TY - JOUR
T1 - Characteristics of structured physical training currently provided in cardiac patients: insights from the Exercise Training in Cardiac Rehabilitation (ETCR) Italian survey
AU - Ambrosetti, Marco
AU - Doherty, Patrick Joseph
AU - Faggiano, Pompilio
AU - Corrà, Ugo
AU - Vigorito, Carlo
AU - Hansen, Dominique
AU - Sarto, Patrizio
AU - Abreu, Ana
AU - Pedretti, Roberto F E
N1 - © M. Ambrosetti et al., 2017
PY - 2017/5/18
Y1 - 2017/5/18
N2 - Uncertainty exists about current delivery levels of exercise training
(ET) during Cardiac Rehabilitation (CR) programmes. The aim of this
study was to evaluate ET modalities in the real world of CR facilities in
Italy. This was an observational survey of aggregate data, collected from
CR facilities on a voluntary basis. Snapshots of a single working day at
a local site were made, in terms of characteristics of patients and ET
programmes delivered. Overall, 612 patients from 26 CR units were included,
with an in-patient vs out-patient ratio of 3:1. Coronary artery disease
(57.6%), heart failure (20.3%), and valve disease/surgery (22.1%)
were the most represented target groups. The prevalence of endurance
continuous training, interval training, and resistance/strength training
was 66.7%, 11.1%, and 9.0%; other non-aerobic endurance and non-resistance
training modalities such as respiratory muscle training and
calisthenics were reported in 39.9% and 42.9% of cases respectively.
Workloads for endurance exercise training were determined by cardiopulmonary
test, conventional 12-leads ECG exercise testing, 6minwalking
test, theoretical determination of heart rate, and rating of perceived
exertion in 9%, 8%, 27%, 9%, and 40% of cases respectively. The
average duration of the programmes (on an intention to treat basis)
was 25 sessions of 42±11 min, with a frequency of >4 sessions/week in
67% of patients. Despite advances in CR interventions, there is a significant
need for improvement of functional evaluation and exercise
training prescription, and consideration of a wider range of training
modalities in Italy
AB - Uncertainty exists about current delivery levels of exercise training
(ET) during Cardiac Rehabilitation (CR) programmes. The aim of this
study was to evaluate ET modalities in the real world of CR facilities in
Italy. This was an observational survey of aggregate data, collected from
CR facilities on a voluntary basis. Snapshots of a single working day at
a local site were made, in terms of characteristics of patients and ET
programmes delivered. Overall, 612 patients from 26 CR units were included,
with an in-patient vs out-patient ratio of 3:1. Coronary artery disease
(57.6%), heart failure (20.3%), and valve disease/surgery (22.1%)
were the most represented target groups. The prevalence of endurance
continuous training, interval training, and resistance/strength training
was 66.7%, 11.1%, and 9.0%; other non-aerobic endurance and non-resistance
training modalities such as respiratory muscle training and
calisthenics were reported in 39.9% and 42.9% of cases respectively.
Workloads for endurance exercise training were determined by cardiopulmonary
test, conventional 12-leads ECG exercise testing, 6minwalking
test, theoretical determination of heart rate, and rating of perceived
exertion in 9%, 8%, 27%, 9%, and 40% of cases respectively. The
average duration of the programmes (on an intention to treat basis)
was 25 sessions of 42±11 min, with a frequency of >4 sessions/week in
67% of patients. Despite advances in CR interventions, there is a significant
need for improvement of functional evaluation and exercise
training prescription, and consideration of a wider range of training
modalities in Italy
U2 - 10.4081/monaldi.2017.778
DO - 10.4081/monaldi.2017.778
M3 - Article
SN - 1122-0643
VL - 87
JO - Monaldi Archives for Chest Disease
JF - Monaldi Archives for Chest Disease
IS - 1
ER -