Ying Ba ◽  
Run-Ce Cai ◽  
Qian Xing
Keyword(s):  
Diabetes Mellitus ◽  
Sex Differences ◽  
Cohort Studies ◽  
Prospective Cohort ◽  
Cardiac Death ◽  
Data Extraction ◽  
Meta Analysis ◽  
Cardiovascular Outcomes ◽  
Prospective Cohort Studies ◽  
All Cause Mortality

ObjectivePrevious studies have reported sex differences in associations between diabetes mellitus (DM) and the risk of developing coronary heart disease (CHD) and stroke; however, the risk for cardiac death and all-cause mortality in women compared with men has not been reported. Therefore, this quantitative meta-analysis was performed to provide reliable estimates of sex differences in the effect of DM on major cardiovascular outcomes and all-cause mortality, irrespective of DM type.DesignMeta-analysis.Data sourcesThe PubMed, Embase and the Cochrane Library databases were systematically searched in April 2018.Eligibility criteriaInvestigations designed as prospective cohort studies that examined the association between DM and major cardiovascular outcomes and all-cause mortality stratified according to sex were included.Data extraction and synthesisData extraction and quality assessment were independently performed by 2 of the authors, and the relative risk ratio (RRR) obtained using a random effects model was used to measure sex differences in the associations of DM with major cardiovascular outcomes and all-cause mortality.ResultsThirty prospective cohort studies that reported data from 1 148 188 individuals were included. The pooled women-to-men RRR suggested that female sex was associated with an increased risk for CHD (RRR 1.52(95% CI 1.32 to 1.76); p<0.001), stroke (RRR 1.23(95% CI 1.09 to 1.39); p=0.001), cardiac death (RRR 1.49(95% CI 1.11 to 2.00); p=0.009) and all-cause mortality (RRR 1.51(95% CI 1.23 to 1.85); p<0.001). In addition, sex differences for the investigated outcomes in the comparison between DM and non-DM patients were variable after stratification of studies according to publication year, country, sample size, assessment of DM, follow-up duration, adjustment for important cardiovascular risk factors and study quality.ConclusionsFindings of the present study suggested that women with DM had an extremely high risk for CHD, stroke, cardiac death and all-cause mortality compared with men with DM.

scholarly journals Factors for the Primary Prevention of Breast Cancer: A Meta-Analysis of Prospective Cohort Studies

2021 ◽  
Vol 21 (3) ◽  
pp. e00520-e00520
Author(s):  
Jalal Poorolajal ◽  
Fatemeh Heidarimoghis ◽  
Manoochehr Karami ◽  
Zahra Cheraghi ◽  
Fatemeh Gohari-Ensaf ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Cohort Studies ◽  
Prospective Cohort ◽  
Vegetable Consumption ◽  
Meta Analysis ◽  
Hormone Replacement ◽  
Breast Cancer Incidence ◽  
Effective Prevention ◽  
Factors Associated ◽  
Prospective Cohort Studies

Background: This report provided the effect of 15 preventable factors on the risk of breast cancer incidence. Study design: A systematic review and meta-analysis. Methods: A detailed research was conducted on PubMed, Web of Science, and Scopus databases in January 2020. Reference lists were also screened. Prospective cohort studies addressing the associations between breast cancer and 15 factors were analyzed. Between-study heterogeneity was investigated using the χ2 , τ2 , and I2 statistics. The probability of publication bias was explored using the Begg and Egger tests and trim-and-fill analysis. Effect sizes were expressed as risk ratios (RRs) with 95% confidence intervals (CIs) using a random-effects model. Results: Based on the results, out of 147,083 identified studies, 197 were eligible, including 19,413,702 participants. The RRs (95% CI) of factors associated with breast cancer were as follows: cigarette smoking 1.07 (1.05, 1.09); alcohol drinking 1.10 (1.07, 1.12); sufficient physical activity 0.90 (0.86, 0.95); overweight/obesity in premenopausal 0.92 (0.82, 1.03) and postmenopausal 1.18 (1.13, 1.24); nulliparity 1.16 (1.03, 1.31); late pregnancy 1.37 (1.25, 1.50); breastfeeding 0.87 (0.81, 0.93); ever using oral contraceptive 1.00 (0.96, 1.05); ever using estrogen 1.13 (1.04, 1.23); ever using progesterone 1.02 (0.84, 1.24); ever using estrogen/progesterone 1.60 (1.42, 1.80); ever taking hormone replacement therapy 1.26 (1.20, 1.32); red meat consumption 1.05 (1.00, 1.11); fruit/vegetable consumption 0.87 (0.83, 0.90); and history of radiation therapy, based on single study 1.31 (0.87, 1.98). Conclusions: This meta-analysis provided a clear picture of several factors associated with the development of breast cancer. Moreover, the useful information in this study may be utilized for ranking and prioritizing preventable risk factors to implement effective prevention programs.

