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- W2045331532 abstract "Inadequate physical activity is one of the most prevalent risk factors for ill-health in western industrialized societies. In the secondary-care setting, cardiac rehabilitation offers an important potential means for enhancing the everyday physical activity of patients with cardiac disease. A critical review was undertaken to examine the effectiveness of cardiac rehabilitation in promoting long- to medium-term physical activity levels. A comprehensive literature search for studies was undertaken using bibliographic databases and published reference lists. Ten randomized controlled trials were identified that fulfilled the study inclusion criteria. These studies included a total of 13 objective assessments of physical activity outcome. It was found that in only 31% (i.e. 4 out of 13) of cases was there evidence of a statistically significant (P<0.05) improvement in physical activity outcome in the period (immediately to 9 years) following cardiac rehabilitation. These results suggest that there may be a need for cardiac rehabilitation programmes to place more emphasis towards to improving long-term physical activity levels of participants. However, the median methodological quality score for these trials of 2 (out of a possible score of 5) indicate the need for caution in the interpretation of the results. In particular, less than half of the studies gave evidence of using a validated physical activity self-report questionnaire and only one of the studies attempted to measure physical activity directly. The results of this review indicate the need for future studies of cardiac rehabilitation to incorporate validated assessments of physical activity, such as standardized questionnaires, together with direct measures, such as activity or movement monitors." @default.
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- W2045331532 date "1998-11-01" @default.
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- W2045331532 title "Physical activity and cardiac rehabilitation: a critical review of the literature" @default.
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- W2045331532 doi "https://doi.org/10.1016/s1362-3265(98)80015-1" @default.
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