Resistance and Balance Training Improves Functional Capacity in Very Old Participants Attending Cardiac Rehabilitation After Coronary Bypass Surgery
Objectives To compare the efficacy of intensive functional exercise training with that of usual cardiac rehabilitation (CR) in very old adults soon after coronary bypass surgery (CABG). Design Randomized controlled trial. Setting In‐hospital CR. Participants Individuals aged 75 and older (n = 173, m...
Gespeichert in:
| Veröffentlicht in: | Journal of the American Geriatrics Society (JAGS) 2012-12, Vol.60 (12), p.2270-2276 |
|---|---|
| Hauptverfasser: | , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2276 |
|---|---|
| container_issue | 12 |
| container_start_page | 2270 |
| container_title | Journal of the American Geriatrics Society (JAGS) |
| container_volume | 60 |
| creator | Busch, John C. Lillou, Dorothea Wittig, Godehard Bartsch, Petra Willemsen, Detlev Oldridge, Neil Bjarnason-Wehrens, Birna |
| description | Objectives
To compare the efficacy of intensive functional exercise training with that of usual cardiac rehabilitation (CR) in very old adults soon after coronary bypass surgery (CABG).
Design
Randomized controlled trial.
Setting
In‐hospital CR.
Participants
Individuals aged 75 and older (n = 173, mean 78.5 ± 3.2) participated in inpatient CR, which started soon after surgery (13.1 ± 5.3 days) and lasted for a mean of 20.4 ± 3.2 days.
Intervention
Participants were randomly assigned to an inpatient CR intervention group (IG; n = 84) or a control group (CG; n = 89). All participants participated in the inpatient CR program. In addition, IG participants participated in resistance training and special balance training (5 d/wk).
Measurements
Six‐minute walk test, cardiopulmonary exercise testing, Timed‐Up‐and‐Go Test (TUG), and a maximal isometric strength test were used to access functional capacity and the MacNew questionnaire to evaluate health‐related quality of life (HRQL).
Results
There were significant improvements (P |
| doi_str_mv | 10.1111/jgs.12030 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1324955633</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1324955633</sourcerecordid><originalsourceid>FETCH-LOGICAL-c5200-e9362aa8f8f480ed88f842fb8c3a18b226f931f961b55f448769e04cf91c483e3</originalsourceid><addsrcrecordid>eNqFkt1uEzEQhVcIREPhghdAllAlerGt_3bXe5lENBRVtGoCSNxYE68dHDa7wd6F5j14YCY_LRISYnzhufjmjHyOk-Qlo2cM63y5iGeMU0EfJQOWCZ5mkmWPkwGllKcqZ_IoeRbjklKElHqaHHHBipxROUh-3droYweNsQSaioyg3vWzAL7xzYJcrtah_WEjuegb0_m2gZqMYQ3GdxviG_LJhg25rityA6Hzxq-h6SIZdp1tqu38GELlwZBb-xXmvvYdbEXI0HU2kHEbUBAFRps1xEimfVig3vPkiYM62heH-zj5ePF2Nn6XXl1PLsfDq9RknNLUliLnAMopJxW1lcJOcjdXRgBTc85zVwrmypzNs8xJqYq8tFQaVzIjlbDiOHmz18Unfu9t7PTKR2NrtMC2fdRMcFlmWS7E_1EuFBpaljmir_9Cl20f0LcdxbFEViJ1uqdMaGMM1ul18Cv0QjOqt6lqTFXvUkX21UGxn69s9UDex4jAyQGAaKB2ATP08Q-XF3gUQ-58z_30td38e6N-P5ner073E_hJ7N3DBIRvOi9EkenPHya6kNOZuOFf9Ej8BvVTx88</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1232222359</pqid></control><display><type>article</type><title>Resistance and Balance Training Improves Functional Capacity in Very Old Participants Attending Cardiac Rehabilitation After Coronary Bypass Surgery</title><source>MEDLINE</source><source>Wiley Online Library (Online service)</source><creator>Busch, John C. ; Lillou, Dorothea ; Wittig, Godehard ; Bartsch, Petra ; Willemsen, Detlev ; Oldridge, Neil ; Bjarnason-Wehrens, Birna</creator><creatorcontrib>Busch, John C. ; Lillou, Dorothea ; Wittig, Godehard ; Bartsch, Petra ; Willemsen, Detlev ; Oldridge, Neil ; Bjarnason-Wehrens, Birna</creatorcontrib><description>Objectives
To compare the efficacy of intensive functional exercise training with that of usual cardiac rehabilitation (CR) in very old adults soon after coronary bypass surgery (CABG).
Design
Randomized controlled trial.
Setting
In‐hospital CR.
