Abstract
This chapter presents the role of physical activity in the risk reduction of cardiovascular disease (CVD). The unique aspects of exercise training and exercise modalities as they pertain to women are discussed. Exercise interventions regarding prescription and progression are recommended and reviewed. Education, counseling, and behavioral issues about cardiac rehabilitation in women are also included. Sections regarding special populations, such as women with different cardiac diagnoses, focuses on myocardial infarction (MI), coronary artery bypass graft (CABG), and heart transplants, as well as issues that involve elderly women. Finally, strategies to improve exercise compliance and cardiac rehabilitation recommendations for women follow.
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References
National Institutes of Health. NIH Consensus Statement: Physical activity and cardiovascular health. NIH Consensus Statement 1995; 13: 1–33.
Bernadet P. Benefits of physical activity in the prevention of cardiovascular diseases. J Cardiovasc Pharmacol 1995; 25 (Suppl 1): 83–58.
Powell KE, Thompson PD, Caspersen CJ, Kendrick JS. Physical activity and the incidence of coronary heart disease. Ann Rev Pub Health 1987; 8: 253–287.
Kokkinos PF, Holland JC, Pittaras AE, et al. Cardiorespiratory fitness and coronary heart disease risk factor association in women. J Am Coll Cardiol 1995; 26: 358–364.
Fletcher GF, Blair SN, Blumenthal J, et al. Benefits and recommendations for physical activity programs for all Americans. A statement for health professionals by the Committee on Exercise and Cardiac Rehabilitation of the Council on Clinical Cardiology, American Heart Association. Circulation 1992; 86: 340–344.
Leon A. Physical Activity and Cardiovascular Health. Human Kinetics, Inc., Champaigne, IL: 1997.
Haapanen N, Miilunpalo S, Vuori I, et al. Characteristics of leisure time physical activity associated with decreased risk of premature all-cause and cardiovascular disease mortality in middle-aged men. Am J Epidemiol 1996; 143: 870–880.
Fletcher GF, Blair SN, Blumenthal J, et al. Statement on exercise: Benefits and recommendations for physical activity programs for all Americans. Circulation 1996; 94: 857–862.
Blair SN, Kampert JB, Kohl HW III, et al. Influences of cardiorespiratory fitness and other precursors on cardiovascular disease and all-cause mortality in men and women. J Am Med Assoc 1995; 276: 205–210.
Blair SN, Kohl HW III, Barlow CE, et al. Changes in physical fitness and all-cause mortality: A prospective study of healthy and unhealthy men. J Am Med Assoc 1995; 273: 1093–1098.
Froelicher ES, Oka RK, Fletcher GF. Evidence Based Cardiology. BMJ Books, London: 1998.
United States Department of Public Health. Counseling to promote physical activity: guide to clinical preventive services: report to the U. S. Preventive Services Task Force. Office of Public Health Sci 1989; 128: 611–624.
Lobstein DD, Mosbacher BJ, Ismail AH. Depression as a powerful discriminator between physically active and sedentary middle-aged men. J Psychosom Res 1983; 27: 69–76.
Sherman SE, D’ Agostino RB, Silbershatz H, Kannel WB. Comparison of past versus recent physical activity in the prevention of premature death and coronary artery disease. Am Heart J 1999; 138: 900–907.
Mosca L, Manson JE, Sutherland SE, et al. Cardiovascular disease in women: A statement for healthcare professionals from the American Heart Association. Circulation 1997; 96: 2468–2482.
Rose VL. American Heart Association releases scientific statement on cardiovascular disease in women. Am Fam Physician 1998; 57: 2873–2876.
Brownson RC, Eyler AA, King AC, et al. Patterns and correlates of physical activity among U. S. women 40 years and older. Am J Public Health 2000; 90: 264–271.
Wenger NK. Coronary heart disease: An older woman’s major health risk. British Med J 1997; 315: 1085–1091.
Christmas C, Anderson RA. Exercise and older patients: Guidelines for the clinician. J Am Geriat Soc 2000; 48: 318–324.
