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Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease

Key Message

This study confirms that exercise-based cardiac reabilitation reduces cardiovascular mortality and provides data showing reductions in hospital admissions and improvements in quality of life. 

Source

Anderson, Lindsey et al. (2016). Exercise-Based Cardiac Rehabilitation for Coronary Heart Disease : Cochrane Systematic Review and Meta-Analysis. Journal of the American College of Cardiology. 67(1):1-12. doi:10.1016/j.jacc.2015.10.044

Purpose

Although recommended in guidelines for the management of coronary heart disease (CHD), concerns have been raised about the applicability of evidence from existing meta-analyses of exercise-based cardiac rehabilitation (CR). The goal of this study is to update the Cochrane systematic review and meta-analysis of exercise-based CR for CHD. 

Evidence

A total of 63 studies with 14,486 participants with median follow-up of 12 months were included. Overall, CR led to a reduction in cardiovascular mortality (relative risk: 0.74; 95% confidence interval: 0.64 to 0.86) and the risk of hospital admissions (relative risk: 0.82; 95% confidence interval: 0.70 to 0.96). There was no significant effect on total mortality, myocardial infarction, or revascularization. The majority of studies (14 of 20) showed higher levels of health-related quality of life in 1 or more domains following exercise-based CR compared with control subjects.

Benefit Statements / Outcomes

Leadership Provided By:

  • Leisure Information Network (LIN)
  • Alberta Recreation and Parks Association

On Behalf Of:

  • Canadian Parks and Recreation Association (CPRAA)

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