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

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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 1

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Keywords

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

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

Cite this

Izawa, K. P., 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, 83(12), 884-892. https://doi.org/10.1097/01.PHM.0000143404.59050.11