Newton KM, Sivarajan Froelicher ES. Coronary heart disease risk factors. In: Woods SL, Froelicher ES, Motzer SU (ed.). Cardiac Nursing. Lippincott, Philadelphia, PA: 2000, pp. 745–747.
American Heart Association. 2001 Heart and Stroke Statistical Update. American Heart Association, Dallas, TX: 2000.
US Department of Health and Human Services. Physical Activity and Health: A Report of the Surgeon General. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion; Atlanta, GA: 1996.
Dunn AL, Marcus BH, Kampert JB, et al. Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness. Am J Prevent Med 1999; 15: 413–430.
Dunn AL, Marcus BH, Kampert JB, et al. Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness: A randomized trial. J Am Med Asso 1999; 281: 327–334.
Pereira MA, Kriska AM, Day RD, et al. A randomized walking trial in postmenopausal women. Arch Intern Med 1998; 158: 1695–1701.
Manson JE, Hu FB, Rich-Edwards JW, et al. A prospective study of walking as compared with vigorous exercise in the prevention of coronary heart disease in women. N Engl J Med 1999; 341: 650–658.
Folsom AR, Arnett DK, Hutchinson RG, et al. Physical activity and incidence of coronary heart disease in middle-aged women and men. Med Sci Sports Exerc 1997; 29: 901–909.
Bernstein MS, Morabia A, Sloutskis D. Definition and prevalence of sedentarism in an urban population. Am J Pub Health 1999; 89: 862–868.
Mensink GBM, Heerstrass DW, Neppelenbroek SE, et al. Intensity, duration, and frequency of physical activity and coronary risk factors. Med Sci Sports Exerc 1997; 29: 1192–1198.
Pate RR, Pratt M, Blair SN, et al. Physical activity and public health: A recommendation from the Centers for Disease Control and Prevention and the American College of Sports Medicine. J Am Med Assoc 1995; 273: 402–407.
American College of Sports Medicine. ACSM’s Guidelines for Exercise Testing and Prescription, 6th Ed. Lippincott Williams & Wilkins, Baltimore, MD: 2000.
American College of Sports and Medicine. ACSM’s Guidelines for Exercise Testing and Prescription, 5th Ed. Lippincott Williams & Wilkins, Philadelphia, PA: 1998.
Williams MA. Exercise Testing and Training in the Elderly Cardiac Patient. Human Kinetics Publisher, Champaign, IL: 1994.
National Institute of Health. Counseling to promote physical activity. Guide to Clinical Preventive Services, 2nd Ed.; 1996. Available at http://text.nlm.nih.gov/cps/www/cps.61.html: Accessed April 2001.
Smith EL, Gilligan C, McAdam M, et al. Deterring bone loss by exercise intervention in premenopausal and postmenopausal women. Calcif Tissue Int 1989; 44: 312–321.
Dalsky GP, Stocke KS, Ehsani AA, et al. Weight-bearing exercise training and lumbar bone mineral content in postmenopausal women. Ann Intern Med 1988; 108: 824–828.
Bloomfield SA, Williams NI, Lamb DR, et al. Non-weightbearing exercise may increase lumbar spine bone mineral density in healthy postmenopausal women. Am J Phys Med Rehabil 1993; 72: 204–209.
Chow R, Harrison JE, Notarius C. Effect of two randomized exercise programs on bone mass of healthy postmenopausal women. Brit Med J 1987; 295: 1441–1444.
Harris SS, Caspersen CJ, et al. Physical activity counseling for healthy adults as a primary preventive intervention in the clinical setting. J Am Med Assoc 1989; 261: 3590–3598.
Jacobson PC, Beaver W, Grubb SA. Bone density in women: college athletes and older athletic women. J Orthop Res 1984; 2: 8–32.
Chow RK, Harrison JE, et al. Physical fitness effect on bone mass in postmenopausal women. Arch Phys Med Rehabil 1986; 67: 231–234.
Marcus R, Drinkwater B, et al. Osteoporosis and exercise in women. Med Sci Sports Exer 1992; 24: S301 - S307.
Snow-Harter C, Bouxsein ML, Lewis BT, et al. Effects of resistance and endurance exercise on bone mineral status of young women: a randomized exercise intervention trial. J Bone Miner Res 1992; 7: 761–769.
