Cardiac rehabilitation, physical activity, and the effectiveness of activity monitoring devices on cardiovascular patients: an umbrella review of systematic reviews
Authors' conclusion
The use of devices/applications was associated with increase in activity, healthy behaviours, and reductions in clinical indicators.
Study context
- Population
- Patients with CVD attending cardiac rehabilitation (CR) programmes9 systematic reviews
- Participants
- 18,712 patients
- Comparison
- CR with activity-monitoring devices/applications vs usual care
- Outcome
- Physical activity
Methodological detailsJBI methodology, PRISMA guidelines, Nine databases searched from inception to 9 February 2022
- JBI methodology
- PRISMA guidelines
- Nine databases searched from inception to 9 February 2022
Main finding
As reported in the abstract
CR with devices/applications vs Usual careSMD (95% CI)
Physical activity, minutes/week
0.23(0.10–0.35)
Activity levels
0.29(0.07–0.51)
CR with devices/applications vs Usual careRelative risk (95% CI)
Sedentariness
0.54(0.39–0.75)
Further findings
Re-hospitalization
- Risk of re-hospitalization reduced significantly: RR 0.49, 95% CI 0.27-0.89
Mortality
- Non-significant reduction in mortality: RR 0.27, 95% CI 0.05-1.54
Smoking behaviour
- Reviews reported improvement in smoking behaviour among CR patients: RR 0.87, 95% CI 0.67-1.13
Total diet quality intake
- Reviews reported improvement in total diet quality intake among CR patients: RR 0.79, 95% CI 0.66-0.94
Original publication
Cardiac rehabilitation, physical activity, and the effectiveness of activity monitoring devices on cardiovascular patients: an umbrella review of systematic reviews. Eur Heart J Qual Care Clin Outcomes. Published 23 January 2023. doi:10.
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