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Please use this identifier to cite or link to this item: http://hdl.handle.net/1843/41609
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dc.creatorGabriela Suellen da Silva Chavespt_BR
dc.creatorGabriela Lima de Melo Ghisipt_BR
dc.creatorSherry Gracept_BR
dc.creatorPaul Ohpt_BR
dc.creatorAntonio Luiz Pinho Ribeiropt_BR
dc.creatorRaquel Rodrigue Brittopt_BR
dc.date.accessioned2022-05-12T17:12:32Z-
dc.date.available2022-05-12T17:12:32Z-
dc.date.issued2019-
dc.citation.volume105pt_BR
dc.citation.issue5pt_BR
dc.citation.spage406pt_BR
dc.citation.epage413pt_BR
dc.identifier.doihttp://dx.doi.org/10.1136/heartjnl-2018-313632pt_BR
dc.identifier.issn1468-201Xpt_BR
dc.identifier.urihttp://hdl.handle.net/1843/41609-
dc.description.resumoObjective: Despite the growing epidemic of cardiovascular diseases in middle-income countries, there is insufficient evidence about cardiac rehabilitation (CR) in these countries. Thus, the effects of comprehensive CR on functional capacity and risk factors were investigated in Brazil, to test the hypothesis that it results in better outcomes than exercise-only or no CR. Methods: Single-blinded, randomised controlled trial with three parallel arms: comprehensive CR (exercise+education) versus exercise-only CR versus wait-list control. Eligible coronary patients were randomised in blocks of four with 1:1:1 concealed allocation. Participants randomised to exercise-only CR received 36 exercise classes; comprehensive CR group also received 24 educational sessions. The primary outcome was incremental shuttle walk test (ISWT) distance; secondary outcomes were cardiovascular risk factors. All outcomes were assessed at baseline and 6 months later. Analysis of covariance was performed on the basis of intention-to-treat (ITT) and per-protocol. Results: 115 (88.5%) patients were randomised; 93 (80.9%) were retained. There were improvements in ISWT distance from pretest to post-test with comprehensive (from 358.4±132.6 to 464.8±121.6 m; mean change=106.4; p<0.001) and exercise-only (from 391.5±118.8 to 488.1±106.3 m; mean change=96.5, p<0.001) CR, with significantly greater functional capacity with comprehensive CR versus control (ITT: mean difference=75.6±30.7 m, 95% CI 1.4 to 150.2). There were also reductions in systolic blood pressure with comprehensive CR (ITT: reduction of 6.2±17.8 mm Hg, p=0.04). There were no significant differences for other outcomes. Conclusion: Results showed clinically significant improvements in functional capacity and blood pressure with CR, and significantly greater functional capacity with comprehensive CR compared with usual care.pt_BR
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológicopt_BR
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Geraispt_BR
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superiorpt_BR
dc.description.sponsorshipOutra Agênciapt_BR
dc.languageengpt_BR
dc.publisherUniversidade Federal de Minas Geraispt_BR
dc.publisher.countryBrasilpt_BR
dc.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIApt_BR
dc.publisher.initialsUFMGpt_BR
dc.relation.ispartofHeartpt_BR
dc.rightsAcesso Restritopt_BR
dc.subject.otherReabilitação cardíacapt_BR
dc.subject.otherCapacidade funcionalpt_BR
dc.subject.otherPaíses em desenvolvimentopt_BR
dc.subject.otherCardiopatiaspt_BR
dc.titleEffects of comprehensive cardiac rehabilitation on functional capacity in a middle-income country: a randomised controlled trialpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://heart.bmj.com/content/105/5/406pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-7946-3718pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0001-7063-3610pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-0603-6958pt_BR
dc.identifier.orcidhttps://orcid.org/0000-0002-2740-0042pt_BR
dc.identifier.orcidhttp://orcid.org/0000-0002-9533-3654pt_BR
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