Optimal Gender-Specific Strategies for the Secondary Prevention of Heart Disease in Women: A SYSTEMATIC REVIEW

Angela Rao, Phillip J. Newton, Michelle DiGiacomo, Louise D. Hickman, Christine Hwang, Patricia M. Davidson

Research output: Contribution to journalArticle

Abstract

BACKGROUND: There is a paucity of evidence on gender-specific, individually tailored secondary prevention (cardiac rehabilitation [CR]) services for women with heart disease. Women participate less in CR programs, thus increasing their risk of further cardiac events. This review aims to (1) determine the effectiveness of gender-specific interventions specifically designed for women with heart disease, delivered in outpatient CR settings; and (2) classify key elements of effective CR strategies/models for women with heart disease. METHODS: Using the PRISMA guidelines, this is a systematic review of CR models tailored to women to improve cardiovascular risk. Four databases were searched for randomized controlled trials (RCTs) between January 1974 and July 2017 published in peer-reviewed English language journals. RESULTS: Three RCTs comprising 725 women of gender-specific CR strategies were identified. Significant improvements were found in one-third (1 study) of the included multicomponent CR strategies for outcomes including general health, social functioning, vitality, mental health, depression, and quality of life. CONCLUSION: Further large-scale RCTs are required to replicate positive findings and accurately assess the capacity for gender-specific multicomponent CR programs that incorporate participant-driven collaborative models to moderate psychological risk and improve functional capacity and quality of life for women with heart disease.

Original languageEnglish (US)
Pages (from-to)279-285
Number of pages7
JournalJournal of cardiopulmonary rehabilitation and prevention
Volume38
Issue number5
DOIs
StatePublished - Sep 1 2018

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Secondary Prevention
Heart Diseases
Randomized Controlled Trials
Quality of Life
Cardiac Rehabilitation
Mental Health
Outpatients
Language
Databases
Guidelines
Depression
Psychology
Health

ASJC Scopus subject areas

  • Rehabilitation
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Optimal Gender-Specific Strategies for the Secondary Prevention of Heart Disease in Women : A SYSTEMATIC REVIEW. / Rao, Angela; Newton, Phillip J.; DiGiacomo, Michelle; Hickman, Louise D.; Hwang, Christine; Davidson, Patricia M.

In: Journal of cardiopulmonary rehabilitation and prevention, Vol. 38, No. 5, 01.09.2018, p. 279-285.

Research output: Contribution to journalArticle

Rao, Angela ; Newton, Phillip J. ; DiGiacomo, Michelle ; Hickman, Louise D. ; Hwang, Christine ; Davidson, Patricia M. / Optimal Gender-Specific Strategies for the Secondary Prevention of Heart Disease in Women : A SYSTEMATIC REVIEW. In: Journal of cardiopulmonary rehabilitation and prevention. 2018 ; Vol. 38, No. 5. pp. 279-285.
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