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 .
Self-efficacy regarding physical activity is superior to self-assessed activity level, in long-term prediction of cardiovascular events in middle-aged men
Background Self-efficacy has been determined to be a strong predictor of who will engage in physical activity . We aim ed to evaluate the associations between self-efficacy to perform physical activity  ,  self-reported leisure-time physical activity  and cardiovascular events in a population -based cohort of middle-aged Swedish men with no previous cardiovascular disease , or treatment with cardiovascular drugs . Methods Analyses are based on 377 men r and omly selected and stratified for weight and insulin sensitivity from a population sample of 58-year-old men ( n = 1728 ) and who had answered a question about their competence to perform exercise ( as an assessment of physical self-efficacy ) . The Saltin-Grimby Physical Activity Level Scale was used to assess self-reported levels of leisure-time physical activity . Cardiovascular events were recorded during 13-years of follow-up . Results The group with poor self-efficacy to perform physical activity had a significantly higher incidence of cardiovascular events compared with the group with good physical self-efficacy ( 32.1 % vs 17.1 % , p < 0.01 ) . Multivariate analyses showed that poor physical self-efficacy was associated with an increased relative risk of 2.0 ( 95 % CI 1.2 to 3.0 ) , of having a cardiovascular event during follow-up also after adjustments for co-variates such as waist to hip ratio , heart rate , fasting plasma glucose , serum triglycerides , systolic blood pressure , apoB/apoA-I ratio and leisure-time physical activity . ConclusionS elf-efficacy to perform physical activity was strongly and independently associated with cardiovascular events and was superior to self-assessed physical activity in predicting cardiovascular events during 13-years of follow-up in a group of middle-aged men , without known CVD or treatment with cardiovascular drugs
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 .