Evidence map›Paper›PMID 32392231›Full record

ArticlePloS one2020

Association between attending exercise-based cardiac rehabilitation and cardiovascular risk factors at one-year post myocardial infarction.

Ingela Sjölin, Maria Bäck, Lennart Nilsson, Alexandru Schiopu, Margret Leosdottir

Registry-linked trialAbstract read
In one paragraph

Article in PloS one, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06924034 (Early-phase Exercise-based Comprehensive Cardiac Rehabilitation Program After Myocardial Infarction), which is not on this map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06924034 nacompletednot on this mapstarted 2023, after this paper: background citation

Early-phase Exercise-based Comprehensive Cardiac Rehabilitation Program After Myocardial Infarction: A Randomized Controlled Trial

TypeinterventionalSponsorDokuz Eylul UniversityRan2023 to 2024Enrolled32ConditionsMyocardial Infarction (MI)ArmsPhase I and Phase II Cardiac Rehabilitation Program
3 · Its place in the literature

Who cites it

11 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ingela SjölinDepartment of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Malmö, Sweden.
Maria BäckDivision of Physiotherapy, Department of Medical and Health Sciences, Linköping University, Linköping, Sweden.ORCID 0000-0002-6031-7478
Lennart NilssonDepartment of Medical and Health Sciences, Linköping University, Linköping, Sweden.
Alexandru SchiopuDepartment of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Malmö, Sweden.ORCID 0000-0002-7587-5050
Margret LeosdottirDepartment of Clinical Sciences Malmö, Faculty of Medicine, Lund University, Malmö, Sweden.ORCID 0000-0003-1677-1566

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRandomized trials confirm the benefits of exercise-based cardiac rehabilitation on cardiovascular risk factors. Whether exercise-based cardiac rehabilitation provides the same favourable effects in real-life cardiac rehabilitation settings, in the modern era of myocardial infarction treatment, is less well known. We examined the association between attending exercise-based cardiac rehabilitation and improvements in cardiovascular risk factors at one-year post myocardial infarction in patients included in the Swedish heart disease registry, SWEDEHEART.

methodsIn this retrospective registry-based cohort study, we included 19 136 patients post myocardial infarction (75% men, 62.8±8.7 years) who were registered in SWEDEHEART between 2011 and 2013. The association between attending exercise-based cardiac rehabilitation (43% participation rate) and changes in cardiovascular risk profile between baseline and one-year follow-up was assessed using multivariable regression analysis adjusting for age, comorbidities and medication.

resultsAttenders more often reported to have stopped smoking (men 64% vs 50%; women 64% vs 53%, p<0.001 for both, only smokers at baseline considered), be more physically active (men 3.9±2.5 vs 3.4±2.7 days/week; women 3.8±2.6 vs 3.0±2.8 days/week, p<0.001 for both) and achieved a slightly larger reduction in triglycerides (men -0.2±0.8 vs -0.1±0.9 mmol/L, p = 0.001; women -0.1±0.6 vs 0.0±0.8 mmol/L, p = 0.01) at one-year compared to non-attenders. Male attenders gained less weight (+0.0±5.7 vs +0.3±5.7 kg, p = 0.01) while female attenders achieved better lipid control (total cholesterol -1.2±1.4 vs -0.9±1.4 mmol/L, p<0.001; low-density lipoprotein -1.2±1.2 vs -0.9 ±1.2 mmol/L, p<0.001) compared to non-attenders.

conclusionsIn an unselected registry cohort of patients post myocardial infarction, compared to non-attenders those attending exercise-based cardiac rehabilitation achieved significantly larger improvements in cardiovascular risk factors at one-year after the acute event.

Indexed as

Cardiac RehabilitationExercise TherapyAge DistributionFemaleHumansMaleMiddle AgedMyocardial InfarctionRisk Factors

Identifiers

PMID32392231
PMCPMC7213725

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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.