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 .
Maintenance of exercise after phase II cardiac rehabilitation: a randomized controlled trial.
BACKGROUND Patients who have completed Phase II cardiac rehabilitation have low rates of maintenance of exercise after program completion , despite the importance of sustaining regular exercise to prevent future cardiac events . PURPOSE The efficacy of a home-based intervention to support exercise maintenance among patients who had completed Phase II cardiac rehabilitation versus contact control was evaluated . DESIGN An RCT was used to evaluate the intervention . Data were collected in 2005 - 2010 and analyzed in 2010 . SETTING / PARTICIPANTS One hundred thirty patients ( mean age=63.6 years [ SD=9.7 ] , 20.8 % female ) were r and omized to exercise counseling ( Maintenance Counseling group , n=64 ) or contact control ( Contact Control group , n=66 ) . INTERVENTION Maintenance Counseling group participants received a 6-month program of exercise counseling ( based on the transtheoretical model and social cognitive theory ) delivered via telephone , as well as print material s and feedback reports . MAIN OUTCOME MEASURES Assessment s of physical activity ( 7-Day Physical Activity Recall ) , motivational readiness for exercise , lipids , and physical functioning were conducted at baseline , 6 months , and 12 months . Objective accelerometer data were collected at the same time points . Fitness was assessed via maximal exercise stress tests at baseline and 6 months . RESULTS The Maintenance Counseling group reported significantly higher exercise participation than the Contact Control group at 12 months ( difference of 80 minutes , 95 % CI=22 , 137 ) . Group differences in exercise at 6 months were nonsignificant . The intervention significantly increased the probability of participants ' exercising at or above physical activity guidelines and attenuated regression in motivational readiness versus the Contact Control Group at 6 and 12 months . Self-reported physical functioning was significantly higher in the Maintenance Counseling group at 12 months . No group differences were seen in fitness at 6 months or lipid measures at 6 and 12 months . CONCLUSIONS A telephone-based intervention can help maintain exercise , prevent regression in motivational readiness for exercise , and improve physical functioning in this patient population
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 .