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@article{1875977,
author = {Antoniou, V. and Davos, C. H. and Kapreli, E. and Baťalík, Ladislav and Panagiotakos, D.B. and Pepera, G.},
article_location = {Basel},
article_number = {13},
doi = {http://dx.doi.org/10.3390/jcm11133772},
keywords = {wearable sensors; home-based cardiac rehabilitation; cardiovascular disease; cardiorespiratory fitness; accelerometer; physical activity},
language = {eng},
issn = {2077-0383},
journal = {Journal of Clinical Medicine},
title = {Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis},
url = {https://www.mdpi.com/2077-0383/11/13/3772},
volume = {11},
year = {2022}
}
TY - JOUR
ID - 1875977
AU - Antoniou, V. - Davos, C. H. - Kapreli, E. - Baťalík, Ladislav - Panagiotakos, D.B. - Pepera, G.
PY - 2022
TI - Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis
JF - Journal of Clinical Medicine
VL - 11
IS - 13
SP - 1-29
EP - 1-29
PB - MDPI
SN - 20770383
KW - wearable sensors
KW - home-based cardiac rehabilitation
KW - cardiovascular disease
KW - cardiorespiratory fitness
KW - accelerometer
KW - physical activity
UR - https://www.mdpi.com/2077-0383/11/13/3772
N2 - Exercise-based cardiac rehabilitation is a highly recommended intervention towards the advancement of the cardiovascular disease (CVD) patients' health profile; though with low participation rates. Although home-based cardiac rehabilitation (HBCR) with the use of wearable sensors is proposed as a feasible alternative rehabilitation model, further investigation is needed. This systematic review and meta-analysis aimed to evaluate the effectiveness of wearable sensors-assisted HBCR in improving the CVD patients' cardiorespiratory fitness (CRF) and health profile. PubMed, Scopus, Cinahl, Cochrane Library, and PsycINFO were searched from 2010 to January 2022, using relevant keywords. A total of 14 randomized controlled trials, written in English, comparing wearable sensors-assisted HBCR to center-based cardiac rehabilitation (CBCR) or usual care (UC), were included. Wearable sensors-assisted HBCR significantly improved CRF when compared to CBCR (Hedges' g = 0.22, 95% CI 0.06, 0.39; I-2 = 0%; p = 0.01), whilst comparison of HBCR to UC revealed a nonsignificant effect (Hedges' g = 0.87, 95% CI -0.87, 1.85; I-2 = 96.41%; p = 0.08). Effects on physical activity, quality of life, depression levels, modification of cardiovascular risk factors/laboratory parameters, and adherence were synthesized narratively. No significant differences were noted. Technology tools are growing fast in the cardiac rehabilitation era and promote exercise-based interventions into a more home-based setting. Wearable-assisted HBCR presents the potential to act as an adjunct or an alternative to CBCR.
ER -
ANTONIOU, V., C. H. DAVOS, E. KAPRELI, Ladislav BAŤALÍK, D.B. PANAGIOTAKOS and G. PEPERA. Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis. \textit{Journal of Clinical Medicine}. Basel: MDPI, 2022, vol.~11, No~13, p.~1-29. ISSN~2077-0383. Available from: https://dx.doi.org/10.3390/jcm11133772.
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