Antoniou Varsamo, Davos Constantinos H, Kapreli Eleni, Batalik Ladislav, Panagiotakos Demosthenes B, Pepera Garyfallia
Clinical Exercise Physiology and Rehabilitation Laboratory, Department of Physiotherapy, School of Health Sciences, University of Thessaly, 35100 Lamia, Greece.
Cardiovascular Research Laboratory, Biomedical Research Foundation, Academy of Athens, 4 Soranou Ephessiou Street, 115 27 Athens, Greece.
J Clin Med. 2022 Jun 29;11(13):3772. doi: 10.3390/jcm11133772.
Exercise-based cardiac rehabilitation is a highly recommended intervention towards the advancement of the cardiovascular disease (CVD) patients' health profile; though with low participation rates. Although home-based cardiac rehabilitation (HBCR) with the use of wearable sensors is proposed as a feasible alternative rehabilitation model, further investigation is needed. This systematic review and meta-analysis aimed to evaluate the effectiveness of wearable sensors-assisted HBCR in improving the CVD patients' cardiorespiratory fitness (CRF) and health profile. PubMed, Scopus, Cinahl, Cochrane Library, and PsycINFO were searched from 2010 to January 2022, using relevant keywords. A total of 14 randomized controlled trials, written in English, comparing wearable sensors-assisted HBCR to center-based cardiac rehabilitation (CBCR) or usual care (UC), were included. Wearable sensors-assisted HBCR significantly improved CRF when compared to CBCR (Hedges' g = 0.22, 95% CI 0.06, 0.39; I = 0%; = 0.01), whilst comparison of HBCR to UC revealed a nonsignificant effect (Hedges' g = 0.87, 95% CI -0.87, 1.85; I = 96.41%; = 0.08). Effects on physical activity, quality of life, depression levels, modification of cardiovascular risk factors/laboratory parameters, and adherence were synthesized narratively. No significant differences were noted. Technology tools are growing fast in the cardiac rehabilitation era and promote exercise-based interventions into a more home-based setting. Wearable-assisted HBCR presents the potential to act as an adjunct or an alternative to CBCR.
基于运动的心脏康复是一项强烈推荐的干预措施，有助于改善心血管疾病（CVD）患者的健康状况；不过参与率较低。尽管有人提出使用可穿戴传感器的居家心脏康复（HBCR）是一种可行的替代康复模式，但仍需进一步研究。本系统评价和荟萃分析旨在评估可穿戴传感器辅助的HBCR在改善CVD患者心肺适能（CRF）和健康状况方面的有效性。使用相关关键词，检索了2010年至2022年1月期间的PubMed、Scopus、Cinahl、Cochrane图书馆和PsycINFO。共纳入14项以英文撰写的随机对照试验，比较了可穿戴传感器辅助的HBCR与基于中心的心脏康复（CBCR）或常规护理（UC）。与CBCR相比，可穿戴传感器辅助的HBCR显著改善了CRF（Hedges' g = 0.22，95% CI 0.06，0.39；I² = 0%；P = 0.01），而HBCR与UC的比较显示效果不显著（Hedges' g = 0.87，95% CI -0.87，1.85；I² = 96.41%；P = 0.08）。对身体活动、生活质量、抑郁水平、心血管危险因素/实验室参数的改变以及依从性的影响进行了叙述性综合分析。未发现显著差异。在心脏康复时代，技术工具发展迅速，并将基于运动的干预措施推广到更多的居家环境中。可穿戴辅助的HBCR有潜力作为CBCR的辅助手段或替代方案。
