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Telephone support oriented by accelerometric measurements enhances adherence to physical activity recommendations in non-compliant patients after a cardiac rehabilitation program.
MedLine Citation:
PMID:  22813832     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
OBJECTIVE: To assess the efficacy of a strategy, based on telephone support oriented by accelerometer measurements, on the adherence to physical activity (PA) recommendations in cardiac patients not achieving PA recommendations. DESIGN: Prospective and randomized study. SETTING: All patients had completed a cardiac rehabilitation program (CRP). PARTICIPANTS: Stable non-compliant cardiac (coronary artery disease, heart failure, post cardiovascular surgery) patients (weekly moderate-intensity PA <150 min) were randomized into an intervention group (IG, n=19) or a control group (CG, n=10). INTERVENTIONS: The IG wore an accelerometer for 8 weeks. Every 15 days, feedback and support were provided by telephone. The CG wore the accelerometer during the 8(th) week of the intervention only. MAIN OUTCOME MEASUREMENTS: active energy expenditure (EE, in Kcal) and the time spent doing light, moderate or intense PA (min/week). RESULTS: In the IG, the time spent at moderate-intensity PA increased from 95.6±80.7 to 137.2±87.5 min per week between the 1(st) and 8(th) week (p=0.002), with 36.8% of the sample achieving the target amount of moderate-intensity PA. During the 8(th) week, the EE averaged 543.7±144.1 kcal and 266.7±107.4 kcal in the IG and CG, respectively (p=0.004). CONCLUSIONS: Telephone support based on accelerometer recordings appeared to be an effective strategy to improve adherence to PA in non-compliant patients. This intervention could be implemented after a CRP as inexpensive, modern and easy-to-use strategy.
Authors:
Thibaut Guiraud; Richard Granger; Vincent Gremeaux; Marc Bousquet; Lisa Richard; Laurent Soukarié; Thierry Babin; Marc Labrunée; Frédéric Sanguignol; Laurent Bosquet; Alain Golay; Atul Pathak
Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-7-16
Journal Detail:
Title:  Archives of physical medicine and rehabilitation     Volume:  -     ISSN:  1532-821X     ISO Abbreviation:  -     Publication Date:  2012 Jul 
Date Detail:
Created Date:  2012-7-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  2985158R     Medline TA:  Arch Phys Med Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2012 the American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Affiliation:
Clinic of Saint-Orens, Cardiovascular and Pulmonary Rehabilitation Centre, 12, avenue de Revel, 31650 Saint-Orens-de-Gameville, France; National Institute of Health and Medical Research (INSERM), UMR-1048, Institut des maladies métaboliques et cardiovasculaires, F-31432, Toulouse, France.
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