There was no significant between group difference in six-minute walk test distance .
Conclusions Our meta- analysis showed WPAM with exercise prescription or advice are superior to no device in improving CRF in the maintenance phase of CR and no cardiac adverse events were reported with WPAM use .
Our qualitative analysis showed evidence in favour of WPAM with exercise prescription or advice for both CRF and step count .
WPAM with exercise prescription or advice did not change sedentary time .
Background Physical activity ( PA ) is a component of cardiac rehabilitation ( CR ) .
However , life-long engagement in PA is required to maintain benefits gained .
Wearable PA monitoring devices ( WPAM ) are thought to increase PA .
There appear to be no review s which investigate the effect of WPAM in cardiac population s. We firstly aim ed to systematic ally review r and omised controlled trials within the cardiac population that investigated the effect WPAM had through the maintenance phase of CR .
We specifically examined the effect on cardiorespiratory fitness ( CRF ) , amount and intensity of daily PA , and sedentary time .
Home-Based Versus In-Hospital Cardiac Rehabilitation After Cardiac Surgery: A Nonrandomized Controlled Study
Background Exercise rehabilitation after cardiac surgery has beneficial effects , especially on a long-term basis . Rehabilitative programs with telemedicine plus appropriate technology might satisfy the needs of performing rehabilitation at home . Objective The purpose of this study was to compare exercise capacity after home-based cardiac rehabilitation ( HBCR ) or in-hospital rehabilitation in patients at low to medium risk for early mortality ( EuroSCORE 0–5 ) following cardiac surgery . Design A quasi-experimental study was conducted . Methods At hospital discharge , patients were given the option to decide whether to enroll in the HBCR program .  Clinical examinations ( electrocardiography , cardiac echo color Doppler , chest radiography , blood sample s ) of patients in the HBCR group were collected during 4 weeks of rehabilitation , and exercise capacity ( assessed using the Six-Minute Walk Test [ 6MWT ] ) was assessed before and after rehabilitation . A group of patients admitted to the in-hospital rehabilitation program was used as a comparison group . Patients in the HBCR group were supervised at home by a medical doctor and telemonitored daily by a nurse and physical therapist by video conference . Periodic home visits by health staff also were performed . Results One hundred patients were recruited into the HBCR group . An equal number of patients was selected for the comparison group . At the end of the 4-week study , the 2 groups showed improvement from their respective baseline values only in the 6MWT . No difference was found in time × group interaction . Limitations Because patients self-selected to enroll in the HBCR program and because they were enrolled from a single clinical center , the results of the study can not be generalized . Conclusions In patients who self-selected HBCR , the program was found to be effective and comparable to the st and ard in-hospital rehabilitative approach , indicating that rehabilitation following cardiac surgery can be implemented effectively at home when coadministered with an integrated telemedicine service
There was no significant between group difference in six-minute walk test distance .
Conclusions Our meta- analysis showed WPAM with exercise prescription or advice are superior to no device in improving CRF in the maintenance phase of CR and no cardiac adverse events were reported with WPAM use .
Our qualitative analysis showed evidence in favour of WPAM with exercise prescription or advice for both CRF and step count .
WPAM with exercise prescription or advice did not change sedentary time .
Background Physical activity ( PA ) is a component of cardiac rehabilitation ( CR ) .
However , life-long engagement in PA is required to maintain benefits gained .
Wearable PA monitoring devices ( WPAM ) are thought to increase PA .
There appear to be no review s which investigate the effect of WPAM in cardiac population s. We firstly aim ed to systematic ally review r and omised controlled trials within the cardiac population that investigated the effect WPAM had through the maintenance phase of CR .
We specifically examined the effect on cardiorespiratory fitness ( CRF ) , amount and intensity of daily PA , and sedentary time .