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Use este identificador para citar o ir al link de este elemento: http://hdl.handle.net/1843/43243
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Campo DCValorIdioma
dc.creatorGabriela Suéllen da Silva Chavespt_BR
dc.creatorGabriela Lima de Melo Ghisipt_BR
dc.creatorRaquel Rodrigues Brittopt_BR
dc.creatorSherry Gracept_BR
dc.date.accessioned2022-07-13T17:58:10Z-
dc.date.available2022-07-13T17:58:10Z-
dc.date.issued2019-02-
dc.citation.volume8pt_BR
dc.citation.issue4pt_BR
dc.citation.spage1pt_BR
dc.citation.epage14pt_BR
dc.identifier.doihttps://doi.org/10.1161/JAHA.118.011228pt_BR
dc.identifier.issn2047-9980pt_BR
dc.identifier.urihttp://hdl.handle.net/1843/43243-
dc.description.resumoBackground: Despite the epidemic of cardiovascular diseases in middle‐income countries, few trials are testing the benefits of cardiac rehabilitation (CR). This trial assessed (1) maintenance of functional capacity, risk factor control, knowledge, and heart‐health behaviors and (2) mortality and morbidity at 6 months following CR in a middle‐income country. Methods and Results: Eligible Brazilian coronary patients were initially randomized (1:1:1 concealed) to 1 of 3 parallel arms (comprehensive CR [exercise plus education], exercise‐only CR, or wait‐list control). The CR programs were 6 months in duration, at which point follow‐up assessments were performed. Mortality and morbidity were ascertained from chart and patient or family report (blinded). Controls were then offered CR (crossover). Outcomes were again assessed 6 months later (blinded). ANCOVA was performed for each outcome at 12 months. Overall, 115 (88.5%) patients were randomized, and 62 (53.9%) were retained at 1 year. At 6 months, 23 (58.9%) of those 39 initially randomized to the wait‐list control elected to attend CR. Functional capacity, risk factors, knowledge, and heart‐health behaviors were maintained from 6 to 12 months in participants from both CR arms (all P>0.05). At 1 year, knowledge was significantly greater with comprehensive CR at either time point (P<0.001). There were 2 deaths. Hospitalizations (P=0.03), nonfatal myocardial infarctions (P=0.04), and percutaneous coronary interventions (P=0.03) were significantly fewer with CR than control at 6 months. Conclusions: CR participation is associated with lower morbidity, long‐term maintenance of functional capacity, risk factors, and heart‐health behaviors, as well as with greater cardiovascular knowledge compared with no CR.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.format.mimetypepdfpt_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.ispartofJournal of the American Heart Associationpt_BR
dc.rightsAcesso Abertopt_BR
dc.subjectCardiac rehabilitationpt_BR
dc.subjectCoronary diseasept_BR
dc.subjectMorbidity / mortalitypt_BR
dc.subjectRehabilitationpt_BR
dc.subjectRisk factorpt_BR
dc.subject.otherReabilitação cardíacapt_BR
dc.subject.otherCoronariopatiaspt_BR
dc.subject.otherMortalidadept_BR
dc.subject.otherFatores de riscopt_BR
dc.subject.otherPaíses em desenvolvimentopt_BR
dc.titleMaintenance of gains, morbidity, and mortality at 1 year following cardiac rehabilitation in a middle-income country: a wait-list control crossover trialpt_BR
dc.typeArtigo de Periódicopt_BR
dc.url.externahttps://www.ahajournals.org/doi/full/10.1161/JAHA.118.011228?rfr_dat=cr_pub++0pubmed&url_ver=Z39.88-2003&rfr_id=ori%3Arid%3Acrossref.orgpt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-7946-3718pt_BR
dc.identifier.orcidhttp://orcid.org/0000-0002-9533-3654pt_BR
dc.identifier.orcidhttps://orcid.org/ 0000-0001-7063-3610pt_BR
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