Effectiveness of alternative versus traditional exercises on cardiac rehabilitation program utilization in women with or at high risk of cardiovascular disease: a systematic review protocol

Author: Orathai Suebkinorn1,2, Joyce S Ramos1,2, Sherry L Grace3,4, Lemlem G Gebremichael1,2, Norma Bulamu1,2, Maria Alejandra Pinero de Plaza1,2,5, Hila A Dafny1,2, Vincent Pearson1,2, Sonia Hines2,6, Lance C Dalleck7, Jeff S Coombes8, Jeroen M Hendriks1,2,9, Robyn A Clark1,2, Alline Beleigoli1,2
Affiliation:
1 Caring Future Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.
2 Mparntwe Centre for Evidence in Health, Flinders University: A JBI Centre of Excellence, Alice Springs, NT, Australia.
3 Faculty of Health, York University, Toronto, ON, Canada.
4 KITE-Toronto Rehabilitation Institute & Peter Munk Cardiac Centre, University Health Network, University of Toronto, Toronto, ON, Canada.
5 National Health and Medical Research Council, Transdisciplinary Centre of Research Excellence in Frailty and Healthy Ageing, Adelaide, SA, Australia.
6 Flinders Rural and Remote Health, NT, College of Medicine and Public Health, Flinders University, Adelaide, SA, Australia.
7 Recreation, Exercise, and Sport Science Department, Western Colorado University, Gunnison, CO, USA.
8 School of Human Movement and Nutrition Sciences, University of Queensland, Brisbane, QLD, Australia.
9 Centre for Heart Rhythm Disorders, the University of Adelaide and the Royal Adelaide Hospital, Adelaide, SA, Australia.
Conference/Journal: JBI Evid Synth
Date published: 2023 Jul 12
Other: Special Notes: doi: 10.11124/JBIES-22-00394. , Word Count: 266


Objective:
This review will evaluate the effectiveness of alternative versus traditional forms of exercise on cardiac rehabilitation program utilization and other outcomes in women with or at high risk of cardiovascular disease.

Introduction:
Exercise-based cardiac rehabilitation programs improve health outcomes in women with or at high risk of cardiovascular disease. However, such programs are underutilized worldwide, particularly among women. Some women perceive traditional gym-based exercise in cardiac rehabilitation programs (eg, typically treadmills or cycle ergometers, or traditional resistance training) to be excessively rigorous and unpleasant, resulting in diminished participation and completion. Alternative forms of exercise such as yoga, tai chi, qi gong, or Pilates may be more enjoyable and motivating exercise options for women, enhancing engagement in rehabilitation programs. However, the effectiveness of these alternative exercises in improving program utilization is still inconsistent and needs to be systematically evaluated and synthesized.

Inclusion criteria:
This review will focus on randomized controlled trials. The review will include studies measuring the effectiveness of alternative versus traditional forms of exercise on cardiac rehabilitation program utilization as well as clinical, physiological, or patient-reported outcomes in women with or at high risk of cardiovascular disease.

Methods:
The review will follow the JBI methodology for systematic reviews of effectiveness. Databases including MEDLINE (Ovid), CINAHL (EBSCOhost), Cochrane CENTRAL, Embase (Ovid), Emcare (Ovid), Scopus, Web of Science, LILACS, and PsycINFO (Ovid) will be searched. Two independent reviewers will screen articles and then extract and synthesize data. Methodological quality will be assessed using JBI's standardized instruments. GRADE will be used to determine the certainty of evidence.

Systematic review registration number:
PROSPERO CRD42022354996.


PMID: 37435676 DOI: 10.11124/JBIES-22-00394

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