The Physiological Impact of Masking Is Insignificant and Should Not Preclude Routine Use During Daily Activities, Exercise, and Rehabilitation.
CONCLUSIONS: Masking during daily activities, exercise, and rehabilitation is safe in both healthy individuals and those with underlying cardiopulmonary disease. Rehabilitation participants should be reassured that the benefits of masking during COVID-19 far outweigh the risks, and increased frequency of mask use invokes adaptive responses that make long-term masking tolerable. PMID: 33351538 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - December 23, 2020 Category: Rehabilitation Authors: Haraf RH, Faghy MA, Carlin B, Josephson RA Tags: J Cardiopulm Rehabil Prev Source Type: research

Cardiac, Autonomic, and Cardiometabolic Impact of Exercise Training in Spinal Cord Injury: A QUALITATIVE REVIEW.
Abstract INTRODUCTION: Direct and indirect effects of spinal cord injury lead to important cardiovascular (CV) complications that are further increased by years of injury and the process of "accelerated aging." The present review examines the current evidence in the literature for the potential cardioprotective effect of exercise training in spinal cord injury. REVIEW METHODS: PubMed and Web of Science databases were screened for original studies investigating the effect of exercise-based interventions on aerobic capacity, cardiac structure/function, autonomic function, CV function, and/or cardiomet...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - December 23, 2020 Category: Rehabilitation Authors: Vivodtzev I, Taylor JA Tags: J Cardiopulm Rehabil Prev Source Type: research

A Comparison of Exercise Intensity in Hybrid Versus Standard Phase Two Cardiac Rehabilitation.
CONCLUSION: This study showed that hybrid-CR delivered using remote TH results in exercise training intensities that are not significantly different from S-CR. PMID: 33351540 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - December 23, 2020 Category: Rehabilitation Authors: Keteyian SJ, Grimshaw C, Brawner CA, Kerrigan DJ, Reasons L, Berry R, Peterson EL, Ehrman JK Tags: J Cardiopulm Rehabil Prev Source Type: research

Cardiac Rehabilitation Component Attendance and Impact of Intervening Clinical Events, as Well as Disease Severity and Risk Factor Burden.
CONCLUSIONS: In one-sixth of patients, CR attendance and completion are impacted by clinical factors beyond their control. Many patients are taking advantage of components specific to their risk factors, buttressing the value of individually tailored, menu-based programming. PMID: 33351541 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - December 23, 2020 Category: Rehabilitation Authors: Grace SL, Prior PL, Mamataz T, Hartley T, Oh P, Suskin N Tags: J Cardiopulm Rehabil Prev Source Type: research

Increasing Cardiac Rehabilitation Participation Through a "Nearer to Home" Patient Referral Program.
CONCLUSIONS: Coordinating CR referrals from the discharging facility to facilities closer to home or workplace is an effective means for increasing participation. The very low-cost effort has the potential to have a very meaningful impact on the long-term outcome of cardiovascular patients. PMID: 33351543 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - December 23, 2020 Category: Rehabilitation Authors: Bryant J, Rubenfire M, Katona AM, Graves C, Fink S, Kline-Rogers E, Barber A, Zhang M, Weinstein DG, Walden P Tags: J Cardiopulm Rehabil Prev Source Type: research

Reduced Parasympathetic Activity in Patients With Different Types of Congenital Heart Disease and Associations to Exercise Capacity.
This study evaluated the parasympathetic activity by means of HRV in patients with CHD, regarding diagnostic subgroups and CHD severity, and the association to exercise capacity. METHODS: From July 2016 to August 2018, a total of 222 patients with different types of CHD (28.4 ± 10.1 yr; 44% female) received breathing-controlled HRV measurement in the supine position. Based on 130 adjacent heartbeats, the root mean square of successive differences (RMSSD), a parasympathetic activity surrogate was estimated and log-transformed. Additionally, all patients underwent a cardiopulmonary exercise test. For comparison, ...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 13, 2020 Category: Rehabilitation Authors: Fritz C, Hock J, Oberhoffer R, Hager A, Ewert P, Müller J Tags: J Cardiopulm Rehabil Prev Source Type: research

Clinical Improvement and Effectiveness of Exercise-Based Pulmonary Rehabilitation in Patients With Idiopathic Pulmonary Fibrosis: A BRIEF ANALYTICAL REVIEW.
CONCLUSIONS: This review provides novel evidence with respect to clinical improvement and high effectiveness of EBPR among patients with IPF. The results suggest that, on average, the majority of patients would be expected to clinically improve by completing the EBPR program. The findings further support the prescription of EBPR as clinically effective therapy and implementation as standard of care for patients with IPF. Future studies examining clinical improvement and effectiveness utilizing additional outcomes with the MCID are warranted. PMID: 33186196 [PubMed - as supplied by publisher] (Source: Journal of Cardio...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 11, 2020 Category: Rehabilitation Authors: Vainshelboim B Tags: J Cardiopulm Rehabil Prev Source Type: research