Dietary Fat Intake and Risk of Alzheimer’s Disease and Dementia: A Meta-Analysis of Cohort Studies

2018 ◽  
Vol 15 (9) ◽  
pp. 869-876 ◽  
Author(s):  
Yue Ruan ◽  
Jun Tang ◽  
Xiaofei Guo ◽  
Kelei Li ◽  
Duo Li
Keyword(s):  
Cohort Studies ◽  
Dietary Fat ◽  
Prospective Cohort ◽  
Meta Analysis ◽  
Saturated Fat ◽  
Fat Intake ◽  
Prospective Cohort Studies ◽  
Dietary Fat Intake ◽  
Dementia Risk ◽  
Saturated Fat Intake

Background: Epidemiological studies showed that dietary fat intake is associated with Alzheimer’s disease (AD) and dementia risk, however, the association remain inconsistent. This metaanalysis aimed to systematically examine the association of dietary fat intake with AD and dementia risk. Methods: We have systematically searched PubMed, Embase and the Cochrane Library up to May 1st 2017. Prospective cohort studies were included if they reported on the association of dietary fat intake with AD and dementia risk. Multivariate-adjusted relative risks (RRs) for the highest versus lowest category were pooled by using a random-effects model. Results: A total of 8630 participants and 633 cases from four independent prospective cohort studies were included in the present meta-analysis. A higher dietary saturated fat intake was significantly associated with an increased risk of 39% and 105% for AD (RR: 1.39; 95% CI: 1.00, 1.94) and dementia (RR: 2.05; 95% CI: 1.06, 3.98), respectively. Dose-response analysis indicated a 4 g/day increment of saturated fat intake was related to 15% higher risk of AD (RR: 1.15; 95% CI: 1.01, 1.31). However, there was no significant association found between dietary intake of total, monounsaturated, polyunsaturated fat and AD or dementia risk. Conclusions: This meta-analysis provides significant evidence of positive association between higher saturated fat intake and AD and dementia risk.

scholarly journals Anti-Inflammatory Diet and Venous Thromboembolism: Two Prospective Cohort Studies

2021 ◽  
Author(s):  
Shuai Yuan ◽  
Maria Bruzelius ◽  
Scott M. Damrauer ◽  
Niclas Håkansson ◽  
Alicja Wolk ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Cohort Studies ◽  
Prospective Cohort ◽  
Prospective Cohort Studies ◽  
Anti Inflammatory

scholarly journals Sex differences and the role of education in cognitive ageing: analysis of two UK-based prospective cohort studies

2021 ◽  
Vol 6 (2) ◽  
pp. e106-e115
Author(s):  
Mikaela Bloomberg ◽  
Aline Dugravot ◽  
Julien Dumurgier ◽  
Mika Kivimaki ◽  
Aurore Fayosse ◽  
...  
Keyword(s):  
Sex Differences ◽  
Cohort Studies ◽  
Prospective Cohort ◽  
Cognitive Ageing ◽  
Prospective Cohort Studies
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