Participants
Individuals aged 75 and older (n = 173, mean 78.5 ± 3.2) participated in inpatient CR, which started soon after surgery (13.1 ± 5.3 days) and lasted for a mean of 20.4 ± 3.2 days.
Intervention
Participants were randomly assigned to an inpatient CR intervention group (IG; n = 84) or a control group (CG; n = 89). All participants participated in the inpatient CR program. In addition, IG participants participated in resistance training and special balance training (5 d/wk).
Measurements
Six‐minute walk test, cardiopulmonary exercise testing, Timed‐Up‐and‐Go Test (TUG), and a maximal isometric strength test were used to access functional capacity and the MacNew questionnaire to evaluate health‐related quality of life (HRQL).
Results
There were significant improvements (P < .001) in all measured variables over the duration of CR. Improvements in functional capacity were significantly greater in the IG than the CG for 6‐minute walk distance (6‐MWD) (IG Δ 67.3 ± 49.0 m vs CG Δ 41.9 ± 51.7 m; P = .003), TUG time (IG Δ −2.4 ± 2.2 seconds vs CG Δ −1.2 ± 3.4 seconds; P = .005), and relative workload (IG Δ 0.19 ± 0.21 W/kg vs CG Δ 0.13 ± 0.11 W/kg; P = .03).
Conclusion
There were significant improvements in all measured variables in very old adults participating in CR soon after CABG. With additional functional exercise training, participants randomized to IG improved significantly more than those randomized to CG on 6‐MWD, TUG time, and relative workload.</description><identifier>ISSN: 0002-8614</identifier><identifier>EISSN: 1532-5415</identifier><identifier>DOI: 10.1111/jgs.12030</identifier><identifier>PMID: 23176104</identifier><identifier>CODEN: JAGSAF</identifier><language>eng</language><publisher>Hoboken, NJ: Blackwell Publishing Ltd</publisher><subject>Aged ; Aged, 80 and over ; Biological and medical sciences ; cardiac rehabilitation ; Coronary Artery Bypass - rehabilitation ; Exercise ; Exercise Therapy ; Female ; functional capacity ; General aspects ; Health Status ; Heart surgery ; Humans ; Male ; Medical sciences ; Miscellaneous ; Muscle Strength ; Older people ; Physical Fitness ; Postural Balance ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Quality of Life ; RCT ; Rehabilitation ; Resistance Training ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; very old</subject><ispartof>Journal of the American Geriatrics Society (JAGS), 2012-12, Vol.60 (12), p.2270-2276</ispartof><rights>2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society</rights><rights>2014 INIST-CNRS</rights><rights>2012, Copyright the Authors Journal compilation © 2012, The American Geriatrics Society.</rights><rights>2012 American Geriatrics Society and Wiley Periodicals, Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c5200-e9362aa8f8f480ed88f842fb8c3a18b226f931f961b55f448769e04cf91c483e3</citedby><cites>FETCH-LOGICAL-c5200-e9362aa8f8f480ed88f842fb8c3a18b226f931f961b55f448769e04cf91c483e3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fjgs.12030$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fjgs.12030$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=26767681$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23176104$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Busch, John C.</creatorcontrib><creatorcontrib>Lillou, Dorothea</creatorcontrib><creatorcontrib>Wittig, Godehard</creatorcontrib><creatorcontrib>Bartsch, Petra</creatorcontrib><creatorcontrib>Willemsen, Detlev</creatorcontrib><creatorcontrib>Oldridge, Neil</creatorcontrib><creatorcontrib>Bjarnason-Wehrens, Birna</creatorcontrib><title>Resistance and Balance Training Improves Functional Capacity in Very Old Participants Attending Cardiac Rehabilitation After Coronary Bypass Surgery</title><title>Journal of the American Geriatrics Society (JAGS)</title><addtitle>J Am Geriatr Soc</addtitle><description>Objectives
To compare the efficacy of intensive functional exercise training with that of usual cardiac rehabilitation (CR) in very old adults soon after coronary bypass surgery (CABG).
Design
Randomized controlled trial.
Setting
In‐hospital CR.
Participants
Individuals aged 75 and older (n = 173, mean 78.5 ± 3.2) participated in inpatient CR, which started soon after surgery (13.1 ± 5.3 days) and lasted for a mean of 20.4 ± 3.2 days.
Intervention
Participants were randomly assigned to an inpatient CR intervention group (IG; n = 84) or a control group (CG; n = 89). All participants participated in the inpatient CR program. In addition, IG participants participated in resistance training and special balance training (5 d/wk).
Measurements
Six‐minute walk test, cardiopulmonary exercise testing, Timed‐Up‐and‐Go Test (TUG), and a maximal isometric strength test were used to access functional capacity and the MacNew questionnaire to evaluate health‐related quality of life (HRQL).
