Sedentary Behavior Modification, Cardiopulmonary Function & QOL Post Cardiac Surgery Patients.

Официальное название

Effects of Sedentary Behaviour Modification on Cardiopulmonary Function and Quality of Life in Post-Cardiac Surgery Patients

Обзор

This study aims to investigate randomized controlled trial to evaluate whether reducing sedentary behavior improves recovery in post-cardiac surgery patients. Participants are assigned to either a behavioral intervention that substitutes sitting with light activity or to usual care. Changes in exercise capacity and quality of life are the primary measured outcomes. It is hypothesized that the intervention group will demonstrate superior gains in both physical function and well-being. The results could inform a valuable adjunct to existing cardiac rehabilitation programs.

Подробное описание

This randomized controlled trial (RCT) aims to determine the efficacy of a targeted sedentary behavior (SB) modification program as a component of early recovery following cardiac surgery. Participants are randomly allocated to either an intervention group, receiving structured counseling and feedback to replace prolonged sitting with frequent bouts of light-intensity physical activity, or a control group receiving standard postoperative care alone. subjective enhancements in health-related quality of life, assessed via validated questionnaires.The randomized control trial involving 24 patients.The study duration will be 3 months with assesment conducted at baseline,mid and end of intervention.Group A(interventional group recieving Sedantary Behavior protocol+Cardiac Rehab),Group B(Control group recieving only Cardiac Rehab).

Вмешательства

• Другое Sedentary Behaviour Modification Protocol
  structured intervention designed to reduce the total time spent sitting or lying down (excluding sleeping) and to break up long, uninterrupted periods of inactivity. Effective protocols, often guided by the COM-B model (Capability, Opportunity, Motivation, Behaviour), aim to replace sedentary time with light-intensity physical activity (e.g., walking, standing).
• Другое Standard Cardiac Rehabilitation
  A 3-12 week outpatient, medically supervised program starting shortly after surgery, focusing on monitored exercise (Treadmill), risk factor modification, and education to safely improve heart function. It involves 1-hour sessions 2-3 times a week, combining aerobic training, light strength training, and lifestyle counseling

Первичные конечные точки

• Peak Expiratory Flow Rate (PEFR) [Срок оценки: 12 weeks]
• Forced Vital Capacity (FVC) [Срок оценки: 12 weeks]
• Forced Expiratory volume in 1sec (FEV1) [Срок оценки: 12 weeks]
• 36-Item Short Form Health Survey [Срок оценки: 12 weeks]
• No. of steps [Срок оценки: 12 weeks]

Критерии участия

Критерии включения

• Patient Aged 50-80 years (represents the majority cases)
• Natural decline in physical capacity, making them an ideal population for studying these outcomes)
• Underwent elective or emergency cardiac surgery (once patient is in ward)/1

Критерии исключения

• Those requiring invasive mechanical ventilation
• Individuals with significant cognitive impairment affecting consent or compliance
• Pregnant women or Lactating Mother

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Другое

Центры проведения

Пакистан · 1 центр

• MMC General Hospital — Peshawar

Публикации

• Yang Y, Wang Y, Yang L. Association between physical activity and sedentary behavior and depression in US adults with cardiovascular disease: NHANES 2007-2016. J Affect Disord. 2024 Dec 15;367:342-349. doi: 10.1016/j.jad.2024.09.012. Epub 2024 Sep 3. PMID 39236885

Идентификаторы

NCT: NCT07484477 · Ayesha Khan

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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