Predictors of Exercise Maintenance 6 Months After Comprehensive Cardiac Rehabilitation.
CONCLUSIONS: In this three-site study focusing on patient education for CR patients in Canada, the benefits of an education intervention in maintaining knowledge, exercise, healthy food intake, and self-efficacy were supported. PMID: 33186197 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 11, 2020 Category: Rehabilitation Authors: Ghisi GLM, Alavinia M, Aultman C, Rouleau F, Ross MK, Dufour-Doiron M, Belliveau SL, Brideau JR, Oh P Tags: J Cardiopulm Rehabil Prev Source Type: research

Factors Associated With Non-enrollment of Center-Based Cardiovascular Rehabilitation Program Among Transient Ischemic Attack or Mild Stroke Patients: A MIXED-METHOD RETROSPECTIVE STUDY.
CONCLUSIONS: This study found that patients with TIA or mild stroke who were older, lived farther from the CRP center, or were current smokers were less likely to enroll in a CRP. The present findings may help clinicians identify patients unlikely to enroll in a CRP and allow the implementation of interventions focused on health education and physical activity to improve enrollment. Future research should validate these factors in multiple settings using prospective mixed methods so that interventions can be developed to address non-enrollment in the CRP. PMID: 33186198 [PubMed - as supplied by publisher] (Source: Jou...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 11, 2020 Category: Rehabilitation Authors: Meng G, Qazi H, Chen H Tags: J Cardiopulm Rehabil Prev Source Type: research

Automated Detection of Exercise Sessions in Patients With Peripheral Artery Disease: EVIDENCE FOR AN EXERCISE DOSE RESPONSE TO TRAINING.
CONCLUSIONS: An algorithm to assess data from an accelerometer successfully detected home-based exercise sessions. Algorithm-identified exercise sessions were correlated with improvements in performance after 6 mo of training in patients with PAD, supporting the effectiveness of monitored home-based exercise. PMID: 33186199 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 11, 2020 Category: Rehabilitation Authors: Mays RJ, Wesselman CW, White R, Creager MA, Amato A, Greenwalt M, Hiatt WR Tags: J Cardiopulm Rehabil Prev Source Type: research

Daily Step Counts in Participants With and Without Peripheral Artery Disease.
Abstract PURPOSE: We compared the prevalence of participants with and without symptomatic peripheral artery disease (PAD) who met the goals of attaining>7000 and 10 000 steps/d, and we determined whether PAD status was significantly associated with meeting the daily step count goals before and after adjusting for demographic variables, comorbid conditions, and cardiovascular risk factors. METHODS: Participants with PAD (n = 396) and without PAD (n = 396) were assessed on their walking for 7 consecutive days with a step activity monitor. RESULTS: The PAD group took significantly fewer steps/d than the ...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 11, 2020 Category: Rehabilitation Authors: Gardner AW, Montgomery PS, Wang M, Shen B, Casanegra AI, Silva-Palacios F, Zhang S, Pomilla WA, Esponda OL, Kuroki M Tags: J Cardiopulm Rehabil Prev Source Type: research

Considering the Feasibility, Tolerability, and Safety of High-Intensity Interval Training as a Novel Treatment for Patients With Intermittent Claudication.
CONCLUSIONS: This study provides preliminary findings indicating that patients with IC can complete a short-term HIIT program. We provide very early evidence that HIIT may be safe and well-tolerated. In addition, walking distances seem to improve following HIIT. After a small change in the exclusion criteria, the intervention and inclusion/exclusion criteria now seem appropriate for this population, meaning further research to evaluate HIIT in patients with IC is warranted. PMID: 33186201 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 11, 2020 Category: Rehabilitation Authors: Pymer S, Ibeggazene S, Palmer J, Smith GE, Harwood AE, Carroll S, Ingle L, Chetter IC Tags: J Cardiopulm Rehabil Prev Source Type: research

Factors Associated With Change in Cardiovascular Fitness for Patients With Peripheral and Coronary Artery Disease in Cardiac Rehabilitation.
CONCLUSIONS: While younger age and male sex were predictors of improved VO2peak in CAD, age did not influence PAD, and neither age nor sex influenced PAD/CAD. Peripheral artery disease-related limitations may override some demographic factors, and strategies for improving VO2peak should be explored. Managing smoking and comorbid diagnoses including diabetes and a timely entry to CR may yield greater improvements in VO2peak among individuals with PAD. PMID: 33186202 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 11, 2020 Category: Rehabilitation Authors: Nguyen CH, Thomas SG, Marzolini S Tags: J Cardiopulm Rehabil Prev Source Type: research

