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Book The Impact of Depression on Treatment Adherence and Cardiorespiratory Fitness in Cardiac Rehabilitation

Download or read book The Impact of Depression on Treatment Adherence and Cardiorespiratory Fitness in Cardiac Rehabilitation written by Sheau-Yan Ho and published by . This book was released on 2017 with total page 148 pages. Available in PDF, EPUB and Kindle. Book excerpt: Major depression and coronary heart disease are two strongly linked, major causes of death and disability. After an acute coronary event, many patients are referred to cardiac rehabilitation (CR), a medically supervised exercise intervention and lifestyle training program. Depression may partially account for poor CR adherence and resulting cardiovascular problems in patients with a history of heart disease; however, underlying mechanisms through which depression impacts cardiac functioning are not well understood. The current project tests a theoretical model in which CR adherence (i.e., number of CR sessions attended) mediates the relation between baseline depression and cardiorespiratory fitness after CR. A community sample of 858 older adults initiating CR after hospitalization for a coronary event completed a symptom-limited exercise stress test before and after the 12-week program. Cardiorespiratory fitness was measured via VO2max, peak MET, and total duration of the stress test. Depression was measured at baseline using the Patient Health Questionnaire Depression Scale. CR adherence did not mediate the relation between baseline depression scores and fitness outcomes. Path analyses revealed that higher baseline depression severity predicted lower likelihood of CR completion (i.e., completion of all 36 sessions, or fewer if limited by insurance or terminated early for good prognosis) in the full sample. Higher levels of depression predicted poorer CR adherence in a subsample of 74 patients with moderate to severe depression. These findings lend support to depression as a predictor of treatment nonadherence in CR. Screening for depression in the context of coronary heart disease and implementing evidence-based depression interventions in secondary prevention settings can help alleviate a massive public health burden.

Book Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs

Download or read book Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs written by American Association of Cardiovascular & Pulmonary Rehabilitation and published by Human Kinetics. This book was released on 2004 with total page 294 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edition addresses the cost effectiveness of interventions that educate and motivate patients to assume personal responsibility for long-term disease prevention.

Book The Role of Physical Fitness in the Relationship Between Depressive Symptoms and Chronic Inflammation in Patients Enrolled in Cardiac Rehabilitation

Download or read book The Role of Physical Fitness in the Relationship Between Depressive Symptoms and Chronic Inflammation in Patients Enrolled in Cardiac Rehabilitation written by Elizabeth Casey and published by . This book was released on 2012 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: Depression often accompanies cardiovascular disease and is related to increased risk of cardiovascular mortality. Inflammation is a proposed mechanism that may link depression and increased risk of mortality among cardiac patients. Depression is associated with reduced vagal control, which may lead to the nervous system's impaired ability to properly regulate inflammation. Exercise and physical fitness are associated with improved vagal control, as well as with reductions in depression, inflammation, and mortality risk. The present study examined the roles of physical fitness and vagal control in the relationship between depression and inflammation. Depression, physical fitness, indices of vagal control, and stimulated production of inflammatory cytokines (IL-6 and TNF-alpha) were assessed in 96 patients enrolled in phase-II cardiac rehabilitation. There were no overall significant relationships between depression and IL-6 or TNF-alpha. However, physical fitness appeared to have a moderating effect as depression was related to elevated stimulated production of IL-6 only among patients with lower levels of physical fitness. Depression was related to lower physical fitness, elevated body mass index, and lower age. Given that treating depression through medication or therapy has not led to reduced risk of mortality among patients with cardiovascular disease, additional emphasis on improving physical fitness in this patient population may be warranted.

Book Sustaining physical activity following cardiac rehabilitation discharge

Download or read book Sustaining physical activity following cardiac rehabilitation discharge written by Kelly R. Evenson and published by RTI Press. This book was released on 2021-01-31 with total page 18 pages. Available in PDF, EPUB and Kindle. Book excerpt: Because many patients reduce exercise following outpatient cardiac rehabilitation (CR), we developed an intervention to assist with the transition and evaluated its feasibility and preliminary efficacy using a one-group pretest–posttest design. Five CR patients were enrolled ~1 month prior to CR discharge and provided an activity tracker. Each week during CR they received a summary of their physical activity and steps. Following CR discharge, participants received an individualized report that included their physical activity and step history, information on specific features of the activity tracker, and encouraging messages from former CR patients for each of the next 6 weeks. Mixed model trajectory analyses were used to test the intervention effect separately for active minutes and steps modeling three study phases: pre-intervention (day activity tracking began to CR discharge), intervention (day following CR discharge to day when final report sent), and maintenance (day following the final report to ~1 month later). Activity tracking was successfully deployed and, with weekly reports following CR, may offset the usual decline in physical activity. When weekly reports ceased, a decline in steps/day occurred. A scaled-up intervention with a more rigorous study design with sufficient sample size can evaluate this approach further.

