JMIR Kind Res. 2022 Apr 29;6(4):e32625. doi: 10.2196/32625.
ABSTRACT
BACKGROUND: Atrial fibrillation is often related to weight problems. Observational research have proven that weight reduction is related to improved prognosis and a lower in atrial fibrillation frequency and severity. Nevertheless, regardless of these advantages, nonadherence to life-style packages is frequent.
OBJECTIVE: On this examine, we evaluated adherence to and feasibility of a multidisciplinary life-style program specializing in habits change in sufferers with atrial fibrillation and weight problems.
METHODS: Sufferers with atrial fibrillation and weight problems participated in a 1-year goal-oriented cardiac rehabilitation program. After baseline evaluation, the primary 3 months included a cardiac rehabilitation intervention with 4 mounted modules: life-style counseling (with a sophisticated nurse practitioner), train coaching, dietary session, and psychosocial remedy; leisure periods have been an extra non-compulsory therapy module. A complicated nurse practitioner monitored the non-public life-style of every particular person affected person, with assessments and consultations at 3 months (ie, instantly after the intervention) and on the finish of the yr (ie, 9 months after the intervention). At every timepoint, degree of bodily exercise, private targets and progress, atrial fibrillation signs and frequency (Atrial Fibrillation Severity Scale), psychosocial stress (Generalized Anxiousness Dysfunction-7), and despair (Affected person Well being Questionnaire-9) have been assessed. The first endpoints have been adherence (outlined because the variety of visits attended as proportion of the variety of deliberate visits) and completion charges of the cardiac rehabilitation intervention (outlined as performing at the very least of 80% of the prescribed periods). As well as, we carried out an exploratory evaluation of results of the cardiac rehabilitation program on weight and atrial fibrillation symptom frequency and severity.
RESULTS: Sufferers with atrial fibrillation and weight problems (male: n=8; feminine: n=2; age: imply 57.2 years, SD 9.0; baseline weight: imply 107.2 kg, SD 11.8; baseline BMI: imply 32.4 kg/m2, SD 3.5) have been recruited. Of the ten individuals, 8 individuals accomplished the 3-month cardiac rehabilitation intervention, and a pair of individuals didn’t full the cardiac rehabilitation intervention (each due to private points). Adherence to the mounted therapy modules was 95% (imply 3.8 periods attended out of imply 4 deliberate) for life-style counseling, 86% (imply 15.2 periods attended out of imply 17.6 deliberate) for physiotherapy periods, 88% (imply 3.7 periods attended out of imply 4.1 deliberate) for dietician consultations, and 60% (imply 0.6 periods attended out of imply 1.0 deliberate) for psychosocial remedy; 70% of individuals (7/10) have been referred to the non-compulsory leisure periods, for which adherence was 86% (imply 2 periods attended out of imply 2.4 deliberate). The frequency of atrial fibrillation signs was decreased instantly after the intervention (earlier than: imply 35.6, SD 3.8; after: imply 31.2, SD 3.3), and this was sustained at 12 months (imply 24.8, SD 3.2). The severity of atrial fibrillation complaints instantly after the intervention (imply 20.0, SD 3.7) and at 12 months (imply 9.3, SD 3.6) have been corresponding to that at baseline (imply 16.6, SD 3.3).
CONCLUSIONS: A 1-year multidisciplinary life-style program for overweight sufferers with atrial fibrillation was discovered to be possible, with excessive adherence and completion charges. Exploratory evaluation revealed a sustained discount in atrial fibrillation signs; nonetheless, these outcomes stay to be confirmed in large-scale research.
PMID:35486435 | DOI:10.2196/32625
