Compliance with rehabilitation programs in secondary prevention of coronary artery disease

Česká verzia

Authors: J. Bajorek ¹; I. Buriánková ¹; H. Cypriánová ²; V. Drbošalová ²; E. Sovová ³
Authors place of work: I. interní klinika, FN a LF UP Olomouc Přednosta: doc. MUDr. Miloš Táborský, CSc., FESC, MBA ¹; Centrum kinantropologického výzkumu, Fakulta tělesné kultury UP Olomouc Vedoucí: prof. PhDr. Karel Frömel, DrSc. ²; Klinika tělovýchovného lékařství, FN a LF UP Olomouc Přednostka: doc. MUDr. Sovová Eliška, PhD., MBA ³
Published in the journal: Prakt. Lék. 2010; 90(12): 723-727
Category: Of different specialties

Summary

Using heart rate monitors, pedometers and accelerometers, we studied the compliance of patients with angiographically diagnosed coronary heart disease with home-based cardiac rehabilitation programs, in order to assess the motivational effect of these devices. Compliance was assessed based on the patients’ attendance at check-up sessions (at months 3, 6, 9 and 12), physical activity records, and objective measurement of energy expenditure with an accelerometer.

Of 320 patients, sixty-one (19 %) gave informed consent to their participation in study. The individual check-ups were attended by 34 (56 %), 24 (39 %), 14 (23 %) and 5 (8 %) patients, respectively, less than half of whom provided records with sufficient physical activity. Compliance of the groups using heart rate monitors and pedometers was identical, both the same as or lower than compliance with centre-based rehabilitation reported in meta-analyses.

Accelerometer data (applicable in 64–70% of records), however, gave evidence of sufficient energy expenditure. Thus, it may be concluded that in the group, compliance with the recommended energy expenditure was better than compliance with the rehabilitation program.

Key words:
coronary heart disease, exercise therapy, compliance, ambulatory monitoring.

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