A1 Alkuperäisartikkeli tieteellisessä aikakauslehdessä
The Added Value of Remote Technology in Cardiac Rehabilitation on Physical Function, Anthropometrics, and Quality of Life : Cluster Randomized Controlled Trial (2023)

Lahtio, H., Heinonen, A., Paajanen, T., & Sjögren, T. (2023). The Added Value of Remote Technology in Cardiac Rehabilitation on Physical Function, Anthropometrics, and Quality of Life : Cluster Randomized Controlled Trial. Journal of Medical Internet Research, 25, Article e42455. https://doi.org/10.2196/42455

JYU-tekijät tai -toimittajat

Julkaisun tiedot

Julkaisun kaikki tekijät tai toimittajat: Lahtio, Heli; Heinonen, Ari; Paajanen, Teemu; Sjögren, Tuulikki

Lehti tai sarja: Journal of Medical Internet Research

ISSN: 1439-4456

eISSN: 1438-8871

Julkaisuvuosi: 2023

Ilmestymispäivä: 12.04.2023

Volyymi: 25

Artikkelinumero: e42455

Kustantaja: JMIR Publications Inc.

Julkaisumaa: Saksa

Julkaisun kieli: englanti

DOI: https://doi.org/10.2196/42455

Julkaisun avoin saatavuus: Avoimesti saatavilla

Julkaisukanavan avoin saatavuus: Kokonaan avoin julkaisukanava

Julkaisu on rinnakkaistallennettu (JYX): https://jyx.jyu.fi/handle/123456789/86579


Cardiovascular diseases (CVDs) cause most deaths globally and can reduce quality of life (QoL) of rehabilitees with cardiac disease. The risk factors of CVDs are physical inactivity and increased BMI. With physical activity, it is possible to prevent CVDs, improve QoL, and help maintain a healthy body mass. Current literature shows the possibilities of digitalization and advanced technology in supporting independent self-rehabilitation. However, the interpretation of the results is complicated owing to the studies’ high heterogeneity. In addition, the added value of this technology has not been studied well, especially in cardiac rehabilitation.

We aimed to examine the effectiveness of added remote technology in cardiac rehabilitation on physical function, anthropometrics, and QoL in rehabilitees with CVD compared with conventional rehabilitation.

Rehabilitees were cluster randomized into 3 remote technology intervention groups (n=29) and 3 reference groups (n=30). The reference group received conventional cardiac rehabilitation, and the remote technology intervention group received conventional cardiac rehabilitation with added remote technology, namely, the Movendos mCoach app and Fitbit charge accelerometer. The 12 months of rehabilitation consisted of three 5-day in-rehabilitation periods in the rehabilitation center. Between these periods were two 6-month self-rehabilitation periods. Outcome measurements included the 6-minute walk test, body mass, BMI, waist circumference, and World Health Organization QoL-BREF questionnaire at baseline and at 6 and 12 months. Between-group differences were assessed using 2-tailed t tests and Mann-Whitney U test. Within-group differences were analyzed using a paired samples t test or Wilcoxon signed-rank test.

Overall, 59 rehabilitees aged 41 to 66 years (mean age 60, SD 6 years; n=48, 81% men) were included in the study. Decrement in waist circumference (6 months: 1.6 cm; P=.04; 12 months: 3 cm; P<.001) and increment in self-assessed QoL were greater (environmental factors: 0.5; P=.02) in the remote technology intervention group than the reference group. Both groups achieved statistically significant improvements in the 6-minute walk test in both time frames (P=.01-.03). Additionally, the remote technology intervention group achieved statistically significant changes in the environmental domain at 0-6 months (P=.03) and waist circumference at both time frames (P=.01), and reference group achieve statistically significant changes in waist circumference at 0-6 months (P=.02).

Remote cardiac rehabilitation added value to conventional cardiac rehabilitation in terms of waist circumference and QoL. The results were clinically small, but the findings suggest that adding remote technology to cardiac rehabilitation may increase beneficial health outcomes. There was some level of systematic error during rehabilitation intervention, and the sample size was relatively small. Therefore, care must be taken when generalizing the study results beyond the target population. To confirm assumptions of the added value of remote technology in rehabilitation interventions, more studies involving different rehabilitees with cardiac disease are required.

YSO-asiasanat: sydän- ja verisuonitaudit; kuntoutus; fyysinen toimintakyky; laihdutus; ylipaino; elämänlaatu; teleterveydenhuolto

Vapaat asiasanat: weight loss; cardiac rehabilitation; remote technology; physical function; 6-minute walk test; overweight; obesity; body mass; BMI; waist circumference; quality of life; QoL; mobile phone

Liittyvät organisaatiot

OKM-raportointi: Kyllä

Raportointivuosi: 2023

Alustava JUFO-taso: 2

Viimeisin päivitys 2023-30-11 klo 09:02