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Increasing Energy Expenditure of Cardiac Rehabilitation Patients

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abstract
The primary aim of this intervention was to determine if a bi-weekly behavioral intervention, including energy expenditure feedback collected from an accelerometer, would increase the exercise/physical activity energy expenditure of cardiac rehabilitation program (CRP) patients, particularly on days that they do not attend CRP. Our secondary aim was to determine if an increase in energy expenditure would result in greater improvements in body weight, % body fat, and functional capacity. Eleven new patients enrolling in CRP were randomized into two groups (UC: usual care, SG: study group). Both groups received services of a multi-disciplinary CRP, and bi-weekly educational lessons, designed to increase physical activity. Only those in SG received feedback on energy expenditure, as collected from an accelerometer, in combination with behavioral intervention. Mann Whitney U-test showed significant differences U = 4, p < .05, between groups, from baseline to follow-up for exercise/physical activity energy expenditure on non-CRP days. Paired t-tests, run on the combined sample, revealed a significant increase (p = .007) from baseline to follow-up for CRP energy expenditure, and a significant increase (p = .001) from baseline to follow-up for METs. This intervention was successful at preventing a decline in energy expenditure on non-training (non-CRP) days. Although the study design had several limitations, the results of this pilot study are encouraging.
subject
ACCELEROMETERS
CARDIAC REHABILITATION
ENERGY EXPENDITURE
PHYSICAL ACTIVITY
contributor
Kreshel, Leigh Anne (author)
sundermanleigh@hotmail.com (authorEmail)
W. Jack Rejeski, PhD. (committee chair)
Peter H. Brubaker (committee member)
Paul Ribisl, PhD. (committee member)
creator
Kreshel, Leigh Anne
date
2008-09-28T10:50:42Z (accessioned)
2010-06-18T18:59:41Z (accessioned)
2003-06-05 (available)
2008-09-28T10:50:42Z (available)
2010-06-18T18:59:41Z (available)
2002-05-01 (issued)
degree
null (defenseDate)
Health & Exercise Science (discipline)
Wake Forest University (grantor)
MS (level)
identifier
kreshella_05_2002.pdf
http://hdl.handle.net/10339/14880 (uri)
migration
etd-05132002-130422 (oldETDId)
rights
Release the entire work immediately for access worldwide. (accessRights)
I hereby certify that, if appropriate, I have obtained and attached hereto a written permission statement from the owner(s) of each third party copyrighted matter to be included in my thesis, dissertation, or project report, allowing distribution as specified below. I certify that the version I submitted is the same as that approved by my advisory committee. I hereby grant to Wake Forest University or its agents the non-exclusive license to archive and make accessible, under the conditions specified below, my thesis, dissertation, or project report in whole or in part in all forms of media, now or hereafter known. I retain all other ownership rights to the copyright of the thesis, dissertation or project report. I also retain the right to use in future works (such as articles or books) all or part of this thesis, dissertation, or project report. (license)
title
Increasing Energy Expenditure of Cardiac Rehabilitation Patients

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