From The Editor.
PMID: 33148987 [PubMed - in process] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 1, 2020 Category: Rehabilitation Authors: Kaminsky L Tags: J Cardiopulm Rehabil Prev Source Type: research

Introducing the HL-PIVOT Network: PROMOTING HUMAN RESILIENCE AND QUALITY OF LIFE THROUGH HEALTHY LIVING INITIATIVES.
PMID: 33148988 [PubMed - in process] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 1, 2020 Category: Rehabilitation Authors: Bond S, Arena R, Berra K, Popovic D, Smirmaul BPC, Ortega FB, HL-PIVOT Network Tags: J Cardiopulm Rehabil Prev Source Type: research

Cardiopulmonary Rehabilitation in Pediatric Patients With Congenital and Acquired Heart Disease.
CONCLUSION: Cardiopulmonary rehabilitation in pediatric congenital and acquired heart disease is currently a field in its infancy. Significant strides have been made for complex heart disease and impaired myocardial function. Current research holds the promise for the development of programs that are practical, scalable, and can be implemented in most clinical sites within the foreseeable future. PMID: 33148989 [PubMed - in process] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 1, 2020 Category: Rehabilitation Authors: McBride MG, Burstein DS, Edelson JB, Paridon SM Tags: J Cardiopulm Rehabil Prev Source Type: research

Evaluating the Benefits of Exercise Training in HFrEF or COPD Patients: ISO-LEVEL COMPARISON CAN ADD VALUABLE INFORMATION TO V ˙o2peak.
CONCLUSION: The findings of this study show that exercise training in severely affected patient groups with HFrEF or COPD led to an increase in maximal exercise capacity, a more favorable breathing pattern, and a diminished V˙co2 during exercise. Therefore, comparisons of V˙co2 and breathing pattern at ISO-levels of V˙o2 or V˙E before and after training are valuable and underutilized outcome measures in treatment studies. PMID: 33148990 [PubMed - in process] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - November 1, 2020 Category: Rehabilitation Authors: Gudjonsdottir M, Thoroddsen E, Karlsdottir AE, Kristjansdottir A, Jonasson MR, Asgeirsdottir M, Sigurdsson SB, Kristjansson K Tags: J Cardiopulm Rehabil Prev Source Type: research

Noninvasive Ventilation Accelerates Oxygen Uptake Recovery Kinetics in Patients With Combined Heart Failure and Chronic Obstructive Pulmonary Disease.
Abstract PURPOSE: Oxygen uptake (Vo2) recovery kinetics appears to have considerable value in the assessment of functional capacity in both heart failure (HF) and chronic obstructive pulmonary disease (COPD). Noninvasive positive pressure ventilation (NIPPV) may benefit cardiopulmonary interactions during exercise. However, assessment during the exercise recovery phase is unclear. The purpose of this investigation was to explore the effects of NIPPV on Vo2, heart rate, and cardiac output recovery kinetics from high-intensity constant-load exercise (CLE) in patients with coexisting HF and COPD. METHODS: Ninete...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - October 15, 2020 Category: Rehabilitation Authors: Mazzuco A, Souza AS, Goulart CDL, Medeiros WM, Sperandio PA, Alencar MCN, Arbex FF, Neder JA, Arena R, Borghi-Silva A Tags: J Cardiopulm Rehabil Prev Source Type: research

Increasing Use of Cardiac and Pulmonary Rehabilitation in Traditional and Community Settings: OPPORTUNITIES TO REDUCE HEALTH CARE DISPARITIES.
The objectives of these FOAs were to (1) test strategies that will lead to increased use of CR and PR in the US population who are eligible based on clinical guidelines; (2) test strategies to reduce disparities in the use of CR and PR based on age, gender, race/ethnicity, and socioeconomic status; and (3) test whether increased use of CR and PR, whether by traditional center-based or new models, is accompanied by improvements in relevant clinical and patient-centered outcomes, including exercise capacity, cardiovascular and pulmonary risk factors, and quality of life. Five NHLBI grants and a single NIA grant were funded i...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - October 15, 2020 Category: Rehabilitation Authors: Fleg JL, Keteyian SJ, Peterson PN, Benzo R, Finkelstein J, Forman DE, Gaalema DE, Cooper LS, Punturieri A, Joseph L, Shero S, Zieman S Tags: J Cardiopulm Rehabil Prev Source Type: research

