ArticleInternational journal of women's health2026
Effects of Health Action Process Approach (HAPA)-Guided Exercise Rehabilitation on Cardiovascular Risk Factors in Perimenopausal Women with CHD: A Randomized Controlled Trial.
Article in International journal of women's health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Long-Term Attrition in a 12-Month Adapted Physical Activity Program After Cardiac Rehabilitation: A Real-World Longitudinal Study.Journal of cardiovascular development and disease · 2026Article
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4 authors.
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Abstract
Background: Perimenopausal women with coronary heart disease (CHD) face accelerated metabolic disturbances that complicate secondary prevention, yet adherence to conventional exercise rehabilitation remains a significant barrier. Objective: To evaluate the effectiveness of Health Action Process Approach (HAPA)-guided cardiac rehabilitation in managing modifiable risk factors and improving secondary prevention outcomes among perimenopausal patients with CHD. Methods: A total of 106 perimenopausal CHD patients were randomly assigned to a control group (conventional exercise rehabilitation) or an experimental group (HAPA-based risk factor intervention). Objective measures (BMI, fasting glucose, lipid profiles, blood pressure, 6-minute walk distance) and subjective scales (SAS, SDS, CCQQ) were assessed at admission and 3 months post-discharge. Clinical outcomes (all-cause mortality, recurrent angina, non-fatal MI, revascularization, heart failure) were also recorded. Results: At the 3-month follow-up, the experimental group showed significantly greater improvements compared to the control group in BMI, blood lipid profiles (TC, TG, LDL-C), blood pressure (SBP, DBP), fasting glucose, 6-minute walk distance, and psychological scores (SAS, SDS) (all P < 0.05), along with a superior quality of life (CCQQ score, P < 0.001). Within-group improvements were significant across all measures in the experimental group (all P < 0.001), while limited to quality of life in the control group. No all-cause mortality, non-fatal myocardial infarction, revascularization, or heart failure occurred. Recurrent angina was reported in 1 patient (1.9%) in the experimental group versus 5 patients (9.4%) in the control group. Conclusion: HAPA-guided exercise cardiac rehabilitation suggests potential improvements in short-term controllable risk factors, psychological status, and quality of life without increasing adverse outcomes in perimenopausal CHD patients.
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