J 2022

Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis

ANTONIOU, V., C. H. DAVOS, E. KAPRELI, Ladislav BAŤALÍK, D.B. PANAGIOTAKOS et. al.

Basic information

Original name

Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis

Authors

ANTONIOU, V., C. H. DAVOS, E. KAPRELI, Ladislav BAŤALÍK (703 Slovakia, belonging to the institution), D.B. PANAGIOTAKOS and G. PEPERA (guarantor)

Edition

Journal of Clinical Medicine, Basel, MDPI, 2022, 2077-0383

Other information

Language

English

Type of outcome

Článek v odborném periodiku

Field of Study

30304 Public and environmental health

Country of publisher

Switzerland

Confidentiality degree

není předmětem státního či obchodního tajemství

References:

Impact factor

Impact factor: 3.900

RIV identification code

RIV/00216224:14110/22:00126310

Organization unit

Faculty of Medicine

UT WoS

000824511200001

Keywords in English

wearable sensors; home-based cardiac rehabilitation; cardiovascular disease; cardiorespiratory fitness; accelerometer; physical activity

Tags

Tags

International impact, Reviewed
Změněno: 16/1/2023 12:13, Mgr. Tereza Miškechová

Abstract

V originále

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.