Book Cardiovascular Prevention and Rehabilitation

Download or read book Cardiovascular Prevention and Rehabilitation written by Joep Perk and published by Springer Science & Business Media. This book was released on 2007-09-18 with total page 540 pages. Available in PDF, EPUB and Kindle. Book excerpt: The aim of this textbook is to give guidance in prevention, lifestyle counselling and rehabilitation for cardiologists, other physicians and many different categories of health professionals in cardiac rehabilitation teams.

Book ESC Handbook of Cardiovascular Rehabilitation

Download or read book ESC Handbook of Cardiovascular Rehabilitation written by Ana Abreu and published by Oxford University Press. This book was released on 2020-09-02 with total page 224 pages. Available in PDF, EPUB and Kindle. Book excerpt: This guide is directed at the multi-disciplinary team dealing with cardiac rehabilitation. It is a practical handbook for everyday professionals on what they should do following cardiac events and return to work. It is adapted to the needs of cardiac rehabilitation centers. · Key publication from the European Association of Preventive Cardiology (EAPC) · Companion handbook to The ESC Handbook of Preventive Cardiology: Putting Prevention into Practice This handbook is directed at cardiologists in training and practice, specialist (cardiac) nurses, technicians, exercise physiologists and other healthcare professionals involved in the multidisciplinary process of cardiac rehabilitation · Practical user-friendly handbook style presentation · Covers the complete spectrum of rehabilitation care · Key team members address key issues - smoking, diet and physical activity · Focus on high risk patients (family approach)

Book Effect of Cardiac Rehabilitation in Depressed Versus Nondepressed Individuals on Fitness  Depression  and Perceived Exertion

Download or read book Effect of Cardiac Rehabilitation in Depressed Versus Nondepressed Individuals on Fitness Depression and Perceived Exertion written by Vicki Haywood Doe and published by . This book was released on 2009 with total page 131 pages. Available in PDF, EPUB and Kindle. Book excerpt: Affect sensory feedback from increases in heart rate, blood pressure, workload (METs) and ventilation during volitional peak treadmill exercise stress test (GXT) peak are known to affect perceived exertion. These responses may differ between depressed (DEP) and non-depressed (NON) cardiac patients. The purpose of this study was to determine if exercise training would positively affect perceived exertion (RPE), functional capacity (FC), and depressive symptoms among cardiac patients enrolled in a phase-II cardiac rehabilitation (CR) program. The participants (DEP-N=10; BDI-13 or above and NON-N =8; BDI-6 or below) who took both an entry and exit treadmill exercise stress test and underwent 25 sessions of the CR exercise training program were assessed. Depressive symptoms were measured pre- and post-intervention using the Beck Depression Inventory (BDI) and structured diagnostic interview. Multivariate analyses were conducted to compare the DEP and NON groups on measures of METs, RPE, and BDI obtained from GXT peak and BDI screenings. The results revealed that after CR exercise training program, the mean RPE scores (Borg scale) for both DEP and NON were significantly lower at the 50% intensity level of exercise stress test (p [less than] 0.005). The mean maximum MET scores significantly improved for both DEP and NON groups (p [less than] 0.005). The DEP group had significant reduction in mean BDI scores (p [less than] 0.005). The results from this study suggest that after CR exercise training both depressed and non-depressed cardiac patients will have increased FC, lower RPE, and reduced depressive symptoms. There is an association of improved FC to lower RPE.

Book Educating the Student Body

    Book Details:
  • Author : Committee on Physical Activity and Physical Education in the School Environment
  • Publisher : National Academies Press
  • Release : 2013-11-13
  • ISBN : 0309283140
  • Pages : 503 pages

Download or read book Educating the Student Body written by Committee on Physical Activity and Physical Education in the School Environment and published by National Academies Press. This book was released on 2013-11-13 with total page 503 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical inactivity is a key determinant of health across the lifespan. A lack of activity increases the risk of heart disease, colon and breast cancer, diabetes mellitus, hypertension, osteoporosis, anxiety and depression and others diseases. Emerging literature has suggested that in terms of mortality, the global population health burden of physical inactivity approaches that of cigarette smoking. The prevalence and substantial disease risk associated with physical inactivity has been described as a pandemic. The prevalence, health impact, and evidence of changeability all have resulted in calls for action to increase physical activity across the lifespan. In response to the need to find ways to make physical activity a health priority for youth, the Institute of Medicine's Committee on Physical Activity and Physical Education in the School Environment was formed. Its purpose was to review the current status of physical activity and physical education in the school environment, including before, during, and after school, and examine the influences of physical activity and physical education on the short and long term physical, cognitive and brain, and psychosocial health and development of children and adolescents. Educating the Student Body makes recommendations about approaches for strengthening and improving programs and policies for physical activity and physical education in the school environment. This report lays out a set of guiding principles to guide its work on these tasks. These included: recognizing the benefits of instilling life-long physical activity habits in children; the value of using systems thinking in improving physical activity and physical education in the school environment; the recognition of current disparities in opportunities and the need to achieve equity in physical activity and physical education; the importance of considering all types of school environments; the need to take into consideration the diversity of students as recommendations are developed. This report will be of interest to local and national policymakers, school officials, teachers, and the education community, researchers, professional organizations, and parents interested in physical activity, physical education, and health for school-aged children and adolescents.

