RecruitingNCT05817305

Integrating Exercise Into Lifestyle of Cardiac Outpatients

Efficacy of an Exercise-based Secondary Prevention Program in Patients With Stable Cardiovascular Disease

Sponsor

Università degli Studi di Ferrara

Enrollment

5,000 participants

Start Date

Jan 1, 1997

Study Type

OBSERVATIONAL

Conditions

Quality of Life Cardiovascular Diseases Physical Inactivity Aging Physician-Patient Relations

Summary

The purpose of the study is to investigate the long-term effects of a personalized physical activity program on exercise capacity and quality of life in patients with stable cardiovascular disease. The analysis also intends to evaluate the prognostic value of cardiovascular function estimated through a walking test (1km Treadmill Walking Test, 1k-TWT) in relation to survival, hospitalization, and medical costs. The program considers clinical, socio-economic, and behavioural aspects, psychological support, and risk factor control. Patients receive indications for carrying out a home training program based on the performance of moderate-intensity aerobic activity at least 3-4 days a week for at least 30-60 minutes a day. All patients are also encouraged to improve their daily habits by preferring a more active lifestyle both at home and at work.

Eligibility

Min Age: 18 Years

Inclusion Criteria1

the presence of one or more previous cardiovascular events

Exclusion Criteria5

Ejection fraction \< 30%
Chronic heart failure NYHA III-IV
Severe aortic or mitral valvulopathy
Severe physical or cognitive impairment
Exercise-induced complex arrhythmias

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Interventions

OTHERMedical history and functional evaluation

During each session, physical parameters are measured and data on medical history and physical activity are collected. To assess cardiorespiratory fitness, all patients complete a submaximal, moderate, and perceptually regulated treadmill walking test (1k-TWT). Patients unable to complete the test at a walking speed ≥ 3.0 km/h perform the test over 500m or 200m.

OTHERHealth education

Patients receive recommendations for risk factor management as well as continuous motivational counselling in order to develop and maintain a stable active lifestyle.