Wenger NK, Froelicher ES, Smith LK, et al. Cardiac Rehabilitation: Clinical Practice Guideline, No. 17. AHCPR Publication No. 96–0672. US DHHS, Public Health Service, Agency for Health Care Policy and Research, and the National Heart, Lung, and Blood Institute; Rockville, MD: 1995.
Fletcher GF, Fernandez V. Screening and evaluation of patients for exercise testing. In: Balady GJ, Pina IL (ed.). Exercise and Heart Failure. Futura Publishing Company, Inc., Armonk, NY: 1997, pp. 311–320.
Fletcher BJ, Dunbar S. Training methods and monitoring of the heart failure patients. In: Balady GJ, Pina IL (ed.). Exercise and Heart Failure. Futura Publishing Company, Inc., Armonk, NY: 1997, pp. 321–328.
Piña IL. Training methods in monitoring of cardiac transplant patients. In: Balady GJ, Pina IL, editors. Exercise and Heart Failure. Futura Publishing Company, Inc., Armonk, NY: 1997, pp. 329–332.
Lieberman L, Meana M, Stewart D. Cardiac rehabilitation: gender differences in factors influencing participation. J Womens Health 1998; 7: 717–723.
McGee HM, Horgan JH. Cardiac rehabilitation programs: Are women less likely to attend? Br Med J 1992; 305: 283–284.
Vidmar PM, Rubinson L. The relationship between self-efficacy and exercise compliance in cardiac rehabilitation. J Cardio Rehabil 1994; 14: 246–254.
Murdaugh C. Coronary artery disease in women. J Cardiovasc Nurs 1990; 4: 35–50.
Schuster PM, Waldron J. Gender differences in cardiac rehabilitation patients. Rehab Nurse 1991; 16: 248–253.
Cannistra LB, Balady GJ, O’Malley CJ, et al. Comparison of the clinical trials, profile, and outcome of women and men in cardiac rehabilitation. Am J Cardiol 1992; 68: 1274–1279.
Ades PA, Waldmann ML, Polk DM, Coslesky JT. Referral patterns and exercise response in rehabilitation of female coronary patients aged 62 years. Am J Cardiol 1992; 69: 1422–1425.
Goble AJ, Worcester MUC. Best Practice Guidelines for Cardiac Rehabilitation and Secondary Prevention. Department of Human Services Victoria, Victoria, Australia: 1999.
Taylor CB, Cameron RP. Psychosocial risk factors: assessment and intervention for depression. In: Wenger NK, Smith LK, Sivarajan Froelicher E, McCall Commoss P (eds.). Cardiac Rehabilitation: A Guide to Practice in the 21° Century. Marcel Dekker, New York: 1999, pp. 263–277.
Dracup K. Cardiac rehabilitation: the role of social support in recovery and compliance. In: Shumaker SA, Czajkowski SM (ed.). Social Support and Cardiovascular Disease. Plenum Press, New York: 1994, pp. 333–353.
Freedland KE, Carney RM, Lustman PJ, et al. Major depression in coronary artery disease patients with versus without a prior history of depression. Psychosom Med 1992; 54: 416–421.
Moore SM, Ruland CM, Pashkow FJ, Blackburn GG. Women’s patterns of exercise following cardiac rehabilitation. Nurs Res 1998; 47: 318–323.
Lemanski KM. The use of self-efficacy in cardiac rehabilitation. Prog Cardiovasc Nurs 1990; 5: 114–117.
Ginzel AR. Women’s compliance with cardiac rehabilitation programs. Prog Cardiovasc Nurs 1996; 11: 30–35.
Fleury JD. The application of motivational theory to cardiovascular risk reduction. Image 1992; 24: 229–239.
Bandura A. Self-efficacy. Toward a unifying theory of behavior change. Psychol Rev 1977; 84: 191–215.
Hawthorn MH. Gender differences in recovery after coronary artery surgery. Image J Nurs Sch 1991; 16: 1026–1034.
