SPC365

Beyond Phase 2: The impact of Phase 3 Cardiac Rehabilitation on Physical Activity

Session: Sessão de Posters 27 - Reabilitação cardíaca
Speaker: João Mendes Cravo

Congress: CPC 2024
Topic: J. Preventive Cardiology
Theme: 29. Rehabilitation and Sports Cardiology
Subtheme: 29.2 Cardiovascular Rehabilitation
Session Type: Cartazes
FP Number: ---
Authors: João Mendes Cravo; Ana Margarida Martins; Ana Beatriz Garcia; Pedro Bártolo; Rita Pinto; Mariana Borges; Madalena Lemos Pires; Gonçalo Sá; Nelson Cunha; Inês Aguiar-Ricardo; F.J. Pinto; Ana Abreu

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong>Introduction</strong></span></span></span><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">: </span></span></span><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><span style="background-color:#ffffff">Phase 3 Cardiac Rehabilitation (CR) is a maintenance exercise program for which clinical benefits are less well defined comparing to phase 2.</span></span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong>Purpose</strong></span></span></span><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">: To assess impact of phase 3 CR on physical activity (PA) levels.&nbsp;</span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong>Methods</strong></span></span></span><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">: A single-center cohort study was conducted, involving patients (pts) who completed a phase 2 CR program at least 6 months prior to the study and who answered the International Physical Activity Questionnaire (IPAQ) short form version 2.0. The patients were divided in 2 groups according to progression to phase 3 program to a specialized CR center (group 1) and non-CR center (group 2). The populations were compared.&nbsp;&nbsp;</span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong>Results</strong></span></span></span><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">:&nbsp; A total of 110 pts were included (78% male; mean age 61,5&plusmn;11 years). Regarding clinical data, 59% had hypertension, 10% were diabetic, 79% had dyslipidemia and 20% were smokers, 86% pts with ischemic heart disease. Concerning exercise program methodologies, only 25,5% of pts enrolled a structured phase 3 CR center (group 1).&nbsp;</span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">Regarding the intensity of PA, the group 1 had a higher number of minutes (min) per week undertaking moderate to vigorous activity (211&plusmn;108 min vs 147&plusmn;132 min, p=0,028) and a higher energy requirement in total metabolic equivalents (METs) per week (1033&plusmn;356 vs 734&plusmn;684), p &lt;0,001) comparing to group 2.&nbsp; Concerning the categorical score, a higher proportion of pts were attributed a moderately or higher level of total PA (OR 4.485 [CI 1.549-12.984]) after computing activity on all domains accessed by the IPAQ form in group 1. These positive outcomes were consistent across gender and body mass index categories.</span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">The subgroup analysis of younger pts (&lt;70years) showed similar results when evaluating min/week of moderate-vigorous PA, total MET/week (p=0,018 and p=0,002 respectively) and categorical score of total PA (OR 5.9</span></span></span><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong> </strong></span></span></span><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">[CI 1.6-22.4]), while the older population did not exhibit significant differences.&nbsp;&nbsp;</span></span></span></p>

<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong>Conclusion: </strong></span></span></span><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000">These findings are promising, suggesting that continuing with a structured phase 3 program may contribute to sustained physical activity and potentially better overall cardiovascular health, especially for the younger population. This underscores the importance of continued research in this area, namely whether there are specific factors influencing the outcomes in different age groups.</span></span></span></p>

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