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Nishio R, Dohi T, Yokoyama M, Nakade T, Takahashi N, Chikata Y, Endo H, Nishiyama H, Okai I, Iwata H, Okazaki S, Miyauchi K, Daida H, Minamino T
Wearable Devices in Remote Cardiac Rehabilitation With and Without Weekly Online Coaching for Patients With Coronary Artery Disease: Randomized Controlled Trial
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Effects of Remote Cardiac Rehabilitation Using Wearable Devices with and without Weekly Online Coaching in CAD Patients: A Randomized trial
Ryota Nishio;
Tomotaka Dohi;
Miho Yokoyama;
Taisuke Nakade;
Norihito Takahashi;
Yuichi Chikata;
Hirohisa Endo;
Hiroki Nishiyama;
Iwao Okai;
Hiroshi Iwata;
Shinya Okazaki;
Katsumi Miyauchi;
Hiroyuki Daida;
Tohru Minamino
ABSTRACT
Background:
Cardiac rehabilitation (CR) is effective in preventing cardiovascular diseases; however, the impact of remote CR with wearable devices and online coaching remains unclear. This study investigated the effects of interactive communication between healthcare providers and patients on exercise capacity.
The patients were randomly assigned to an intervention group with online coaching (OLC; n=25) or a control group (CON; n=25). The primary outcomes were changes in peak VO2 and anaerobic threshold (AT) VO2 at 12 weeks. The secondary outcomes were changes in CPET parameters, daily activity, anxiety levels, and health-related quality of life.
Results:
Peak VO2 and AT VO2 increased significantly from baseline to 12 weeks in the OLC (+1.6 mL/kg/min, p<0.001; +1.0 mL/kg/min, p=0.001) and CON (+0.6 mL/kg/min, p=0.008; +1.3 mL/kg/min, p=0.002) groups with no significant between-group differences (p=0.65; p=0.9). In the latter half of the intervention, the daily distance and highly active time in the OLC group were significantly increased compared with those in the CON group (all p<0.05).
Conclusions:
Exercise tolerance improves with appropriate exercise coaching and use of wearable devices in patients with CAD participating in remote CR programs. The benefits of online coaching using real-time monitoring may become more pronounced in the long term. Clinical Trial: UMIN 000047789
Citation
Please cite as:
Nishio R, Dohi T, Yokoyama M, Nakade T, Takahashi N, Chikata Y, Endo H, Nishiyama H, Okai I, Iwata H, Okazaki S, Miyauchi K, Daida H, Minamino T
Wearable Devices in Remote Cardiac Rehabilitation With and Without Weekly Online Coaching for Patients With Coronary Artery Disease: Randomized Controlled Trial