Effect of patient education and physical training on quality of life and physical exercise capacity in patients with paroxysmal or persistent atrial fibrillation: A randomized study

Effect of patient education and physical training on quality of life and physical exercise capacity in patients with paroxysmal or persistent atrial fibrillation: A randomized study

To examine the effect of a rehabilitation programme on quality of life and physical capacity in patients with atrial fibrillation. Patients with paroxysmal and persistent atrial fibrillation were randomized to either a 12-week rehabilitation programme with education and physical training (interventi...

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Published in:Journal of rehabilitation medicine Vol. 51; no. 6; pp. 442 - 450
Main Authors: Joensen, Albert M, Dinesen, Pia T, Svendsen, Lotte T, Hoejbjerg, Tina K, Fjerbaek, Annette, Andreasen, Jane, Sottrup, Maria B, Lundbye-Christensen, Soren, Vadmann, Henrik, Riahi, Sam
Format: Journal Article
Language:English
Published: Sweden Journal of Rehabilitation Medicine 01-06-2019
Medical Journals Sweden
Subjects:
Anxiety disorders
Atrial fibrillation
Cardiac arrhythmia
Control groups
Deviation
education
Exercise
Generalized anxiety disorder
Health education
Intervention
Patient education
Patients
physical exercise
Quality of life
Questionnaires
Rehabilitation
Variance analysis
rehabilitation
atrial fibrillation
education
physical exercise
quality of life
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Summary:To examine the effect of a rehabilitation programme on quality of life and physical capacity in patients with atrial fibrillation. Patients with paroxysmal and persistent atrial fibrillation were randomized to either a 12-week rehabilitation programme with education and physical training (intervention group) or standard care (control group). At baseline, after 3, 6 and 12 months participants completed 5 different quality of life questionnaires (AF-QoL-18, AFEQT, PHQ-9, GAD-7 and EQ-5D), and physical exercise tests. Differences in average] scores between groups were analysed by repeated measures analysis of variance (ANOVA). Fifty-eight patients (age range 43-78 years, 31% female) were included. In the intervention group the AF-QoL-18 score increased from baseline (48.4 (standard deviation (SD) 22.8)) to 6 months (68.0 (15.2)) compared with the control group (baseline 51.6 (22.3), 6 months 59.2 (27.3)). After 12 months, there was no difference. Similar patterns were found for the other questionnaires. Maximum exercise capacity improved in the intervention group from baseline (176 W (48)) to 6 months (190 W (55)). There was no change in the control group. Education and physical training may have a short-term (but no long-term) beneficial effect on quality of life and physical exercise capacity in patients with atrial fibrillation.
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ISSN:1650-1977
1651-2081
DOI:10.2340/16501977-2551