Conclusion This review indicates that current research on activity monitoring devices may be overstated due to the variability in adherence .
Results showed that physical activity tracking in women and in young adults have been understudied
Background Activity monitoring devices are currently being used to facilitate and monitor physical activity .
No prior review has examined adherence to the use of activity monitoring devices amongst adults with cardiovascular disease .
Medium-Term Effectiveness of a Comprehensive Internet-Based and Patient-Specific Telerehabilitation Program With Text Messaging Support for Cardiac Patients: Randomized Controlled Trial
Background Cardiac telerehabilitation has been introduced as an adjunct or alternative to conventional center-based cardiac rehabilitation to increase its long-term effectiveness . However , before large-scale implementation and reimbursement in current health care systems is possible , well- design ed studies on the effectiveness of this new additional treatment strategy are needed . Objective The aim of this trial was to assess the medium-term effectiveness of an Internet-based , comprehensive , and patient-tailored telerehabilitation program with short message service ( SMS ) texting support for cardiac patients . Methods This multicenter r and omized controlled trial consisted of 140 cardiac rehabilitation patients r and omized ( 1:1 ) to a 24-week telerehabilitation program in combination with conventional cardiac rehabilitation ( intervention group ; n=70 ) or to conventional cardiac rehabilitation alone ( control group ; n=70 ) . In the telerehabilitation program , initiated 6 weeks after the start of ambulatory rehabilitation , patients were stimulated to increase physical activity levels . Based on registered activity data , they received semiautomatic telecoaching via email and SMS text message encouraging them to gradually achieve predefined exercise training goals . Patient-specific dietary and /or smoking cessation advice was also provided as part of the telecoaching . The primary endpoint was peak aerobic capacity ( VO2 peak ) . Secondary endpoints included accelerometer-recorded daily step counts , self-assessed physical activities by International Physical Activity Question naire ( IPAQ ) , and health-related quality of life ( HRQL ) assessed by the HeartQol question naire at baseline and at 6 and 24 weeks . Results Mean VO2 peak increased significantly in intervention group patients ( n=69 ) from baseline ( mean 22.46 , SD 0.78 mL/[min*kg ] ) to 24 weeks ( mean 24.46 , SD 1.00 mL/[min*kg ] , P<.01 ) versus control group patients ( n=70 ) , who did not change significantly ( baseline : mean 22.72 , SD 0.74 mL/[min*kg ] ; 24 weeks : mean 22.15 , SD 0.77 mL/[min*kg ] , P=.09 ) . Between-group analysis of aerobic capacity confirmed a significant difference between the intervention group and control group in favor of the intervention group ( P<.001 ) . At 24 weeks , self-reported physical activity improved more in the intervention group compared to the control group ( P=.01 ) as did the global HRQL score ( P=.01 ) . Conclusions This study showed that an additional 6-month patient-specific , comprehensive telerehabilitation program can lead to a bigger improvement in both physical fitness ( VO2 peak ) and associated HRQL compared to center-based cardiac rehabilitation alone . These results are supportive in view of possible future implementation in st and ard cardiac care
Conclusion This review indicates that current research on activity monitoring devices may be overstated due to the variability in adherence .
Results showed that physical activity tracking in women and in young adults have been understudied
Background Activity monitoring devices are currently being used to facilitate and monitor physical activity .
No prior review has examined adherence to the use of activity monitoring devices amongst adults with cardiovascular disease .