Long-Term Cardiac Maintenance Programming: A SINGLE-SITE ANALYSIS OF MORE THAN 200 PARTICIPANTS.
Abstract PURPOSE: Greater than 65% of all cardiac mortality is related to coronary artery disease (CAD). Cardiac rehabilitation (CR) aims to reduce cardiovascular risk and number of hospital readmissions. Cardiac maintenance programs (CMPs) are designed to sustain or improve health after completing early CR. Although CMPs are supported by most national health guidelines, few long-term studies on these diverse programs have been performed. METHODS: This was a retrospective repeated-measures analysis with case-controlled subanalysis. Within-subject differences for CMP participants were examined between enrollme...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - October 6, 2020 Category: Rehabilitation Authors: Christle JW, Baumgartner M, Zelger O, Lammel C, Haller B, Bjarnason-Wehrens B, Myers J, Hamm LF, Froelicher V, Halle M, Pressler A Tags: J Cardiopulm Rehabil Prev Source Type: research

Cardiac Rehabilitation Knowledge and Attitudes of Cardiology Fellows.
CONCLUSION: This study revealed perceptions of cardiology fellows at one institution regarding CR that have not been considered previously. Key barriers to endorsement and referral to CR were exposed as well as opportunities to overcome them. Fellowship training affords an important opportunity to improve CR education, and to potentially improve participation of eligible patients for this important aspect of care. PMID: 33031134 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - October 6, 2020 Category: Rehabilitation Authors: Kellar G, Hickey GW, Goss F, Fertman C, Forman DE Tags: J Cardiopulm Rehabil Prev Source Type: research

Using the 6-min Walk Test to Monitor Peak Oxygen Uptake Response to Cardiac Rehabilitation in Patients With Heart Failure.
CONCLUSION: Estimated VO2peak using 6MWT distance demonstrated poor agreement with measured VO2peak from a CPX. While distance ambulated on the 6MWT remains an important measure of physical performance in patients with HF, prediction equations using 6MWT distance are not appropriate to monitor changes in VO2peak following CR in patients with HF. PMID: 33031135 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - October 6, 2020 Category: Rehabilitation Authors: Chirico D, Davidson TW, Terada T, Scott K, Keast ML, Reid RD, Pipe AL, Reed JL Tags: J Cardiopulm Rehabil Prev Source Type: research

Comprehensive Respiratory Muscle Training Improves Pulmonary Function and Respiratory Muscle Strength in Acute Stroke Patients.
CONCLUSION: Four weeks of comprehensive RMT in patients with acute stroke resulted in significantly greater improvements in both pulmonary function and respiratory muscle strength than SR. Therefore, RMT has the potential to reduce post-stroke respiratory complications. PMID: 33027217 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - October 5, 2020 Category: Rehabilitation Authors: Choi HE, Jo GY, Do HK, On CW Tags: J Cardiopulm Rehabil Prev Source Type: research

Healthy Vascular Aging Is Associated With Higher Cardiorespiratory Fitness.
Abstract BACKGROUND: Healthy vascular aging (HVA) and cardiorespiratory fitness (CRF) are each independently associated with lower cardiovascular disease-related mortality. It is unknown, however, whether the CRF-related reductions in cardiovascular disease risk are related to HVA. We hypothesized that HVA would be associated with higher CRF in men and women from the Ball State Adult Fitness Longitudinal Lifestyle STudy (BALL ST). METHODS: Apparently healthy men and women ≥50 yr of age from the BALL ST cohort (n = 101) who underwent a maximal cardiopulmonary exercise test to assess CRF (VO2peak) were inclu...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - October 5, 2020 Category: Rehabilitation Authors: Fleenor BS, Carlini NA, Kaminsky LA, Whaley MH, Peterman JE, Harber MP Tags: J Cardiopulm Rehabil Prev Source Type: research

Exercise-Based Cardiac Rehabilitation Improves Cognitive Function Among Patients With Cardiovascular Disease.
CONCLUSION: Cardiovascular disease patients enrolled in CR showed significant improvements in multiple cognitive domains along with increased cortical activation. The negative associations between cognitive functioning and PFC oxygenation suggest an improved neural efficiency. PMID: 32947322 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - September 15, 2020 Category: Rehabilitation Authors: Moriarty TA, Bourbeau K, Mermier C, Kravitz L, Gibson A, Beltz N, Negrete O, Zuhl M Tags: J Cardiopulm Rehabil Prev Source Type: research

Differences in Comorbid Conditions Among Older Adult Participants in Cardiac Rehabilitation.
CONCLUSIONS: Whereas differences in CVD had little bearing on frequency of CR participation in older patients, differences in hearing and visual impairment varied significantly. Patients with hearing and vision impairments attended less frequently. Sensory impairment has previously been demonstrated to impact health care utilization by older adults, but is rarely considered in the treatment of CVD or CR. As sensory impairments are extremely prevalent among geriatric patients, further study of these potential barriers to care might open possibilities for older adult participation in CR. PMID: 32947323 [PubMed - as supp...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - September 15, 2020 Category: Rehabilitation Authors: Cahill BJ, Allsup K, Delligatti A, Althouse AD, Forman DE Tags: J Cardiopulm Rehabil Prev Source Type: research

