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 .
Differences in sustainability of exercise and health-related quality of life outcomes following home or hospital-based cardiac rehabilitation
Background Home-based cardiac rehabilitation ( CR ) has been demonstrated to be as effective as institution-based CR in post-coronary artery bypass graft surgery ( CABG ) patients in terms of short-term physical and psychosocial outcomes . The sustainability of these effects is less well studied . The aim of this study was to examine the sustainability of observed changes in physical , quality of life ( HRQL ) , and social support ( SS ) outcomes in patients 12 months after discharge from a r and omized controlled trial ( RCT ) of 6 months of monitored home-based versus supervised hospital-based CR .  Design Two-hundred and twenty-two ( n = 222 ) patients were followed-up 12 months after discharge from a RCT of 6 months of monitored ‘ Home ' versus supervised ‘ Hospital ' CR after CABG . Methods At discharge from the 6-month RCT , participants who consented to the 12-month follow-up study , were given individualized guidelines for ongoing exercise , and were not contacted for 1 year . The primary outcome was peak oxygen uptake ( VO2 ) . Secondary outcomes were : HRQL , SS and habitual physical activity .  Results One hundred and ninety-eight patients ( 89.2 % ) , 102 ‘ Hospital ' and 96 ‘ Home ' , returned for follow-up 12-months after discharge from CR . Both groups had similar medical and socio-demographic characteristics . Peak VO2 declined in ‘ Hospital ' but was sustained in ‘ Home ' patients 12 months after discharge from CR ( P=0.002 ) . Physical HRQL was higher in the ‘ Home ' group at the 12-month follow-up ( P<0.01 ) . Mental HRQL showed general , minor deterioration over time in both groups ( P=0.019 ) . Twelve months after discharge from CR , physical and mental HRQL remained higher than at entry to CR in both groups . ‘ Home ' patients had higher habitual physical activity scores compared to ‘ Hospital ' patients . Conclusions This follow-up study suggests that low-risk patients whose CR  is initiated in the home environment may be more likely to sustain positive physical and psychosocial changes over time than patients whose program is initially institution-based
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 .