Association of Frailty and Depressive Symptoms With the Establishment of Exercise Habits in Patients Undergoing Outpatient Cardiac Rehabilitation.
Tsubasa Yokote, Takatoshi Nishimura, Shoichiro Furukawa and 1 others
PMID 38163025WHAT IT FOUND
Frailty only, not depressive symptoms, was linked to fewer patients establishing exercise habits during outpatient cardiac rehabilitation.
Check grip and walking before discharge and build graded, confidence-focused exercise plans.
Key findings
01After adjustment, frailty only was significantly associated with lower odds of establishing exercise habits.
02Depressive symptoms alone were not significantly associated with establishing exercise habits.
03The frailty and depressive symptoms group had only 10 cases, so its result should not be read as a stable finding.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study was retrospective and used routine records, so it shows association but cannot prove that frailty caused poorer exercise habits. Patients who stopped attending within 1 month or had missing outcome data were excluded, so the analysed 242 patients may not represent all patients who started outpatient cardiac rehabilitation. Exercise intensity was not recorded, so patients meeting the same time and frequency definition may have exercised at very different intensities. The frailty and depressive symptoms group had only 10 cases, so its result is unstable. Depressive symptoms were measured before discharge with a questionnaire, and pre-admission depressive symptoms were not assessed, so it is unclear whether symptoms related to the hospitalization or the disease. The exercise habit definition covered time and frequency during outpatient cardiac rehabilitation, but it did not measure how long habits continued after completion.
The easy way to misread this
Do not conclude that depressive symptoms alone prevent patients from establishing exercise habits. The depressive symptoms-only group did not have a significant association, and the frailty and depressive symptoms group had only 10 cases.