title: Effects of phase III cardiac rehabilitation programs on health-related quality of life in elderly patients with coronary artery disease: Juntendo Cardiac Rehabilitation Program (J-CARP).
abstract: The purpose of this prospective randomized controlled trial was to assess the impact of phase III comprehensive cardiac rehabilitation (CR) on health-related quality of life (HRQOL) in elderly patients with coronary artery disease (CAD). Thirty-eight elderly males (mean age, 70 years) with CAD were stratified as the intervention group (n=20) and the control group (n=18). In the intervention group, patients participated in CR for 6 months, whereas in the control group, they received standard care. Validated questionnaires were obtained to evaluate HRQOL using the Medical Outcome Study Short-Form 36 Health Status Survey (SF-36), State-trait anxiety inventory questionnaire (STAI) and Self-rating Depression Scale (SDS) at baseline and after 6 months. At baseline, scores of SF-36 except for general health, STAI and SDS were not different in either group. After 6 months, in the intervention group, scores of bodily pain, general health, vitality and mental health of SF-36 improved significantly compared with baseline. State anxiety scores also improved significantly (p<0.01), but SDS depression scores were not improved. In the control group, none of the parameters significantly changed. These results indicate that elderly patients with CAD should be vigorously encouraged to pursue CR even in chronic phase III.
authors.affiliation: Department of Cardiology, Juntendo University School of Medicine, Tokyo, Japan. eriko@med.juntendo.ac.jp
authors.forename: Eriko
authors.initials: E
authors.lastname: Seki
authors.forename: Yoshiro
authors.initials: Y
authors.lastname: Watanabe
authors.forename: Satoshi
authors.initials: S
authors.lastname: Sunayama
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Iwama
authors.forename: Kazunori
authors.initials: K
authors.lastname: Shimada
authors.forename: Kazunobu
authors.initials: K
authors.lastname: Kawakami
authors.forename: Mizue
authors.initials: M
authors.lastname: Sato
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sato
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Mokuno
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Daida
mesh_terms: D000368:Aged; D001007:Anxiety / Q000209:etiology / Q000523:psychology; D003327:Coronary Disease / Q000503:physiopathology* / Q000523:psychology / Q000534:rehabilitation* / Q000628:therapy; D003863:Depression / Q000209:etiology / Q000523:psychology; D005081:Exercise Therapy; D006304:Health Status; D006801:Humans; D008297:Male; D008603:Mental Health; D010807:Physical Endurance; D011788:Quality of Life; D011795:Surveys and Questionnaires; D013997:Time Factors; D016896:Treatment Outcome