Results
There were significant improvements (P < .001) in all measured variables over the duration of CR. Improvements in functional capacity were significantly greater in the IG than the CG for 6‐minute walk distance (6‐MWD) (IG Δ 67.3 ± 49.0 m vs CG Δ 41.9 ± 51.7 m; P = .003), TUG time (IG Δ −2.4 ± 2.2 seconds vs CG Δ −1.2 ± 3.4 seconds; P = .005), and relative workload (IG Δ 0.19 ± 0.21 W/kg vs CG Δ 0.13 ± 0.11 W/kg; P = .03).
Conclusion
There were significant improvements in all measured variables in very old adults participating in CR soon after CABG. With additional functional exercise training, participants randomized to IG improved significantly more than those randomized to CG on 6‐MWD, TUG time, and relative workload.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>cardiac rehabilitation</subject><subject>Coronary Artery Bypass - rehabilitation</subject><subject>Exercise</subject><subject>Exercise Therapy</subject><subject>Female</subject><subject>functional capacity</subject><subject>General aspects</subject><subject>Health Status</subject><subject>Heart surgery</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Muscle Strength</subject><subject>Older people</subject><subject>Physical Fitness</subject><subject>Postural Balance</subject><subject>Public health. Hygiene</subject><subject>Public health. Hygiene-occupational medicine</subject><subject>Quality of Life</subject><subject>RCT</subject><subject>Rehabilitation</subject><subject>Resistance Training</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>very old</subject><issn>0002-8614</issn><issn>1532-5415</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkt1uEzEQhVcIREPhghdAllAlerGt_3bXe5lENBRVtGoCSNxYE68dHDa7wd6F5j14YCY_LRISYnzhufjmjHyOk-Qlo2cM63y5iGeMU0EfJQOWCZ5mkmWPkwGllKcqZ_IoeRbjklKElHqaHHHBipxROUh-3droYweNsQSaioyg3vWzAL7xzYJcrtah_WEjuegb0_m2gZqMYQ3GdxviG_LJhg25rityA6Hzxq-h6SIZdp1tqu38GELlwZBb-xXmvvYdbEXI0HU2kHEbUBAFRps1xEimfVig3vPkiYM62heH-zj5ePF2Nn6XXl1PLsfDq9RknNLUliLnAMopJxW1lcJOcjdXRgBTc85zVwrmypzNs8xJqYq8tFQaVzIjlbDiOHmz18Unfu9t7PTKR2NrtMC2fdRMcFlmWS7E_1EuFBpaljmir_9Cl20f0LcdxbFEViJ1uqdMaGMM1ul18Cv0QjOqt6lqTFXvUkX21UGxn69s9UDex4jAyQGAaKB2ATP08Q-XF3gUQ-58z_30td38e6N-P5ner073E_hJ7N3DBIRvOi9EkenPHya6kNOZuOFf9Ej8BvVTx88</recordid><startdate>201212</startdate><enddate>201212</enddate><creator>Busch, John C.</creator><creator>Lillou, Dorothea</creator><creator>Wittig, Godehard</creator><creator>Bartsch, Petra</creator><creator>Willemsen, Detlev</creator><creator>Oldridge, Neil</creator><creator>Bjarnason-Wehrens, Birna</creator><general>Blackwell Publishing Ltd</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QP</scope><scope>7TK</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>201212</creationdate><title>Resistance and Balance Training Improves Functional Capacity in Very Old Participants Attending Cardiac Rehabilitation After Coronary Bypass Surgery</title><author>Busch, John C. ; Lillou, Dorothea ; Wittig, Godehard ; Bartsch, Petra ; Willemsen, Detlev ; Oldridge, Neil ; Bjarnason-Wehrens, Birna</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c5200-e9362aa8f8f480ed88f842fb8c3a18b226f931f961b55f448769e04cf91c483e3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>cardiac rehabilitation</topic><topic>Coronary Artery Bypass - rehabilitation</topic><topic>Exercise</topic><topic>Exercise Therapy</topic><topic>Female</topic><topic>functional capacity</topic><topic>General aspects</topic><topic>Health Status</topic><topic>Heart surgery</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Muscle Strength</topic><topic>Older people</topic><topic>Physical Fitness</topic><topic>Postural Balance</topic><topic>Public health. Hygiene</topic><topic>Public health. Hygiene-occupational medicine</topic><topic>Quality of Life</topic><topic>RCT</topic><topic>Rehabilitation</topic><topic>Resistance Training</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>very old</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Busch, John C.</creatorcontrib><creatorcontrib>Lillou, Dorothea</creatorcontrib><creatorcontrib>Wittig, Godehard</creatorcontrib><creatorcontrib>Bartsch, Petra</creatorcontrib><creatorcontrib>Willemsen, Detlev</creatorcontrib><creatorcontrib>Oldridge, Neil</creatorcontrib><creatorcontrib>Bjarnason-Wehrens, Birna</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Busch, John C.</au><au>Lillou, Dorothea</au><au>Wittig, Godehard</au><au>Bartsch, Petra</au><au>Willemsen, Detlev</au><au>Oldridge, Neil</au><au>Bjarnason-Wehrens, Birna</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Resistance and Balance Training Improves Functional Capacity in Very Old Participants Attending Cardiac Rehabilitation After Coronary Bypass Surgery</atitle><jtitle>Journal of the American Geriatrics Society (JAGS)</jtitle><addtitle>J Am Geriatr Soc</addtitle><date>2012-12</date><risdate>2012</risdate><volume>60</volume><issue>12</issue><spage>2270</spage><epage>2276</epage><pages>2270-2276</pages><issn>0002-8614</issn><eissn>1532-5415</eissn><coden>JAGSAF</coden><abstract>Objectives
To compare the efficacy of intensive functional exercise training with that of usual cardiac rehabilitation (CR) in very old adults soon after coronary bypass surgery (CABG).
