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Contact Us Â· Connect us on Facebook Â· Contact us on Twitter Â· Contact us onÂ .The Effects of Cardiac Rehabilitation on Physical Function, Exercise Capacity, and Cognitive Function Among Older Adults: A Meta-Analysis.
Cardiovascular disease (CVD) is a leading contributor to health loss and disability, and the benefits of cardiac rehabilitation (CR) are extensive, including improvements in exercise capacity and quality of life. However, most evidence regarding the effects of CR has been from clinical trials of younger populations, and evidence from older adults is sparse and contradictory. To systematically examine the current evidence of the effects of CR on physical function, exercise capacity, and cognitive function among older adults. Systematic review of randomized controlled trials. Older adults (≥60 y) with coronary artery disease or congestive heart failure (N = 2982) enrolled in 14 CR programs (n = 1333) or in a wait-list control group (n = 1549). The main outcomes measured were physical function (self-reported, accelerometer-measured, or physical performance tests), exercise capacity (peak oxygen consumption), and cognitive function (expressed as rate of cognitive decline or performance change on a cognitive test). Physical function: Five trials using a physical performance test, 4 trials assessing physical activity, 1 trial using self-reported physical function, and 1 trial using accelerometer-measured physical activity. Significant differences favoring CR were seen in physical performance tests (pooled mean difference [MD], 1.08; 95% CI, 0.45-1.72). For physical activity, significant differences favoring CR were also seen at post-training (1.44; 95% CI, 0.31-2.57), but no significant differences at follow-up (0.92; 95% CI, -0.24 to 2.10). Our study found no significant differences in cognitive function at post-training (0.04; 95% CI, -0.01 to 0.09). However, a significant effect size favoring CR was observed at follow-up (0.23; 95% CI, 0.05-0.
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