Maintenance of gains, morbidity, and mortality at 1 year following cardiac rehabilitation in a middle-income country: a wait-list control crossover trial

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dc.creatorGabriela Suéllen da Silva Chaves
dc.creatorGabriela Lima de Melo Ghisi
dc.creatorRaquel Rodrigues Britto
dc.creatorSherry Grace
dc.date.accessioned2022-07-13T17:58:10Z
dc.date.accessioned2025-09-08T23:59:48Z
dc.date.available2022-07-13T17:58:10Z
dc.date.issued2019-02
dc.description.sponsorshipCNPq - Conselho Nacional de Desenvolvimento Científico e Tecnológico
dc.description.sponsorshipFAPEMIG - Fundação de Amparo à Pesquisa do Estado de Minas Gerais
dc.description.sponsorshipCAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior
dc.format.mimetypepdf
dc.identifier.doihttps://doi.org/10.1161/JAHA.118.011228
dc.identifier.issn2047-9980
dc.identifier.urihttps://hdl.handle.net/1843/43243
dc.languageeng
dc.publisherUniversidade Federal de Minas Gerais
dc.relation.ispartofJournal of the American Heart Association
dc.rightsAcesso Aberto
dc.subjectReabilitação cardíaca
dc.subjectCoronariopatias
dc.subjectMortalidade
dc.subjectFatores de risco
dc.subjectPaíses em desenvolvimento
dc.subject.otherCardiac rehabilitation
dc.subject.otherCoronary disease
dc.subject.otherMorbidity / mortality
dc.subject.otherRehabilitation
dc.subject.otherRisk factor
dc.titleMaintenance of gains, morbidity, and mortality at 1 year following cardiac rehabilitation in a middle-income country: a wait-list control crossover trial
dc.typeArtigo de periódico
local.citation.epage14
local.citation.issue4
local.citation.spage1
local.citation.volume8
local.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.
local.identifier.orcidhttps://orcid.org/ 0000-0001-7946-3718
local.identifier.orcidhttp://orcid.org/0000-0002-9533-3654
local.identifier.orcidhttps://orcid.org/ 0000-0001-7063-3610
local.publisher.countryBrasil
local.publisher.departmentEEF - DEPARTAMENTO DE FISIOTERAPIA
local.publisher.initialsUFMG
local.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.org

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