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Activities for Supporting Work Ability of Ageing Workers
Published in Joanna Bugajska, Teresa Makowiec-Dąbrowska, Tomasz Kostka, Individual and Occupational Determinants, 2020
Physical and mental health status, concurrent diseases and social environment of older adults with cardiovascular diseases are the factors that should be considered in personal recommendations for this population, concerning the role of exercise in CVD prevention. In older adults, CVD usually coexist with other comorbidities and functional problems such as sarcopenia, frailty or malnutrition. Exercise-based cardiac rehabilitation has been shown to reduce the risk of cardiovascular mortality and the risk of hospitalization, and to improve quality of life (Anderson et al. 2016). Such benefits may be less clear in multimorbid older adults, e.g. in diabetic patients with long-term mortality increased by 50% following acute myocardial infarction, as compared to patients without such health problems (Gholap et al. 2016). Nevertheless, the overall current evidence indicates that involvement in PA or even sporting activities is beneficial and generally safe, for both healthy older adults and multimorbid or frail ones, provided that adequate safety issues are taken into consideration.
The ratio of heart rate to heart rate variability reflects sympathetic activity during incremental cycling exercise
Published in European Journal of Sport Science, 2022
Yukiya Tanoue, Tomohiro Komatsu, Shihoko Nakashima, Takuro Matsuda, Ryoma Michishita, Yasuki Higaki, Yoshinari Uehara
The current study involved several limitations. First, it was not possible to evaluate Heart rate/LF in patients with arrhythmia, such as atrial fibrillation or premature beats. Second, the participants were healthy young adults. Thus, it remains unclear whether the data would have been similar for patients taking beta-blockers, those with cardiovascular disease, or those with heart failure undergoing cardiac rehabilitation. Further studies are needed to evaluate the usefulness of this method for these patients. Third, in the present study, the exercise testing was performed in a relatively wide time frame (9 am to 5 pm). This time range may have increased inter-subject variability in the values of HR and HRV because of circadian variations. Fourth, catecholamine data were lacking at the end of the exercise, because it was often difficult to collect blood samples from peripheral veins during high-intensity exercise. Therefore, it remains unclear whether Heart rate/LF can evaluate the moment at which sympathetic nervous activity is highest, around the end of the exercise period.
Context-aware system for cardiac condition monitoring and management: a survey
Published in Behaviour & Information Technology, 2022
Godwin Okechukwu Ogbuabor, Juan Carlos Augusto, Ralph Moseley, Aléchia van Wyk
For effective cardiac rehabilitation monitoring, the finalised system will incorporate personalised recommendation module to communicate to the monitored patient regarding his/her health status. Different kinds of recommendation approaches exits ranging from providing a simple user interface to using machine learning techniques. By providing a user interface, the healthcare professional study the outcome of the analysis of the contexts and offer personalised recommendations to the patient; while in the machine learning approach, the system learns from itself and provides the right advice to the subject. The recommendations can be in the form of a text or auditory format and tailored to the patient's specific needs and conditions. The aim of the recommendation is to continue to engage the patient in order to adjust or change behaviour and maintain the change. We formulated the scenario 3 below to explain the proposed framework in a real working environment.
The effects of exercise on VO2peak, quality of life and hospitalization in heart failure patients: A systematic review with meta-analyses
Published in European Journal of Sport Science, 2021
Konstantinos Dallas, Petros C. Dinas, Costas Chryssanthopoulos, George Dallas, Maria Maridaki, Michael Koutsilieris, Anastassios Philippou
The various physical and emotional symptoms that HF patients experience limit their daily physical and social activities and often lead to poor QOL. This review found that exercise intervention improves physical and emotional well-being of HF patients eventually resulting in a better QOL. This positive impact of exercise on QOL was documented by the better scores recorded in the QOL questionnaires following ET, coming to the same conclusion regardless of the scoring method used. The QOL improvements following ET found in this review are in agreement with those previously reported in other meta-analysis studies (Gomes Neto et al., 2014; Jewiss et al., 2016; Sagar et al., 2015; Van der Meer et al., 2012; Van Tol, Huijsmans, Kroon, Schothorst, & Kwakkel, 2006). Similar results were also reported from a recently published meta-analysis based on individual patient data in favour of patients with HFrEF who followed exercise-based cardiac rehabilitation compared to no exercise control group (Taylor et al., 2019). It should be mentioned, however, that a meta-analysis by Chien et al., found no differences in the QOL between the control and exercise group after the ET intervention. The relatively small number of papers (3) and patients (198) used in that meta-analysis (Chien et al., 2008), in combination with the complex nature of QOL and its reliance on self-reported measurements, may account for that inconsistent evidence. Importantly, no studies reported any adverse effects on QOL. Thus, this review suggests that exercise has no negative effects on the QOL of this clinical population and indeed may improve it.