Conclusions HB exercise is slightly more effective than CB rehabilitation in terms of maintaining EC .
Background Exercise-based cardiovascular rehabilitation ( CR ) improves exercise capacity ( EC ) , lowers cardiovascular risk profile and increases physical functioning in the short term .
However , uptake of and adherence to a physically active lifestyle in the long run remain problematic .
Home-based ( HB ) exercise programmes have been introduced in an attempt to enhance long-term adherence to recommended levels of physical activity ( PA ) .
The current systematic review and meta- analysis aim ed to compare the longer-term effects of HB exercise programmes with usual care ( UC ) or centre-based ( CB ) CR in patients referred for CR .
Long-term Exercise Adherence After High-intensity Interval Training in Cardiac Rehabilitation: A Randomized Study.
BACKGROUND AND PURPOSE Exercise adherence in general is reported to be problematic after cardiac rehabilitation . Additionally , vigorous exercise is associated with impaired exercise adherence . As high-intensity interval training ( HIT ) is frequently used as a therapy to patients with coronary artery disease in cardiac rehabilitation , the objective was to assess long-term exercise adherence following an HIT cardiac rehabilitation programme . METHODS A multicentre r and omized study was carried out . Eligible participants were adults who had previously attended a 12-week HIT cardiac rehabilitation programme , as either a home-based or hospital-based HIT ( treadmill exercise or group exercise ) .  The primary outcome was change in peak oxygen uptake ; secondary outcomes were self-reported and objective ly measured physical activity . RESULTS Out of 83 eligible participants , 76 were available for assessment ( 68 men/8 women , mean age 59 ( 8) years ) at a one-year follow-up . Peak oxygen uptake was significantly elevated above baseline values , ( treadmill exercise : 35.8 ( 6.4 ) vs. 37.4 ( 7.4 ) ml kg(-1 ) min(-1 ) , group exercise : 32.7 ( 6.5 ) vs. 34.1 ( 5.8 ) ml kg(-1 ) min(-1 ) and home-based exercise : 34.5 ( 4.9 ) vs. 36.7 ( 5.8 ) ml kg(-1 ) min(-1 ) at baseline and follow-up , respectively ) , with no significant differences between groups . The majority of the participants ( > 90 % ) met the recommended daily level of 30 minutes of moderate physical activity . The home-based group showed a strong trend towards increased physical activity compared with the hospital-based groups . DISCUSSION The results from this study have shown that both home-based and hospital-based HIT in cardiac rehabilitation induce promising long-term exercise adherence , with maintenance of peak oxygen uptake significantly above baseline values at a one-year follow-up . The implication for physiotherapy practice is that HIT in cardiac rehabilitation induces satisfactory long-term exercise adherence
Conclusions HB exercise is slightly more effective than CB rehabilitation in terms of maintaining EC .
Background Exercise-based cardiovascular rehabilitation ( CR ) improves exercise capacity ( EC ) , lowers cardiovascular risk profile and increases physical functioning in the short term .
However , uptake of and adherence to a physically active lifestyle in the long run remain problematic .
Home-based ( HB ) exercise programmes have been introduced in an attempt to enhance long-term adherence to recommended levels of physical activity ( PA ) .
The current systematic review and meta- analysis aim ed to compare the longer-term effects of HB exercise programmes with usual care ( UC ) or centre-based ( CB ) CR in patients referred for CR .