Relationship Between Health-Related Quality of Life and Exercise Tolerance Improvement in Remote Cardiac Rehabilitation: Sub-Analysis of RecRCR Study
<b>Background:</b> Remote cardiac rehabilitation (RCR) is emerging alternative to outpatient rehabilitation. However, evidence related to its effect on health-related quality of life (HRQOL) is limited. <b>Methods:</b> This is a sub-analysis of the RecRCR study, a multi-center, nonrandomized trial evaluating the efficacy and safety of RCR with real-time telemonitoring in patients with CVD, after discharge. The Short-Form Health Survey-8 was employed to evaluate the HRQOL before and 2-3 months after RCR. Based on the improvement of exercise tolerance, the patients were divided into I group (>10% improvement) and NI group (≤10% improvement). <b>Results:</b> Of 57 patients who completed RCR, 31 patients were included for analysis of HRQOL, including 15 (I group) and 16 patients (NI group). The physical (PCS) (45.5 ± 8.0 to 52.5 ± 4.0, <i>p</i> < 0.001) and mental (MCS) component scores (47.5 ± 7.9 to 51.0 ± 5.6, <i>p</i> = 0.005) improved significantly in all populations following RCR. The PCS improved significantly in the I and NI groups, respectively. By contrast, only in the I group, the MCS improved. However, the change in PCS or MCS was not significantly different between the two groups. The increases of MCS significantly associated with days from admission to the beginning of RCR (rs = -0.51, <i>p</i> = 0.007). <b>Conclusions:</b> In multifaced contents of HRQOL, the scores in PCS or MCS changed differently from the change in exercise capacity.
Authors
- Norihiko Takeda (ORCID: https://orcid.org/0000-0003-1023-6116)
- Yusuke Ugata
- Tatsuo Tokeshi (ORCID: https://orcid.org/0009-0001-1306-6207)
- Eisuke Amiya (ORCID: https://orcid.org/0000-0003-2810-8040)
- Yutaka Kimura
- Kôichi Narita (ORCID: https://orcid.org/0000-0002-9283-041X)
- Yoko Kurumatani (ORCID: https://orcid.org/0009-0009-7270-7439)
- Masanobu Taya (ORCID: https://orcid.org/0000-0002-3432-6709)
- Shigeru Makita (ORCID: https://orcid.org/0000-0002-2364-3928)
- Ryoji Taniguchi (ORCID: https://orcid.org/0000-0002-0373-4443)
- Koichiro Kuwahara (ORCID: https://orcid.org/0000-0003-2670-7170)
- Hisao Oka (ORCID: https://orcid.org/0009-0000-4377-184X)
- Hidetaka Itoh (ORCID: https://orcid.org/0000-0001-6610-6201)
- Soichiro Usui (ORCID: https://orcid.org/0000-0003-1752-8082)
- Daisuke Kutsuzawa (ORCID: https://orcid.org/0000-0002-0542-2267)
- Ayumi Date (ORCID: https://orcid.org/0009-0004-9193-3603)
- Takanori Yasu (ORCID: https://orcid.org/0000-0002-1940-2347)
- H. Shimizu (ORCID: https://orcid.org/0000-0002-6599-5358)
- Toshiaki Kadokami (ORCID: https://orcid.org/0000-0001-9017-700X)
- Takashi Hasegawa (ORCID: https://orcid.org/0000-0001-9289-5793)
- Takahiro Jimba (ORCID: https://orcid.org/0000-0002-3757-3959)
- Masakazu Sogawa
- Masanori Kanazawa
- Issei Komuro (ORCID: https://orcid.org/0000-0002-0714-7182)
- Takahiro Okumura (ORCID: https://orcid.org/0000-0001-5076-2052)
- Shinichiro Fujishima
- Mai Shimbo (ORCID: https://orcid.org/0000-0002-1949-6750)
- Hiroyoshi Yokoi (ORCID: https://orcid.org/0000-0002-4972-3723)
- Hirokazu Shiraishi (ORCID: https://orcid.org/0000-0002-2421-3647)
- Hitoshi Adachi
- Kazuo Mizutani
- Shigeo Sugawara (ORCID: https://orcid.org/0009-0006-1198-1029)
- Teruyuki Koyama
- Hisakuni Sekino
- Miho Nishitani Yokoyama (ORCID: https://orcid.org/0000-0001-8795-2095)
- Shin-ichiro Miura
- Yuko Kaji
- Kagami Hirabayashi
- Katsuhiko Ohori
- Takahisa Noma
- Yuta Ishizaki
Institutions
- Kanazawa University (JP)
- Kurume University (JP)
- Yamagata University (JP)
- Kansai Medical University (JP)
- Shinshu University (JP)
- Jichi Medical University (JP)
- Asahikawa Medical University (JP)
- Kagawa University (JP)
- Fukuoka University (JP)
- Juntendo University (JP)
- Kyoto Prefectural University of Medicine (JP)
- Iwate Prefectural Central Hospital (JP)
- Cardiovascular Center Hokkaido Ohno Hospital (JP)
- Nagasaki Ajisai Hospital (JP)
- Hiroshima Kyoritsu Hospital (JP)
- Kameda Medical Center (JP)
- Maruyama Memorial General Hospital (JP)
- Nihonkai General Hospital (JP)
- Fukui-ken Saiseikai Hospital (JP)
- Gunma Prefectural Cardiovascular Center (JP)
- Hyogo Prefectural Amagasaki General Medical Center (JP)
- National Institute of Technology, Tomakomai College (JP)
- Nippon Steel Yawata Memorial Hospital (JP)
- Hiraka General Hospital (JP)
- Rokko Island Kohnan Hospital (JP)
- Jichi Medical University Saitama Medical Center (JP)
- Nagoya University (JP)
- The University of Tokyo (JP)
- Dokkyo Medical University (JP)
- International University of Health and Welfare (JP)
- Saitama Medical University (JP)
Publication Details
- Journal
- Journal of Clinical Medicine
- Published
- 2025-05-08
- DOI
- https://doi.org/10.3390/jcm14103265
- Primary Topic
- Cardiac Health and Mental Health
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Japan Agency for Medical Research and Development
- University of Tokyo