Optimal Gender-Specific Strategies for the Secondary Prevention of Heart Disease in Women: A SYSTEMATIC REVIEW

Rao, A; Newton, PJ; DiGiacomo, M; Hickman, LD; Hwang, C; Davidson, PM

Optimal Gender-Specific Strategies for the Secondary Prevention of Heart Disease in Women: A SYSTEMATIC REVIEW

Rao, A

Newton, PJ

DiGiacomo, M

Hickman, LD

Hwang, C Davidson, PM

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Publication Type:: Journal Article
Citation:: Journal of cardiopulmonary rehabilitation and prevention, 2018, 38 (5), pp. 279 - 285
Issue Date:: 2018-09-01

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Field	Value	Language
dc.contributor.author	Rao, A https://orcid.org/0000-0002-7904-5556	en_US
dc.contributor.author	Newton, PJ https://orcid.org/0000-0002-5006-2037	en_US
dc.contributor.author	DiGiacomo, M https://orcid.org/0000-0001-5484-8224	en_US
dc.contributor.author	Hickman, LD https://orcid.org/0000-0002-5116-6559	en_US
dc.contributor.author	Hwang, C	en_US
dc.contributor.author	Davidson, PM https://orcid.org/0000-0003-2050-1534	en_US
dc.date.available	2020-05-25T19:03:18Z
dc.date.issued	2018-09-01	en_US
dc.identifier.citation	Journal of cardiopulmonary rehabilitation and prevention, 2018, 38 (5), pp. 279 - 285	en_US
dc.identifier.uri	http://hdl.handle.net/10453/130471
dc.description.abstract	BACKGROUND: There is a paucity of evidence on gender-specific, individually tailored secondary prevention (cardiac rehabilitation [CR]) services for women with heart disease. Women participate less in CR programs, thus increasing their risk of further cardiac events. This review aims to (1) determine the effectiveness of gender-specific interventions specifically designed for women with heart disease, delivered in outpatient CR settings; and (2) classify key elements of effective CR strategies/models for women with heart disease. METHODS: Using the PRISMA guidelines, this is a systematic review of CR models tailored to women to improve cardiovascular risk. Four databases were searched for randomized controlled trials (RCTs) between January 1974 and July 2017 published in peer-reviewed English language journals. RESULTS: Three RCTs comprising 725 women of gender-specific CR strategies were identified. Significant improvements were found in one-third (1 study) of the included multicomponent CR strategies for outcomes including general health, social functioning, vitality, mental health, depression, and quality of life. CONCLUSION: Further large-scale RCTs are required to replicate positive findings and accurately assess the capacity for gender-specific multicomponent CR programs that incorporate participant-driven collaborative models to moderate psychological risk and improve functional capacity and quality of life for women with heart disease.	en_US
dc.relation	http://purl.org/au-research/grants/arc/DP120101148
dc.relation.ispartof	Journal of cardiopulmonary rehabilitation and prevention	en_US
dc.relation.isbasedon	10.1097/HCR.0000000000000335	en_US
dc.subject.classification	Cardiovascular System & Hematology	en_US
dc.subject.mesh	Humans	en_US
dc.subject.mesh	Heart Diseases	en_US
dc.subject.mesh	Sex Factors	en_US
dc.subject.mesh	Female	en_US
dc.subject.mesh	Randomized Controlled Trials as Topic	en_US
dc.subject.mesh	Secondary Prevention	en_US
dc.subject.mesh	Cardiac Rehabilitation	en_US
dc.title	Optimal Gender-Specific Strategies for the Secondary Prevention of Heart Disease in Women: A SYSTEMATIC REVIEW	en_US
dc.type	Journal Article
utslib.citation.volume	5	en_US
utslib.citation.volume	38	en_US
utslib.for	1102 Cardiorespiratory Medicine and Haematology	en_US
pubs.embargo.period	Not known	en_US
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/IMPACCT
pubs.organisational-group	/University of Technology Sydney/Faculty of Health/Nursing
pubs.organisational-group	/University of Technology Sydney/Strength - CHSP - Health Services and Practice
utslib.copyright.status	open_access
pubs.issue	5	en_US
pubs.publication-status	Published	en_US
pubs.volume	38	en_US

Abstract:

BACKGROUND: There is a paucity of evidence on gender-specific, individually tailored secondary prevention (cardiac rehabilitation [CR]) services for women with heart disease. Women participate less in CR programs, thus increasing their risk of further cardiac events. This review aims to (1) determine the effectiveness of gender-specific interventions specifically designed for women with heart disease, delivered in outpatient CR settings; and (2) classify key elements of effective CR strategies/models for women with heart disease. METHODS: Using the PRISMA guidelines, this is a systematic review of CR models tailored to women to improve cardiovascular risk. Four databases were searched for randomized controlled trials (RCTs) between January 1974 and July 2017 published in peer-reviewed English language journals. RESULTS: Three RCTs comprising 725 women of gender-specific CR strategies were identified. Significant improvements were found in one-third (1 study) of the included multicomponent CR strategies for outcomes including general health, social functioning, vitality, mental health, depression, and quality of life. CONCLUSION: Further large-scale RCTs are required to replicate positive findings and accurately assess the capacity for gender-specific multicomponent CR programs that incorporate participant-driven collaborative models to moderate psychological risk and improve functional capacity and quality of life for women with heart disease.

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http://hdl.handle.net/10453/130471