Long-term exercise maintenance, physical activity, and health-related quality of life after cardiac rehabilitation

Kazuhiro P. Izawa, Sumio Yamada, Koichiro Oka, Satoshi Watanabe, Kazuto Omiya, Setsu Iijima, Yasuyuki Hirano, Toru Kobayashi, Yusuke Kasahara, Hisanori Samejima, Naohiko Osada

Research output: Contribution to journalArticle

46 Citations (Scopus)

Abstract

Objective: The purpose of this study was to determine exercise maintenance rate, leisure-time objective physical activity level, and health-related quality of life in relation to exercise maintenance over the 6-mo period after a supervised 5-mo recovery-phase cardiac rehabilitation program in acute myocardial infarction patients, the study also investigated whether exercise maintenance resulted in reproducible health-related quality-of-life outcomes comparable with those of the Japanese normal population. Design: This observational study comprised 109 acute myocardial infarction patients (89 men, 20 women; mean age, 63.5 ± 10.1 yrs). Physiologic outcomes (peak oxygen uptake, handgrip, and knee-extension strength) measured at 1 and 6 mos after acute myocardial infarction onset were compared. Completed exercise maintenance and health-related quality-of-life questionnaires and results of electronic pedometer recordings to evaluate leisure-time objective physical activity level were assessed 6 mos after cardiac rehabilitation. Results: The mean period from acute myocardial infarction to evaluation of outcomes was 18.8 ± 3.4 mos. Ninety of 109 patients (82.6%) continued exercise for >6 mos after cardiac rehabilitation (exercise group); 19 patients (17.4%) quit exercise after cardiac rehabilitation (nonexercise group). Improvement in physiologic outcomes was noted at 6 mos vs. those at 1 mo, but outcomes were not significantly different between groups. The exercise group performed significantly better than the nonexercise group for leisure-time objective physical activity level and scored significantly higher than the nonexercise group for seven of eight health-related quality of life measures, attaining scores similar to those of the Japanese normal population. Conclusions: At >18 mos after acute myocardial infarction, the exercise maintenance rate in our patients remains high, and exercise maintenance may be one of the factors contributing to improvement of health-related quality of life and leisure-time objective physical activity level.

Original languageEnglish
Pages (from-to)884-892
Number of pages9
JournalAmerican Journal of Physical Medicine and Rehabilitation
Volume83
Issue number12
DOIs
Publication statusPublished - 2004 Dec
Externally publishedYes

Fingerprint

Maintenance
Quality of Life
Exercise
Leisure Activities
Myocardial Infarction
Cardiac Rehabilitation
Exercise Therapy
Population
Health Status
Observational Studies
Knee
Oxygen

Keywords

  • Exercise
  • Health-Related Quality of Life
  • Leisure-Time Objective Physical Activity
  • Rehabilitation

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation

Cite this

Long-term exercise maintenance, physical activity, and health-related quality of life after cardiac rehabilitation. / Izawa, Kazuhiro P.; Yamada, Sumio; Oka, Koichiro; Watanabe, Satoshi; Omiya, Kazuto; Iijima, Setsu; Hirano, Yasuyuki; Kobayashi, Toru; Kasahara, Yusuke; Samejima, Hisanori; Osada, Naohiko.

In: American Journal of Physical Medicine and Rehabilitation, Vol. 83, No. 12, 12.2004, p. 884-892.

Research output: Contribution to journalArticle

Izawa, KP, Yamada, S, Oka, K, Watanabe, S, Omiya, K, Iijima, S, Hirano, Y, Kobayashi, T, Kasahara, Y, Samejima, H & Osada, N 2004, 'Long-term exercise maintenance, physical activity, and health-related quality of life after cardiac rehabilitation', American Journal of Physical Medicine and Rehabilitation, vol. 83, no. 12, pp. 884-892. https://doi.org/10.1097/01.PHM.0000143404.59050.11
Izawa, Kazuhiro P. ; Yamada, Sumio ; Oka, Koichiro ; Watanabe, Satoshi ; Omiya, Kazuto ; Iijima, Setsu ; Hirano, Yasuyuki ; Kobayashi, Toru ; Kasahara, Yusuke ; Samejima, Hisanori ; Osada, Naohiko. / Long-term exercise maintenance, physical activity, and health-related quality of life after cardiac rehabilitation. In: American Journal of Physical Medicine and Rehabilitation. 2004 ; Vol. 83, No. 12. pp. 884-892.
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AU - Hirano, Yasuyuki

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