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Effects of comprehensive cardiac rehabilitation on functional capacity and cardiovascular risk factors in Brazilians assisted by public health care: protocol for a randomized controlled trial

Overview of attention for article published in Brazilian Journal of Physical Therapy, December 2016
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Title
Effects of comprehensive cardiac rehabilitation on functional capacity and cardiovascular risk factors in Brazilians assisted by public health care: protocol for a randomized controlled trial
Published in
Brazilian Journal of Physical Therapy, December 2016
DOI 10.1590/bjpt-rbf.2014.0192
Pubmed ID
Authors

Gabriela S. S. Chaves, Gabriela L. M. Ghisi, Sherry L. Grace, Paul Oh, Antonio L. Ribeiro, Raquel R. Britto

Abstract

Cardiovascular Disease (CVD) is the leading burden of disease worldwide. Moreover, CVD-related death rates are considered an epidemic in low- and middle-income countries (LMICs). Research shows that cardiac rehabilitation (CR) participation reduces death and improves disability and quality of life. Given the growing epidemic of CVD in LMICs and the insufficient evidence about CR programs in these countries, a Randomized Control Trial (RCT) in Latin America is warranted. To investigate the effects of comprehensive CR on functional capacity and cardiovascular risk factors. The design is a single-blinded RCT with three parallel arms: comprehensive CR (exercise + education) versus exercise-based CR versus wait-list control (no CR). The primary outcome will be measured by the Incremental Shuttle Walk Test. Secondary outcomes are risk factors (blood pressure, dyslipidemia, dysglycemia, body mass index and waist circumference); tertiary outcomes are heart health behaviors (exercise, medication adherence, diet, and smoking), knowledge, and depressive symptoms. The CR program is six months in duration. Participants randomized to exercise-based CR will receive 24 weeks of exercise classes. The comprehensive CR group will also receive 24 educational sessions, including a workbook. Every outcome will be assessed at baseline and 6-months later, and mortality will be ascertained at six months and one year. This will be the first RCT to establish the effects of CR in Latin America. If positive, results will be used to promote broader implementation of comprehensive CR and patient access in the region and to inform a larger-scale trial powered for mortality.

Mendeley readers

The data shown below were compiled from readership statistics for 123 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 123 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 22 18%
Student > Bachelor 19 15%
Student > Ph. D. Student 17 14%
Researcher 13 11%
Professor > Associate Professor 6 5%
Other 22 18%
Unknown 24 20%
Readers by discipline Count As %
Medicine and Dentistry 31 25%
Nursing and Health Professions 25 20%
Psychology 19 15%
Sports and Recreations 8 7%
Social Sciences 3 2%
Other 8 7%
Unknown 29 24%