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Title: | Impact of activity trackers on secondary prevention in patients with coronary artery disease: a systematic review and meta-analysis | Authors: | TOSHIKI, Kaihara Intan-Goey, Valent SCHERRENBERG, Martijn FALTER, Maarten FREDERIX, Ines DENDALE, Paul |
Issue Date: | 2022 | Publisher: | OXFORD UNIV PRESS | Source: | European Journal of Preventive Cardiology, 29 (7) , p. 1047-1056 | Abstract: | Aims Coronary artery disease (CAD) is related to high rates of morbidity and mortality among cardiovascular diseases (CVDs). Activity trackers have been used in cardiac rehabilitation (CR) in the last years. However, their effectiveness to influence outcomes after CAD is debated. This review summarizes the latest data of impact of activity trackers on CVD risk and outcomes: peak oxygen consumption (VO2), major adverse cardiovascular events (MACE), quality of life (QoL), and low-density lipoprotein-cholesterol (LDL-C). Methods and results Articles from 1986 to 2020 in English were searched by electronic databases (PubMed, Cochrane Library, and Embase). Inclusion criteria were: randomized controlled trials of CAD secondary prevention using an activity tracker which include at least peak VO2, MACE, QoL, or LDL-C as outcomes. Meta-analysis was performed. After removing duplicates, 604 articles were included and the screening identified a total of 11 articles. Compared to control groups, intervention groups with activity trackers significantly increased peak VO2 [mean difference 1.54; 95% confidence interval (CI) (0.50-2.57); P = 0.004] and decreased MACE [risk ratio 0.51; 95% CI (0.31-0.86); P = 0.01]. Heterogeneity was low (I-2 = 0%) for MACE and high (I-2 = 51%) for peak VO2. Intervention with an activity tracker also has positive impact on QoL. There was no between-group difference in LDL-C. Conclusion CR using activity trackers has a positive and multi-faceted effect on peak VO2, MACE, and QoL in patients with CAD. | Notes: | Dendale, P (corresponding author), Jessa Hosp, Heart Ctr Hasselt, Stadsomvaart 11, B-3500 Hasselt, Belgium.; Dendale, P (corresponding author), UHasselt, Fac Med & Life Sci, Agoralaan Gebouw D, B-3590 Diepenbeek, Belgium. paul.dendale@jessazh.be |
Keywords: | Activity tracker;Secondary prevention;Coronary artery disease | Document URI: | http://hdl.handle.net/1942/36808 | ISSN: | 2047-4873 | e-ISSN: | 2047-4881 | DOI: | 10.1093/eurjpc/zwab146 | ISI #: | 000756560200001 | Rights: | The Author(s) 2021. For permissions, please email: journals.permissions@oup.com. Free access | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2023 |
Appears in Collections: | Research publications |
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OP-EURJ210436 1047..1056.pdf | Published version | 729.02 kB | Adobe PDF | View/Open |
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