Franklin BA, Bonzheim K, Berg T, Bonzheim F. Hospital and home-based cardiac rehabilitation outpatient programs, chapter 15. Heart Disease and Rehabilitation. 3rd ed. Pollock M, Schmidt D (eds.). Human Kinetics, Champaign, IL: 1995.
Comoss PM. Nursing strategies to improve compliance with life-style changes in a cardiac rehabilitation population. J Cardiovasc Nurse 1988; 2: 23–36.
Hilbert GA. Spouse support and myocardial infarction patient compliance. Nursing Res 1985; 34: 217–220.
Moore SM. Women’s views of cardiac rehabilitation programs. J Cardiopulm Rehabil 1996; 16: 123–168.
Moore SM, Kramer FM. Women and men’s preferences for cardiac rehabilitation program features. J Cardiopulm Rehabil 1996; 16: 163–168.
Conn VS, Taylor SG, Abele PB. Myocardial infarction survivors: age and gender differences in physical health, psychosocial state and regimen adherence. J Adv Nurs 1991; 16: 1026–1034.
Oldridge NB, Ragowski B, Gottlieb M. Use of outpatient cardiac rehabilitation services: factors associated with attendance. J Cardiopul Rehabil 1992; 12: 25–31.
Burke LE. Adherence to heart healthy lifestyle — what makes a difference? In: Wenger NK, Smith LK, Froelicher ES, Comoss PM (eds.). Cardiac Rehabilitation, A Guide to Practice in the 21st Century. Marcel Dekker, Inc, New York, NY: 1999, pp. 385–393.
Riegel B, Gocka I. Gender differences in adjustment to acute myocardial infarction. Heart Lung 1995; 24: 457–466.
Sivarajan ES, Newton KM. Exercise, education, and counseling for patients with coronary artery disease. Clin Sports Med 1984; 3: 349–369.
Sivarajan ES, Newton KM. Symposium on cardiac rehabilitation: exercise, education and counseling for patients with coronary artery disease. Clin Sports Med 1984; 3: 349–369.
Sivarajan ES, Newton KM, Almes MJ, et al. Limited effects of out-patient teaching and counseling after myocardial infarction: a controlled study. Heart Lung 1983; 12: 65–73.
Ott CR, Sivarajan ES, Newton KM, et al. A randomized study of early cardiac rehabilitation: the sickness impact profile as an assessment tool. Heart Lung 1983; 12: 162–170.
American Heart Association. Silent Epidemic: The Truth about Women and Heart Disease, American Heart Association, Dallas, TX: 1992.
Berra K, Froelicher ES. Exercise testing. In: Woods SL, Froelicher ES, Halpenny CJ, Motzer SU (eds.). Cardiac Nursing, 3rd ed. Lippincott, Philadelphia, PA: 1995, pp. 387–406.
Sivarajan ES, Halpenny CJ. Exercise testing. Am J Nurs 1979; 79: 2164.
American Heart Association. (March 22, 2001 ). Choose to move. Available: http://www.women.americanheart.org
National Heart, Lung, and Blood Institute & National Institutes of Health. (March 22, 2001 ). Healthy Heart Handbook for Women. Available: http://www.nhlbi.nih.gov
U.S. Department of Health and Human Services. (2001). Women and Smoking: A Report of the Surgeon General. Rockville, MD: U.S. Department of Health and Human Service, Office of the Surgeon General.
Ward A, Morgan WP. Adherence patterns of healthy men and women enrolled in an adult exercise program. J Cardiopulmonary Rehabilitation 1984; 4: 143–152.
Sivarajan ES, Bruce RA, Lindskog BD, Almes MJ, Belanger L, Green B. Treadmill test responses to an early exercise program after myocardial infarction: a randomized study. Circulation 1982: 65: 1420–1428.
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Chiu, E.Y.M., Regis, M.V.T., Froelicher, E.S. (2004). Exercise Training and Cardiac Rehabilitation for Women. In: Shaw, L.J., Redberg, R.F. (eds) Coronary Disease in Women. Contemporary Cardiology. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-645-4_20
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DOI: https://doi.org/10.1007/978-1-59259-645-4_20
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