Role of wearable devices in cardiac telerehabilitation: A scoping review.

<h4>Background</h4>Cardiac rehabilitation (CR) is an evidence-based comprehensive program that includes exercise training, health education, physical activity promotion, and extensive counseling for the management of cardiovascular risk factors. Wearable devices monitor certain physiolog...

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Main Authors: Alexis K Jones, Crystal Lihong Yan, Beatriz P Rivera Rodriquez, Sukhpreet Kaur, Sharon Andrade-Bucknor
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0285801
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author Alexis K Jones
Crystal Lihong Yan
Beatriz P Rivera Rodriquez
Sukhpreet Kaur
Sharon Andrade-Bucknor
author_facet Alexis K Jones
Crystal Lihong Yan
Beatriz P Rivera Rodriquez
Sukhpreet Kaur
Sharon Andrade-Bucknor
author_sort Alexis K Jones
collection DOAJ
description <h4>Background</h4>Cardiac rehabilitation (CR) is an evidence-based comprehensive program that includes exercise training, health education, physical activity promotion, and extensive counseling for the management of cardiovascular risk factors. Wearable devices monitor certain physiological functions, providing biometric data such as heart rate, movement, sleep, ECG analysis, blood pressure, energy expenditure, and numerous other parameters. Recent evidence supports wearable devices as a likely relevant component in cardiovascular risk assessment and disease prevention. The purpose of this scoping review is to better understand the role of wearable devices in home-based CR (HBCR) and to characterize the evidence regarding the incorporation of wearable devices in HBCR programs and cardiovascular outcomes.<h4>Methods & findings</h4>We created a search strategy for multiple databases, including PubMed, Embase (Elsevier), CINAHL (Ebsco), Cochrane CENTRAL (Wiley), and Scopus (Elsevier). Studies were included if the patients were eligible for CR per Medicare guidelines and >18 years of age and if some type of wearable device was utilized during HBCR. Our search yielded 57 studies meeting all criteria. The studies were classified into 4 groups: patients with coronary heart disease (CHD) without heart failure (HF); patients with HF; patients with heart valve repair or replacement; and patients with exposure to center-based CR. In three groups, there was an upward trend toward improvement in quality of life (QOL) and peak VO2, less sedentary time, and an increase in daily step count in the intervention groups compared to control groups.<h4>Conclusions</h4>HBCR using wearable devices can be a comparable alternative or adjunct to center-based CR for patients with CHD and HF. More studies are needed to draw conclusions about the comparability of HBCR to center-based CR in patients with heart valve repair or replacement.
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spelling doaj-art-051197cfc6d4410084888fc5dee902442025-02-05T05:32:40ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01185e028580110.1371/journal.pone.0285801Role of wearable devices in cardiac telerehabilitation: A scoping review.Alexis K JonesCrystal Lihong YanBeatriz P Rivera RodriquezSukhpreet KaurSharon Andrade-Bucknor<h4>Background</h4>Cardiac rehabilitation (CR) is an evidence-based comprehensive program that includes exercise training, health education, physical activity promotion, and extensive counseling for the management of cardiovascular risk factors. Wearable devices monitor certain physiological functions, providing biometric data such as heart rate, movement, sleep, ECG analysis, blood pressure, energy expenditure, and numerous other parameters. Recent evidence supports wearable devices as a likely relevant component in cardiovascular risk assessment and disease prevention. The purpose of this scoping review is to better understand the role of wearable devices in home-based CR (HBCR) and to characterize the evidence regarding the incorporation of wearable devices in HBCR programs and cardiovascular outcomes.<h4>Methods & findings</h4>We created a search strategy for multiple databases, including PubMed, Embase (Elsevier), CINAHL (Ebsco), Cochrane CENTRAL (Wiley), and Scopus (Elsevier). Studies were included if the patients were eligible for CR per Medicare guidelines and >18 years of age and if some type of wearable device was utilized during HBCR. Our search yielded 57 studies meeting all criteria. The studies were classified into 4 groups: patients with coronary heart disease (CHD) without heart failure (HF); patients with HF; patients with heart valve repair or replacement; and patients with exposure to center-based CR. In three groups, there was an upward trend toward improvement in quality of life (QOL) and peak VO2, less sedentary time, and an increase in daily step count in the intervention groups compared to control groups.<h4>Conclusions</h4>HBCR using wearable devices can be a comparable alternative or adjunct to center-based CR for patients with CHD and HF. More studies are needed to draw conclusions about the comparability of HBCR to center-based CR in patients with heart valve repair or replacement.https://doi.org/10.1371/journal.pone.0285801
spellingShingle Alexis K Jones
Crystal Lihong Yan
Beatriz P Rivera Rodriquez
Sukhpreet Kaur
Sharon Andrade-Bucknor
Role of wearable devices in cardiac telerehabilitation: A scoping review.
PLoS ONE
title Role of wearable devices in cardiac telerehabilitation: A scoping review.
title_full Role of wearable devices in cardiac telerehabilitation: A scoping review.
title_fullStr Role of wearable devices in cardiac telerehabilitation: A scoping review.
title_full_unstemmed Role of wearable devices in cardiac telerehabilitation: A scoping review.
title_short Role of wearable devices in cardiac telerehabilitation: A scoping review.
title_sort role of wearable devices in cardiac telerehabilitation a scoping review
url https://doi.org/10.1371/journal.pone.0285801
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