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 .
Barriers to participation in cardiac rehabilitation.
BACKGROUND Participation rates in  cardiac rehabilitation after myocardial infa rct ion ( MI ) remain low . Studies investigating the predictive value of psychosocial variables are sparse and often qualitative . We aim ed to examine the demographic , clinical , and psychosocial predictors of participation in cardiac rehabilitation after MI in the community . METHODS Olmsted County , Minnesota , residents hospitalized with MI between June 2004 and May 2006 were prospect ively recruited , and a 46-item question naire was administered before hospital dismissal . Associations between variables and cardiac rehabilitation participation were examined using logistic regression . RESULTS Among 179 survey respondents ( mean age 64.8 years , 65.9 % male ) , 115 ( 64.2 % ) attended cardiac rehabilitation . The median ( 25th-75th percentile ) number of sessions attended within 90 days of MI was 13 ( 5 - 20 ) . Clinical characteristics associated with rehabilitation participation included younger age ( odds ratio [ OR ] 0.95 per 1-year increase ) , male sex ( OR 1.93 ) , lack of diabetes ( OR 2.50 ) , ST-elevation MI ( OR 2.63 ) , receipt of reperfusion therapy ( OR 7.96 ) , in-hospital cardiologist provider ( OR 18.82 ) , no prior MI ( OR 4.17 ) , no prior cardiac rehabilitation attendance ( OR 3.85 ) , and referral to rehabilitation in the hospital ( OR 12.16 ) . Psychosocial predictors of participation included placing a high importance on rehabilitation ( OR 2.35 ) , feeling that rehabilitation was necessary ( OR 10.11 ) , better perceived health before MI ( excellent vs poor OR 7.33 ) , the ability to drive ( OR 6.25 ) , and post- secondary education ( OR 3.32 ) . CONCLUSIONS Several clinical and psychosocial factors are associated with decreased participation in cardiac rehabilitation programs  after MI in the community . As many are modifiable , addressing them may improve participation and outcomes
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 .