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Traditional vs. Home-Based Phase II Cardiac Rehabilitation in a Rural Setting: A Retrospective Study.

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Traditional vs. Home-Based Phase II Cardiac Rehabilitation in a Rural Setting: A Retrospective Study./
作者:	Reisdorph, Cassie Marie.
出版者:	Ann Arbor : ProQuest Dissertations & Theses, : 2022,
面頁冊數:	167 p.
附註:	Source: Dissertations Abstracts International, Volume: 84-01, Section: B.
Contained By:	Dissertations Abstracts International84-01B.
標題:	Physiology. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=29256922
ISBN:	9798834050483

Traditional vs. Home-Based Phase II Cardiac Rehabilitation in a Rural Setting: A Retrospective Study.
Reisdorph, Cassie Marie.

Traditional vs. Home-Based Phase II Cardiac Rehabilitation in a Rural Setting: A Retrospective Study. - Ann Arbor : ProQuest Dissertations & Theses, 2022 - 167 p.

Source: Dissertations Abstracts International, Volume: 84-01, Section: B.

Thesis (Ph.D.)--University of Montana, 2022.

This item must not be sold to any third party vendors.

This dissertation addresses the following questions: 1) the impact of three environmental conditions (altitude, heat, and woodsmoke exposure) on the blood oxidative stress response to exercise; 2) the effect of exercise-based cardiac rehabilitation programs (home-based, HBCR; traditional, TCR) on health outcomes in those who have experienced a cardiovascular event and/or severe diagnosis resulting in referral to cardiac rehabilitation. Study 1: Examine effects of lab-simulated hypobaric and hypoxic conditions on oxidative stress during a 4-hour recovery period after 1-hour of cycling (70% watts max). Exercise increased markers of antioxidant status (TEAC, FRAP) and lipid damage (8-ISO) (p<0.05). No effects of hypobaria and hypoxia were observed. Study 2: Compare the blood oxidative stress response to an exercise tolerance trial (1-hour, 50% Wpeak) in hot (33ºC) and room temperature (20ºC) environments following acclimation training (15 sessions). Exercise increased markers of antioxidant status (TEAC, FRAP) and lipid damage (LOOH) (p<0.001). No effect of environmental temperature was observed. Study 3: Investigate the effect of woodsmoke exposure (200 µg·m-3) on variables of cardiovascular function (heart rate variability, HRV; pulse wave velocity PWV) and oxidative stress with 45-min of moderate-intensity exercise (70% VO2max). Woodsmoke exposure did not reduce HRV, increase PWV, or increase oxidative stress (p>0.05). Study 4: The final study was conducted to compare the effectiveness of TCR and HBCR as determined by improvements in exercise capacity (peak metabolic equivalents, peak METs), resting heart rate (RHR), resting systolic (SBP) and diastolic (DBP) blood pressure, body mass index (BMI), and depression outcomes (PHQ-9). Peak METs and PHQ-9 scores improved in both TCR and HBCR (p<0.001); however, greater improvements in peak METs occurred with TCR (p=0.034). No association between intervention type and program completion was observed (p=0.172). The results of these investigations indicate 1) lab-simulated hypobaric and/or hypoxic conditions do not impact the oxidative stress response to exercise; 2) 15 sessions of acclimation training in a hot environment do not alter the oxidative stress response to an exercise tolerance trial; 3) Woodsmoke exposure (200 µg·m-3) with moderate-intensity exercise did not negatively impact HRV, PWV or blood oxidative stress; 4) HBCR and TCR improve peak METs and PHQ-9 outcomes.

ISBN: 9798834050483Subjects--Topical Terms:

518431
Physiology.
Subjects--Index Terms:

Cardiac rehabilitation

Traditional vs. Home-Based Phase II Cardiac Rehabilitation in a Rural Setting: A Retrospective Study.
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