Design
Randomized controlled trial.
Setting
In‐hospital CR.
Participants
Individuals aged 75 and older (n = 173, mean 78.5 ± 3.2) participated in inpatient CR, which started soon after surgery (13.1 ± 5.3 days) and lasted for a mean of 20.4 ± 3.2 days.
Intervention
Participants were randomly assigned to an inpatient CR intervention group (IG; n = 84) or a control group (CG; n = 89). All participants participated in the inpatient CR program. In addition, IG participants participated in resistance training and special balance training (5 d/wk).
Measurements
Six‐minute walk test, cardiopulmonary exercise testing, Timed‐Up‐and‐Go Test (TUG), and a maximal isometric strength test were used to access functional capacity and the MacNew questionnaire to evaluate health‐related quality of life (HRQL).
Results
There were significant improvements (P < .001) in all measured variables over the duration of CR. Improvements in functional capacity were significantly greater in the IG than the CG for 6‐minute walk distance (6‐MWD) (IG Δ 67.3 ± 49.0 m vs CG Δ 41.9 ± 51.7 m; P = .003), TUG time (IG Δ −2.4 ± 2.2 seconds vs CG Δ −1.2 ± 3.4 seconds; P = .005), and relative workload (IG Δ 0.19 ± 0.21 W/kg vs CG Δ 0.13 ± 0.11 W/kg; P = .03).
Conclusion
There were significant improvements in all measured variables in very old adults participating in CR soon after CABG. With additional functional exercise training, participants randomized to IG improved significantly more than those randomized to CG on 6‐MWD, TUG time, and relative workload.</abstract><cop>Hoboken, NJ</cop><pub>Blackwell Publishing Ltd</pub><pmid>23176104</pmid><doi>10.1111/jgs.12030</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0002-8614 |
| ispartof | Journal of the American Geriatrics Society (JAGS), 2012-12, Vol.60 (12), p.2270-2276 |
| issn | 0002-8614 1532-5415 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1324955633 |
| source | MEDLINE; Wiley Online Library (Online service) |
| subjects | Aged Aged, 80 and over Biological and medical sciences cardiac rehabilitation Coronary Artery Bypass - rehabilitation Exercise Exercise Therapy Female functional capacity General aspects Health Status Heart surgery Humans Male Medical sciences Miscellaneous Muscle Strength Older people Physical Fitness Postural Balance Public health. Hygiene Public health. Hygiene-occupational medicine Quality of Life RCT Rehabilitation Resistance Training Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart very old |
| title | Resistance and Balance Training Improves Functional Capacity in Very Old Participants Attending Cardiac Rehabilitation After Coronary Bypass Surgery |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-28T05%3A52%3A30IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Resistance%20and%20Balance%20Training%20Improves%20Functional%20Capacity%20in%20Very%20Old%20Participants%20Attending%20Cardiac%20Rehabilitation%20After%20Coronary%20Bypass%20Surgery&rft.jtitle=Journal%20of%20the%20American%20Geriatrics%20Society%20(JAGS)&rft.au=Busch,%20John%20C.&rft.date=2012-12&rft.volume=60&rft.issue=12&rft.spage=2270&rft.epage=2276&rft.pages=2270-2276&rft.issn=0002-8614&rft.eissn=1532-5415&rft.coden=JAGSAF&rft_id=info:doi/10.1111/jgs.12030&rft_dat=%3Cproquest_cross%3E1324955633%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1232222359&rft_id=info:pmid/23176104&rfr_iscdi=true |