Prognostic Value of NT-Pro Brain Natriuretic Peptide During Exercise Recovery in Ischemic Heart Failure of Reduced, Midrange, and Preserved Ejection Fraction.
We examined the prognostic value of NT-pro-BNP during recovery from exercise in patients with ischemic HF (IHF) of any ejection fraction. METHODS: Patients (n = 213) with HF (123 HFrEF, 90 HFmrEF/HFpEF) underwent cardiopulmonary exercise testing. Doppler echocardiography was used to estimate resting pulmonary artery systolic pressure (PASP) and tricuspid annular plane systolic excursion (TAPSE). NT-pro-BNP was determined at rest, peak exercise, and after 1 min of exercise recovery. RESULTS: Patients with HFrEF had higher plasma levels of NT-pro-BNP at rest, peak exercise, and recovery than those with HFmrEF/HFpEF...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - September 15, 2020 Category: Rehabilitation Authors: Djordjevic T, Arena R, Guazzi M, Popovic D Tags: J Cardiopulm Rehabil Prev Source Type: research

Location-Based Sedentary Time and Physical Activity in People Living With Coronary Artery Disease.
CONCLUSIONS: Participants with CAD spent the majority of their time being sedentary. Home was the location used the most to engage in ST, LPA, and MVPA. When not home, ST, LPA, and MVPA were distributed across a variety of locations. The average distance from home to a given location suggests that proximity to home may not be a barrier from an intervention perspective. PMID: 32947325 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - September 15, 2020 Category: Rehabilitation Authors: Trecarten N, Kirkland S, Rainham D, Giacomantonio N, McGowan E, Murnaghan D, Reid R, King-Shier K, Spence JC, Warburton D, Rhodes RE, Blanchard CM Tags: J Cardiopulm Rehabil Prev Source Type: research

Shorter Wait Times to Cardiac Rehabilitation Associated With Greater Exercise Capacity Improvements: A MULTISITE STUDY.
Abstract PURPOSE: Comprehensive exercise-based cardiac rehabilitation (CR) results in improved, though highly variable, exercise capacity outcomes. Whether modifiable factors such as CR program wait time and session duration are associated with exercise capacity outcomes has not been adequately investigated. METHODS: Patients with coronary heart disease (±primary and elective percutaneous coronary interventions, cardiac surgery) who participated in CR programs involved in a three-state audit (n = 32 sites) were eligible. Exercise capacity was measured using the 6-min walk test before and after a 6- to ...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - September 15, 2020 Category: Rehabilitation Authors: Candelaria D, Zecchin R, Ferry C, Ladak L, Randall S, Gallagher R Tags: J Cardiopulm Rehabil Prev Source Type: research

Development of a Simple Clinical Tool for Predicting Early Dropout in Cardiac Rehabilitation: A SINGLE-CENTER RISK MODEL.
Abstract BACKGROUND: Nonadherence to cardiac rehabilitation (CR) is common despite the benefits of completing a full program. Adherence might be improved if patients at risk of early dropout were identified and received an intervention. METHODS: Using records from patients who completed ≥1 CR session in 2016 (derivation cohort), we employed multivariable logistic regression to identify independent patient-level characteristics associated with attending
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - September 15, 2020 Category: Rehabilitation Authors: Pack QR, Visintainer P, Farah M, LaValley G, Szalai H, Lindenauer PK, Lagu T Tags: J Cardiopulm Rehabil Prev Source Type: research

Identification of Patients With COPD in a Cardiac Rehabilitation Setting: THE COnCuR STUDY.
CONCLUSIONS: Implementing the CLHT to patients referred to CR correctly identified COPD in
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - September 15, 2020 Category: Rehabilitation Authors: Ozemek C, Arena R, Rouleau CR, Campbell TS, Hauer T, Wilton SB, Stone J, Laddu D, Williamson TM, Liu H, Austford LD, Roman MA, Aggarwal S Tags: J Cardiopulm Rehabil Prev Source Type: research

