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 .
Effects of a Pedometer‐Based Intervention on Physical Activity Levels After Cardiac Rehabilitation: A RANDOMIZED CONTROLLED TRIAL
PURPOSE In Australia , patient adherence to physical activity after a cardiac rehabilitation program ( CRP ) is poor . This study evaluated the efficacy of a pedometer-based intervention to increase physical activity after CRP . METHODS Patients ( n = 110 ) who had attended a CRP were r and omized into an intervention or a control group . The 6-week intervention included self-monitored physical activity using a pedometer and step calendar and 2 behavioral counseling and goal - setting sessions .  Self-reported physical activity and psychosocial status were collected at baseline , 6 weeks , and 6 months . Participant exercise capacity was measured using a gas exchange analysis system . RESULTS Study groups were not significantly different at baseline , except for occupation . At 6 weeks and 6 months , improvements in total physical activity sessions ( P = .002 and P = .016 , respectively ) , walking minutes ( P = .013 , 6 weeks only ) , and walking sessions ( P < .001 and P = .035 ) in the intervention group were significantly greater than those in the control group after adjusting for baseline differences . At 6 months , total physical activity minutes in the intervention group also increased significantly more than those in the control group ( P = .044 ) . These self-reported behavioral changes were corroborated by improvements in cardiorespiratory fitness at 6 months in the intervention group ( P = .01 ) . There were also significant improvements in psychosocial health at 6 weeks and 6 months in the intervention group . CONCLUSION The pedometer-based intervention was successful in increasing physical activity in cardiac patients after a CRP . This intervention could be given to patients to promote adherence to physical activity guidelines after a CRP , particularly in centers where maintenance programs are not available
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 .