Coronary Artery Disease Clinical Trial
Official title:
Is There a Relationship Between Fear of Activity and Functional Capacity in Patients With Coronary Artery Disease? - A Multi-Center Study From Turkey
To identify whether coronary artery disease (CAD) patients have fear of activity, and to assess the relationship between fear of activity and exercise capacity in CAD patients.
Cardiac rehabilitation (CR) is a well-known way of secondary prevention in heart diseases. CR
is shown to be effective in reducing cardiovascular morbidity and mortality. CR also enhances
exercise capacity and quality of life, promotes healthy and active lifestyle and reduces
psychosocial stress and depressive symptoms in coronary artery disease (CAD). Exercise is one
of the most important component of CR. The positive prognostic effect of the exercise on
cardiovascular disease is mediated by mechanisms such as reducing numerous risk factors,
enhancing endothelial function, declining arterial inflammation and stiffness, improving
diastolic function, remodeling of left ventricle, and stabilization of electrical activity.
Each 1 MET increase in functional capacity is known to improve survival by 12 %. Exercise
capacity is a more powerful predictor of mortality among men than other established risk
factors for cardiovascular disease.
The prevalence of fear of activity in CAD, heart failure and female patients have been
studied by several researchers reporting variable results. It ranges from 70% in acute
hospitalized CAD patients to 20% in chronic patients in community. Muscle endurance, steps
per day measured by pedometer, IPAQ were found to be lower in patients with high level of
fear of activity.They did not measure exercise capacity objectively. Research investigating
the effect of fear of activity on exercise capacity in patients with CAD is lacking.
The aim of this study is to identify whether coronary artery disease (CAD) patients have fear
of activity, and to assess the relationship between fear of activity and exercise capacity in
CAD patients. The hypothesis of this study were that CAD patients would have lower exercise
capacity than healthy subjects and CAD patients with higher fear of activity would have lower
exercise capacity.
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