Social Smoking Environment and Associations With Cardiac Rehabilitation Attendance.
We examined whether smoking among social connections was associated with CR participation and continued smoking in cardiac patients. METHODS: Participants included 149 patients hospitalized with an acute cardiac event who self-reported smoking prior to the hospitalization and were eligible for outpatient CR. Participants completed a survey on their smoking habits prior to hospitalization and 3 mo later. Participants were dichotomized into two groups by the proportion of friends or family currently smoking ("None-Few" vs "Some-Most"). Sociodemographic, health, secondhand smoke exposure, and smoking ...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - September 8, 2020 Category: Rehabilitation Authors: Bolívar HA, Elliott RJ, Middleton W, Yoon JH, Okoli CTC, Haliwa I, Miller CC, Ades PA, Gaalema DE Tags: J Cardiopulm Rehabil Prev Source Type: research

Oxygen Indications and Utilization in a Diverse, Urban Community Setting.
Abstract PURPOSE: Long-term oxygen therapy (LTOT) is widely used to treat chronic obstructive pulmonary disease (COPD) and other conditions with severe hypoxemia, imposing a large financial burden on the American health care system. METHODS: To better understand oxygen prescription and its use in a multiethnic community hospital, we completed a prospective, observational study with a survey design in our multicultural population to better recognize patient understanding of oxygen indications and utilization. RESULTS: The survey was conducted at three outpatient pulmonary clinics. Among the 94 respondents...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - September 8, 2020 Category: Rehabilitation Authors: Karki A, Morante J, Cervellione KL, Ullah T, Patel V, Fein AM Tags: J Cardiopulm Rehabil Prev Source Type: research

The Million Hearts Initiative: CATALYZING UTILIZATION OF CARDIAC REHABILITATION AND ACCELERATING IMPLEMENTATION OF NEW CARE MODELS.
Abstract Million Hearts and partners have been committed to raising national cardiac rehabilitation participation rates to a goal of 70%. Quality improvement tools, resources, and surveillance models have been developed in support. Efforts to enhance research programs and collaborative initiatives have created momentum to accelerate implementation of new care models. PMID: 32868655 [PubMed - in process] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 31, 2020 Category: Rehabilitation Authors: Wall HK, Stolp H, Wright JS, Ritchey MD, Thomas RJ, Ades PA, Sperling LS Tags: J Cardiopulm Rehabil Prev Source Type: research

Including Patients With Stroke in Cardiac Rehabilitation: BARRIERS AND FACILITATORS.
Abstract More than 13 million cases of stroke are occurring annually worldwide. Approximately a quarter of these strokes are recurrent strokes, and there is compelling evidence of the benefit of supervised exercise and risk factor modification programming in the secondary prevention of these strokes. However, there is insufficient time in inpatient and outpatient stroke rehabilitation for focused exercise interventions. General lifestyle interventions on their own, without guidance and supervision, are insufficient for improving physical activity levels. Cardiac rehabilitation (CR) is a setting where cardiac patie...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 31, 2020 Category: Rehabilitation Authors: Marzolini S Tags: J Cardiopulm Rehabil Prev Source Type: research

AACVPR 35th Annual Meeting Scientific Abstract Presentations.
Authors: PMID: 32868658 [PubMed - in process] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 31, 2020 Category: Rehabilitation Tags: J Cardiopulm Rehabil Prev Source Type: research

Left Ventricular Geometry in COPD Patients: ARE THERE ASSOCIATIONS WITH AIRFLOW LIMITATION, FUNCTIONAL CAPACITY, AND GRIP STRENGTH?
CONCLUSIONS: In COPD patients, LV geometry is associated with airflow limitation, functional capacity, and grip strength. Specifically, concentric LV remodeling is associated with increased airflow limitation and decreased functional capacity whereas increased LV mass is associated with decreased grip strength. PMID: 32804795 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 13, 2020 Category: Rehabilitation Authors: Heubel AD, Roscani MG, Kabbach EZ, Agnoleto AG, Camargo PF, Dos Santos PB, Borghi-Silva A, Mendes RG Tags: J Cardiopulm Rehabil Prev Source Type: research

Impact of COVID-19 Pandemic on Physical Activity in Patients With Implantable Cardioverter-Defibrillators.
CONCLUSIONS: This objective quantification of the impact of the COVID-19 pandemic on PA determined by an ICD device showed an abrupt and statistically significant reduction of PA in primary prevention ICD patients, during the in-home confinement quarantine. To counteract the deleterious effects of physical inactivity during the COVID-19 outbreak, patients should be encouraged to perform indoor exercise-based personalized rehabilitative programs. PMID: 32804796 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 13, 2020 Category: Rehabilitation Authors: Sassone B, Mandini S, Grazzi G, Mazzoni G, Myers J, Pasanisi G Tags: J Cardiopulm Rehabil Prev Source Type: research

