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Cardiac Rehabilitation

Meta-Analysis: Efficacy of exercise modalities in major depressive disorder treatment

20 Mar, 2024 | 17:54h | UTC

Study 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

Global perspectives on heart disease rehabilitation and secondary prevention: a scientific statement from the Association of Cardiovascular Nursing and Allied Professions, European Association of Preventive Cardiology, and International Council of Cardiovascular Prevention and Rehabilitation – European Heart Journal

 


AHA Scientific Advisory | Digital technologies in cardiac rehabilitation

7 Jun, 2023 | 14:23h | UTC

Digital Technologies in Cardiac Rehabilitation: A Science Advisory From the American Heart Association – Circulation

Top 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 | UTC

Supervised Exercise Training for Chronic Heart Failure With Preserved Ejection Fraction: A Scientific Statement From the American Heart Association and American College of Cardiology – Circulation

News 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

Cardiac rehabilitation for heart failure: ‘Cinderella’ or evidence-based pillar of care? – European Heart Journal

 


M-A | Exercise-based cardiac rehabilitation for coronary heart disease

13 Feb, 2023 | 12:28h | UTC

Exercise-based cardiac rehabilitation for coronary heart disease: a meta-analysis – European Heart Journal

 


RCT | Cognitive-behavioral therapy reduces psychological distress in younger patients with cardiac disease

23 Jan, 2023 | 13:23h | UTC

Cognitive-behavioural therapy reduces psychological distress in younger patients with cardiac disease: a randomized trial – European Heart Journal (free for a limited period)

Editorial: Are we getting closer to treating heart and mind together and bridging the gap for individual patients attending cardiac rehabilitation? – European Heart Journal

News Release: Talking therapies reduce anxiety and depression in working age heart patients – European Society of Cardiology

 

Commentary on Twitter

 


Position Paper | Post-discharge and long-term follow-up after an acute coronary syndrome.

18 Jul, 2022 | 11:22h | UTC

Post-discharge and long-term follow-up after an acute coronary syndrome: International Collaborative Group of CNCF position paper – Archives of Medical Science

 

Commentary on Twitter

 


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

Effectiveness of Home-Based Cardiac Rehabilitation, Using Wearable Sensors, as a Multicomponent, Cutting-Edge Intervention: A Systematic Review and Meta-Analysis – Journal of Clinical Medicine

 


RCT: Effectiveness and safety of early initiation of poststernotomy cardiac rehabilitation exercise training.

23 Jun, 2022 | 12:59h | UTC

Effectiveness 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

 


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