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Comparing Virtual and Center Based Cardiac Rehabilitation on Changes in Frailty

dc.contributor.authorMacEachern, Evan
dc.contributor.copyright-releaseNot Applicableen_US
dc.contributor.degreeMaster of Scienceen_US
dc.contributor.departmentSchool of Physiotherapy (Rehabilitation Research)en_US
dc.contributor.ethics-approvalReceiveden_US
dc.contributor.external-examinerDr. Caitlin McArthuren_US
dc.contributor.graduate-coordinatorDr. Cheryl Kozeyen_US
dc.contributor.manuscriptsNot Applicableen_US
dc.contributor.thesis-readerDr. Olga Theouen_US
dc.contributor.thesis-readerDr. Nicholas Giacomantonioen_US
dc.contributor.thesis-supervisorDr. Scott Kehleren_US
dc.date.accessioned2022-08-25T14:56:26Z
dc.date.available2022-08-25T14:56:26Z
dc.date.defence2022-07-19
dc.date.issued2022-08-25
dc.descriptionThis is a paper-based thesis, however, the manuscript (Chapter 4) has not been submitted to an academic journal at the time of submitting this thesis.en_US
dc.description.abstractCardiac rehabilitation (CR) is the gold standard for the secondary prevention of cardiovascular disease (CVD). Frailty defines health in ageing and is associated with adverse health outcomes. Evidence suggests traditional CR can reduce frailty levels, with the greatest improvements observed in the most severely frail patients. CR is also offered virtually, whereby patients receive their care remotely. Yet, whether virtual CR can improve patient frailty has not been studied. Here, we compared virtual versus center-based CR on changes in frailty and cardiovascular biomarkers. We observed center (0.14±0.003) versus virtual CR participants (0.07±0.003) had higher baseline frailty, though, we found no effect of cardiac rehabilitation model on change in frailty. Additionally, frailer virtual participants at admission showed greater frailty improvements (-3.810 [-7.360,-0.251], p=.034) and greater reductions in triglyceride (-0.766 [-1.508,-0.025], p=0.04) and cholesterol (-0.660 [-1.229,-0.092], p=.021) than center-based participants. Therefore, we recommend virtual CR as a feasible alternative to traditional CR.en_US
dc.identifier.urihttp://hdl.handle.net/10222/81886
dc.language.isoenen_US
dc.subjectFrailtyen_US
dc.subjectcardiac rehabilitationen_US
dc.subjectvirtual-careen_US
dc.titleComparing Virtual and Center Based Cardiac Rehabilitation on Changes in Frailtyen_US

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