Cardiac Rehabilitation Is Associated With Improved Physical Function in Frail Older Adults With Cardiovascular Disease.
Abstract PURPOSE: Frailty is highly prevalent among older adults with cardiovascular disease (CVD) and is associated with greater than 2-fold risk for morbidity and mortality, independent of age and comorbidities. Many candidates are not referred to cardiac rehabilitation (CR) under the assumption that they are too frail to benefit. We hypothesized that CR is associated with similar benefits for frail adults as for intermediate-frail and nonfrail adults. METHODS: Retrospective analysis of CVD patients who completed a phase II CR program. Patients classified as frail by meeting ≥2 frailty criteria and inter...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 13, 2020 Category: Rehabilitation Authors: Lutz AH, Delligatti A, Allsup K, Afilalo J, Forman DE Tags: J Cardiopulm Rehabil Prev Source Type: research

The Urgent Need to Sit Less and Move More During the COVID-19 Pandemic.
Abstract The coronavirus disease-2019 (COVID-19) pandemic containment and mitigation strategies may lead to excessive physical inactivity and sedentary behavior, drastically impacting cardiorespiratory fitness and overall health. It is urgent to safely find ways to sit less and move more. PMID: 32796490 [PubMed - as supplied by publisher] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 9, 2020 Category: Rehabilitation Authors: Smirmaul BPC, Arena R Tags: J Cardiopulm Rehabil Prev Source Type: research

Effect of Exercise on Cardiovascular Function Following Spinal Cord Injury: A Review.
Abstract Spinal cord injury (SCI) is associated with a reduced level of physical activity, deterioration of patient body composition, metabolic profile, quality of life, and psychological functioning. As a result, risk of cardiovascular disease (CVD) increases and CVD-related death occurs at an earlier age than in individuals without SCI. Regular participation in exercise has been shown to exert beneficial effects also in patients with SCI. In this review, we analyze and discuss the effects of regular exercise training in SCI on cardiovascular function, autonomic function of the cardiovascular system, arterial sti...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 9, 2020 Category: Rehabilitation Authors: Liu S, Wang Y, Niebauer J Tags: J Cardiopulm Rehabil Prev Source Type: research

Muscular Strength and Cardiovascular Disease: AN UPDATED STATE-OF-THE-ART NARRATIVE REVIEW.
Abstract This review discusses the associations of muscular strength (MusS) with cardiovascular disease (CVD), CVD-related death, and all-cause mortality, as well as CVD risk factors, such as metabolic syndrome, diabetes, obesity, and hypertension. We then briefly review the role of resistance exercise training in modulating CVD risk factors and incident CVD.The role of MusS has been investigated over the years, as it relates to the risk to develop CVD and CVD risk factors. Reduced MusS, also known as dynapenia, has been associated with increased risk for CVD, CVD-related mortality, and all-cause mortality. Moreov...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 9, 2020 Category: Rehabilitation Authors: Carbone S, Kirkman DL, Garten RS, Rodriguez-Miguelez P, Artero EG, Lee DC, Lavie CJ Tags: J Cardiopulm Rehabil Prev Source Type: research

Response to Exercise Training During Cardiac Rehabilitation Differs by Sex.
Abstract PURPOSE: Directly measured peak aerobic capacity or oxygen uptake (VO2peak) is a powerful predictor of prognosis in individuals with cardiovascular disease. Women enter phase 2 cardiac rehabilitation (CR) with lower VO2peak and their response to training, compared with men, is equivocal. We analyzed VO2peak at entry and exit in patients participating in CR and improvements by diagnosis to assess training response. We also identified sex differences that may influence change in VO2peak. METHODS: The cohort included consecutive patients enrolled in CR between January 1996 and December 2015 who performe...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - August 9, 2020 Category: Rehabilitation Authors: Rengo JL, Khadanga S, Savage PD, Ades PA Tags: J Cardiopulm Rehabil Prev Source Type: research

Comprehensive Cardiac Rehabilitation Effectiveness in a Middle-Income Setting: A RANDOMIZED CONTROLLED TRIAL.
Abstract PURPOSE: The impact of comprehensive cardiac rehabilitation (CCR) in Latin America is not well known. Herein, the pre-specified tertiary outcomes of a cardiac rehabilitation (CR) trial are reported: disease-related knowledge, depressive symptoms, and heart-health behaviors (exercise, diet, and smoking). METHODS: This was a single-blinded, single-center (Brazil) randomized trial with three parallel arms: CCR (exercise + education) versus exercise-only CR versus wait-list control. Eligible patients were randomized in blocks of four with 1:1:1 concealed allocation. The CR program was 6 mo long. Particip...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - July 14, 2020 Category: Rehabilitation Authors: Ghisi GLM, Chaves GSS, Ribeiro AL, Oh P, Britto RR, Grace SL Tags: J Cardiopulm Rehabil Prev Source Type: research

