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How to counteract physical inactivity during COVID-19 pandemic through a digital home-based multidisciplinary cardiac rehabilitation program?
Session:
CO 09 - Cardiologia Preventiva
Speaker:
Rita Pinto
Congress:
CPC 2021
Topic:
J. Preventive Cardiology
Theme:
29. Rehabilitation and Sports Cardiology
Subtheme:
29.2 Cardiovascular Rehabilitation
Session Type:
Comunicações Orais
FP Number:
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Authors:
Rita Pinto; Mariana Borges; Madalena Lemos Pires; Mariana Liñan Pinto; Catarina Sousa Guerreiro; Carla Rodrigues; Sandra Miguel; Olga Santos; Marta Ramalhinho; Edite Caldeira; Mariana Cordeiro Ferreira; Inês Ricardo; Nelson Cunha; Pedro Alves da Silva; Fausto j. Pinto; Ana Abreu
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><strong><span style="font-size:12.0pt">Introduction: </span></strong><span style="font-size:12.0pt">Many c</span><span style="font-size:12.0pt">entre-based cardiac rehabilitation (CR) programs have been forced to close during the first wave of COVID-19 pandemic. Resulting from the suspension of the centre-based CR programs, a major problem emerges regarding the potential harmful effects on the profound increase of physical inactivity and unhealthy lifestyle routines. Therefore, the development of alternative models to maintain access to CR programs and to avoid physical inactivity should be tested and delivered. </span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><strong><span style="font-size:12.0pt">Purpose: </span></strong><span style="font-size:12.0pt">To assess physical activity (PA) levels in patients with known cardiovascular disease (CVD) after completing 3-months of a home-based multidisciplinary digital CR program, an alternative model to the centre-based CR suspended program. </span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><strong><span style="font-size:12.0pt">Methods: </span></strong><span style="font-size:12.0pt">116 patients with CVD (62.6±8.9 years, 95 males) who were previously attending a face-to-face CR program were included and the following parameters were assessed<strong> </strong>at baseline and 3 months: self-reported PA and sedentary behaviour, adherence to the online CR program, cardiovascular and non-cardiovascular symptoms, safety and adverse events. The intervention consisted in an online multidisciplinary digital CR program including: exercise training sessions, educational sessions, psychological group sessions, risk factor control, nutritional and psychological consults and patient regular assessment.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><strong><span style="font-size:12.0pt">Results: </span></strong><span style="font-size:12.0pt">Ninety-eight CVD patients successfully completed the online assessments (15.5% drop-out). A significant increase was observed from moderate-to-vigorous PA (230±198 mins/week to 393±378 mins/week, p<0.001) and a decrease of the sedentary time at 3-months (6.47±3.26 hours/day to 5.17±3.18 hours/day, p<0.001). Almost 70% of the patients met the PA recommendations and 41% reached more than 300 mins/week of moderate-to-vigorous PA at 3 months. Forty-seven percent did at least more than one online exercise training per week and attended at least one of the online educational sessions. There were no major adverse events reported and only one minor non-cardiovascular event occurred.</span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><strong><span style="font-size:12.0pt">Conclusion: </span></strong><span style="font-size:12.0pt">Patients with CVD, who suspended their centre-based CR due to COVID-19 pandemic and started a home-based multidisciplinary digital CR program, had an improvement in PA levels and a decrease in sedentary time after 3 months. Therefore, home-based CR programs showed to be a good alternative option for selected clinically stable patients who cannot attend a centre-based CR program due to COVID-19 pandemic or other reasons.</span></span></p>
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