Book Clinical Cardiac Rehabilitation

Download or read book Clinical Cardiac Rehabilitation written by Fredric J. Pashkow and published by Lippincott Williams & Wilkins. This book was released on 1999 with total page 565 pages. Available in PDF, EPUB and Kindle. Book excerpt: Clinical Cardiac Rehabilitation is a comprehensive text that is devoted to cardiologists or other physicians who are working in the field of cardiac rehabilitation and secondary prevention of further cardiac incidents in rehabilitation patients. It assumes a sophisticated background in the cardiovascular sciences. Contributors are international experts in the field of cardiac rehabilitation and secondary prevention. The book is edited by two clinicians with extensive experience in cardiac rehabilitation. Recommended in the Brandon/Hill list of print books and journals for the small medical library - April 2001

Book Cardiothoracic Surgery in the Elderly

Download or read book Cardiothoracic Surgery in the Elderly written by Mark R. Katlic and published by Springer Science & Business Media. This book was released on 2011-05-04 with total page 649 pages. Available in PDF, EPUB and Kindle. Book excerpt: Cardiothoracic Surgery in the Elderly: Evidence Based Practice is an important and timely book that reflects the thoughtful work of pioneers in geriatric surgery. It encompasses their knowledge related to geriatric surgery, and their reflections and guidance on the rapidly accumulating knowledge related to improving the health and surgical care of seniors. This book provides a scholarly review of the constantly expanding knowledge base about cardiovascular and thoracic surgery in seniors. The book follows a logical sequence covering general aspects of care, cardiac surgery and thoracic surgery. Chapters are focused on common, devastating and often missed complications of surgical care in the seniors. These include delirium, depression, pressure sores, functional losses, incontinence, volume depletion and asymptomatic or atypical complications -myocardial infarction, post-operative diarrhea, urinary track infections and pneumonia. Each is expertly reviewed. Strategies to help the surgeons and the surgical team anticipate, recognize and effectively prevent or manage such problems are discussed and the evidence basis for such strategies is provided. Cardiothoracic Surgery in the Elderly: Evidence Based Practice is particularly timely and the first to review the substantial body of knowledge that has been developed in recent years related to geriatric cardiothoracic surgical problems. It catalogs well the expanding knowledge basis for achieving successful surgical outcomes in the very old. It provides a most useful resources for cardiovascular thoracic surgeons in training and those already in practice.

Book The ESC Textbook of Preventive Cardiology

Download or read book The ESC Textbook of Preventive Cardiology written by Stephan Gielen and published by European Society of Cardiology. This book was released on 2015 with total page 369 pages. Available in PDF, EPUB and Kindle. Book excerpt: "EACPR, European Association for Cardiovascular Prevention and Rehabilitation -- European Society of Cardiology."

Book Regulation of Coronary Blood Flow

Download or read book Regulation of Coronary Blood Flow written by Michitoshi Inoue and published by Springer Science & Business Media. This book was released on 2013-11-09 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: Research centering on blood flow in the heart continues to hold an important position, especially since a better understanding of the subject may help reduce the incidence of coronary arterial disease and heart attacks. This book summarizes recent advances in the field; it is the product of fruitful cooperation among international scientists who met in Japan in May, 1990 to discuss the regulation of coronary blood flow.

Book Cardiac Rehabilitation as Secondary Prevention

Download or read book Cardiac Rehabilitation as Secondary Prevention written by United States. Cardiac Rehabilitation Guideline Panel and published by . This book was released on 1995 with total page 28 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Book Exercise and Diabetes

    Book Details:
  • Author : Sheri R. Colberg
  • Publisher : American Diabetes Association
  • Release : 2013-05-30
  • ISBN : 158040507X
  • Pages : 554 pages

Download or read book Exercise and Diabetes written by Sheri R. Colberg and published by American Diabetes Association. This book was released on 2013-05-30 with total page 554 pages. Available in PDF, EPUB and Kindle. Book excerpt: Physical movement has a positive effect on physical fitness, morbidity, and mortality in individuals with diabetes. Although exercise has long been considered a cornerstone of diabetes management, many health care providers fail to prescribe it. In addition, many fitness professionals may be unaware of the complexities of including physical activity in the management of diabetes. Giving patients or clients a full exercise prescription that take other chronic conditions commonly accompanying diabetes into account may be too time-consuming for or beyond the expertise of many health care and fitness professionals. The purpose of this book is to cover the recommended types and quantities of physical activities that can and should be undertaken by all individuals with any type of diabetes, along with precautions related to medication use and diabetes-related health complications. Medications used to control diabetes should augment lifestyle improvements like increased daily physical activity rather than replace them. Up until now, professional books with exercise information and prescriptions were not timely or interactive enough to easily provide busy professionals with access to the latest recommendations for each unique patient. However, simply instructing patients to “exercise more” is frequently not motivating or informative enough to get them regularly or safely active. This book is changing all that with its up-to-date and easy-to-prescribe exercise and physical activity recommendations and relevant case studies. Read and learn to quickly prescribe effective and appropriate exercise to everyone.