Effects of Behavioral Weight Loss and Weight Loss Goal Setting in Cardiac Rehabilitation.
Abstract PURPOSE: Obesity is prevalent among participants in cardiac rehabilitation (CR). Establishing a weight loss goal is an important strategy for promoting weight loss. We evaluate the association between a pre-program weight loss goal and change in weight during CR. METHODS: Body weight was measured at CR entry and at exit from CR. Overweight/obese participants were categorized as having: (1) established a weight loss goal and attended behavioral weight loss sessions (G + BWL); (2) set a weight loss goal but did not attend BWL (G); (3) and neither set a weight loss goal nor attended BWL (NoG). RESU...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - July 14, 2020 Category: Rehabilitation Authors: Barrett KV, Savage PD, Ades PA Tags: J Cardiopulm Rehabil Prev Source Type: research

Feasibility and Efficacy of the Pulmonary Rehabilitation Program in a Rehabilitation Center: CASE REPORT OF A YOUNG PATIENT DEVELOPING SEVERE COVID-19 ACUTE RESPIRATORY DISTRESS SYNDROME.
DISCUSSION: Providing RRP in patients with severe COVID-19 ARDS involves risks for operators and organizational difficulties, especially in rehabilitation centers; nevertheless, its continuity is important to prevent the development of permanent disabilities in previously healthy subjects. Limited to the experience of only one patient, we were able to carry out a safe RRP during the COVID-19 pandemic, promoting the complete functional recovery of a COVID-19 young patient. SUMMARY: Most patients who develop serious consequences of COVID-19 infection risk a reduction in their quality of life. However, by organizing and ...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - June 30, 2020 Category: Rehabilitation Authors: Pancera S, Galeri S, Porta R, Pietta I, Bianchi LNC, Carrozza MC, Villafañe JH Tags: J Cardiopulm Rehabil Prev Source Type: research

The Journal of Cardiopulmonary Rehabilitation and Prevention at 40 yr and Its Role in Promoting Preventive Cardiology: Part 2.
Abstract Aggressive risk factor modification, including smoking cessation, blood pressure management, and more intensive efforts to control hyperlipidemia, as well as stress management training, are associated with improved cardiovascular outcomes and impressive mortality reductions. This commentary addresses these topics, with specific reference to lifestyle modification and complementary cardioprotective medications. PMID: 32604250 [PubMed - in process] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - June 30, 2020 Category: Rehabilitation Authors: Franklin BA, Brubaker P, Harber MP, Lavie CJ, Myers J, Kaminsky LA Tags: J Cardiopulm Rehabil Prev Source Type: research

Aortic Aneurysm: DIAGNOSIS, MANAGEMENT, EXERCISE TESTING, AND TRAINING.
This article reviews the epidemiology, diagnostic process, medical issues, and the available exercise training literature, and provides recommendations for performing regular exercise. CLINICAL CONSIDERATIONS: Patients with aortic abnormalities are at risk for enlargement, aneurysm development, dissection, and rupture. During exercise, individuals with large aneurysms may be at greater risk of an adverse event. The available literature suggests little increased risk of complications when training at low and moderate intensities in those with an AAA, and exercise may be protective for aneurysm expansion. There is littl...
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - June 30, 2020 Category: Rehabilitation Authors: Ehrman JK, Fernandez AB, Myers J, Oh P, Thompson PD, Keteyian SJ Tags: J Cardiopulm Rehabil Prev Source Type: research

The Effects of Maintenance Cardiac Rehabilitation: A SYSTEMATIC REVIEW.
CONCLUSION: Quality of included trials was low because it is not possible to double-blind in M-CR trials and also due to the heterogeneity of M-CR interventions. Understanding, availability, and use of M-CR programs should be increased. PMID: 32604252 [PubMed - in process] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - June 30, 2020 Category: Rehabilitation Authors: Sánchez-Delgado JC, Camargo Sepulveda DC, Cardona Zapata A, Franco Pico MY, Santos Blanco LM, Jácome Hortúa AM, Dutra de Souza HC, Angarita-Fonseca A Tags: J Cardiopulm Rehabil Prev Source Type: research

Health Literacy of Patients Attending Cardiac Rehabilitation.
CONCLUSION: There is a wide range of HL profiles in people attending CR. Findings suggest that CR programs should consider a variety of approaches to meet the diverse HL requirements of attendees. PMID: 32604253 [PubMed - in process] (Source: Journal of Cardiopulmonary Rehabilitation and Prevention)
Source: Journal of Cardiopulmonary Rehabilitation and Prevention - June 30, 2020 Category: Rehabilitation Authors: Beauchamp A, Sheppard R, Wise F, Jackson A Tags: J Cardiopulm Rehabil Prev Source Type: research