Cardiac Rehabilitation
Meta-Analysis: Efficacy of exercise modalities in major depressive disorder treatment
20 Mar, 2024 | 17:54h | UTCStudy Design and Population: This article presents a systematic review and network meta-analysis of randomized controlled trials to assess the optimal dose and modality of exercise for treating major depressive disorder, comparing its effects to psychotherapy, antidepressants, and control conditions such as usual care or placebo. The review included 218 unique studies encompassing 495 arms with a total of 14,170 participants who met the clinical cutoffs for major depression.
Main Findings: The findings revealed moderate reductions in depression symptoms for several exercise modalities when compared to active controls. Notably, walking or jogging, yoga, and strength training demonstrated the most significant effects. The effectiveness of exercise was found to be proportional to the intensity of the activity prescribed. Among these, yoga and strength training were identified as the most acceptable modalities for participants. However, the overall confidence in these results is low due to the high risk of bias in the included studies, with only one study meeting the criteria for a low risk of bias.
Implications for Practice: The study concludes that exercise, particularly walking or jogging, yoga, and strength training at sufficient intensities, can be an effective treatment for major depressive disorder. These modalities could be recommended alongside traditional treatments such as psychotherapy and antidepressants. Future research should focus on blinding participants and staff to mitigate expectancy effects and improve the reliability of findings. The inclusivity of exercise as a core treatment for depression could significantly impact treatment strategies and patient outcomes.
Reference: Noetel, M., et al. (2024). Effect of exercise for depression: systematic review and network meta-analysis of randomised controlled trials. BMJ, 384, e075847. DOI: https://doi.org/10.1136/bmj-2023-075847. Access the study here: [Link]
Global perspectives on heart disease rehabilitation and secondary prevention
24 Jul, 2023 | 12:45h | UTC
AHA Scientific Advisory | Digital technologies in cardiac rehabilitation
7 Jun, 2023 | 14:23h | UTCTop Things to Know: Digital Technologies in CR – American Heart Association
AHA Scientific Statement | Supervised exercise training for chronic heart failure with preserved ejection fraction
22 Mar, 2023 | 13:46h | UTCNews Release: Exercise therapy is safe, may improve quality of life for many people with heart failure – American Heart Association
Key Points: Supervised Exercise Training for Chronic HFpEF – American College of Cardiology
Review | Cardiac rehabilitation for heart failure: ‘Cinderella’ or evidence-based pillar of care?
17 Mar, 2023 | 13:00h | UTC
M-A | Exercise-based cardiac rehabilitation for coronary heart disease
13 Feb, 2023 | 12:28h | UTC
RCT | Cognitive-behavioral therapy reduces psychological distress in younger patients with cardiac disease
23 Jan, 2023 | 13:23h | UTCCognitive-behavioural therapy reduces psychological distress in younger patients with cardiac disease: a randomized trial – European Heart Journal (free for a limited period)
News Release: Talking therapies reduce anxiety and depression in working age heart patients – European Society of Cardiology
Commentary on Twitter
Relevant effect on anxiety and depression of brief cognitive-behavioural therapy delivered by cardiac nurses to cardiac patients!https://t.co/XxmTs4OGyI#distress #therapy #cardiac #rehabilitation #cardiotwitter #ehj @ESC_Journals @escardio @BFHCardio pic.twitter.com/iUTejSIjqD
— EHJ Editor-in-Chief (@ehj_ed) January 20, 2023
Position Paper | Post-discharge and long-term follow-up after an acute coronary syndrome.
18 Jul, 2022 | 11:22h | UTC
Commentary on Twitter
Post-discharge and long-term follow-up after an acute coronary syndrome: International Collaborative Group of CNCF position paper, by Sabouret et alhttps://t.co/yqPzc0q7ya@SABOURETCardio pic.twitter.com/vd1NTKKZ57
— Giuseppe Biondi-Zoccai (@gbiondizoccai) July 16, 2022
M-A of RCTs | Effectiveness of home-based cardiac rehabilitation, using wearable sensors, as a multicomponent, cutting-edge intervention.
15 Jul, 2022 | 12:35h | UTC
RCT: Effectiveness and safety of early initiation of poststernotomy cardiac rehabilitation exercise training.
23 Jun, 2022 | 12:59h | UTCEffectiveness and Safety of Early Initiation of Poststernotomy Cardiac Rehabilitation Exercise Training: The SCAR Randomized Clinical Trial – JAMA Cardiology (free for a limited period)
Commentary on Twitter
RCT found starting exercise 2 weeks post-sternotomy was as effective as starting at 6 weeks. Clinicians and cardiac rehabilitation professionals can recommend starting exercise training as early as 2 weeks post-sternotomy. https://t.co/MpBhRmyfUh
— JAMA Cardiology (@JAMACardio) June 22, 2022