Exercise as a Life-long Medicine in Patients With Coronary Artery Disease

Norwegian University of Science and Technology

Status: Completed

Conditions: Angina (Stable); Myocardial Infarction; Cardiovascular Diseases

Treatments: Behavioral: web-based follow-up program; Behavioral: high-intensity exercise training; Behavioral: usual care

Study type: Interventional

Funder types: Other

Identifiers

NCT02228603

2014/92

Details and patient eligibility

About

Exercise training is a core component in cardiac rehabilitation. Exercise adherence is, however, low after rehabilitation and the transition from supervised to unsupervised exercise is problematic for many patients with coronary artery disease. Therefore, it is important to provide extended services to improve exercise adherence and healthy lifestyle changes.

The aim of this study is to assess the effect of a time-limited intervention following out-patient cardiac rehabilitation on exercise adherence and cardiovascular risk reduction.

Enrollment: 161 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• myocardial infarction, stable angina, heart surgery
• finished phase 2 cardiac rehabilitation
• clinically stable
• able to communicate in Norwegian
• able to do a maximal treadmill test

Exclusion criteria

• unstable angina
• serious cardiac arrhythmia
• serious heart valve insufficiency
• heart failure
• any contraindication for high intensity exercise training
• participation in other exercise study
• pregnancy
• cognitive impairment
• drug abuse

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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161 participants in 3 patient groups

high-intensity exercise

Experimental group

Description:

community-based group program: weekly supervised high-intensity exercise training during 8 weeks, followed by group counselling every third month for 12 months

Treatment:

Behavioral: high-intensity exercise training

web-based follow-up

Active Comparator group

Description:

web-based follow-up program: home-based group will be followed up by mail and telephone calls the first 8 weeks, then every third month for 12 months

Treatment:

Behavioral: web-based follow-up program

control

Other group

Description:

control group will receive usual care: information about recommended physical activity and healthy lifestyle

Treatment:

Behavioral: usual care