Main objective: To assess the efficacy of a phase III cardiac rehabilitation program (CRP), based on counseling in the maintenance of physical exercise (time of physical exercise per week) for patients with myocardial ischemia (MI), once the supervised physical exercise program of phase II of CRP is completed. Secondary objectives: To assess the efficacy of a phase III program of CRP based on counseling in the maintenance of physical exercise for the patient with MI in: 1) the energy expenditure per week, 2) body mass index and abdominal perimeter, 3) control of cardiovascular risk factors (smoking, high blood pressure, dyslipidemia and diabetes mellitus), 4) quality of life related to health, 5) assess the adherence to cardiac pharmacological treatment. Method: Randomized clinical trial in conglomerates, open and controlled. The intervention group will carry out phase III of CRP based on counseling in the maintenance of physical exercise. The control group will receive the usual care. The main outcome will be the physical exercise time per week after finish the supervised physical exercise program of phase II of CRP and at 6 and 12 month later according to the 7-day Physical Activity Recall.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
101
Objectives will be established with the patient to increase the practice of physical exercise and reinforce the control of cardiovascular risk factors (CVRF) and the maintenance of a long-term cardio-healthy lifestyle.
Althaia Xarxa Assistencial Universitària de Manresa
Manresa, Barcelona, Spain
The physical exercise minutes performed by the patient per week
The physical exercise minutes performed by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
The physical exercise minutes performed by the patient per week
The physical exercise minutes performed by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
The physical exercise minutes performed by the patient per week
The physical exercise minutes performed by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
The energy expenditure by the patient per week
The energy expenditure by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
The energy expenditure by the patient per week
The energy expenditure by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
The energy expenditure by the patient per week
The energy expenditure by the patient per week will be recorded through the 7-day Physical Activity Recall (PAR) questionnaire.
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
The body mass index (BMI)
BMI is the quotient between the weight (kg) and the square of the height (m). It is usually used for the definition of underweight (BMI \<15.99), normal weight (BMI 18.5 to 24.99), overweight (BMI ≥ 25 kg / m2) and obesity (BMI ≥ 30 kg / m2).
Time frame: At baseline of the supervised physical exercise program of phase II of the CRP has been completed.
The body mass index (BMI)
BMI is the quotient between the weight (kg) and the square of the height (m). It is usually used for the definition of underweight (BMI \<15.99), normal weight (BMI 18.5 to 24.99), overweight (BMI ≥ 25 kg / m2) and obesity (BMI ≥ 30 kg / m2).
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
The abdominal circumference
Abdominal circumference is the measurement of the abdomen of the patient at the level of the navel. It will be recorded in centimeters using a tape measure.
Time frame: At baseline of the supervised physical exercise program of phase II of the CRP has been completed.
The abdominal circumference
Abdominal circumference is the measurement of the abdomen of the patient at the level of the navel. It will be recorded in centimeters using a tape measure.
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
The control of smoking
Smoking:The degree of dependence on tobacco consumption will be recorded through the Fargeström test.
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
The control of smoking
Smoking:The degree of dependence on tobacco consumption will be recorded through the Fargeström test.
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
The control of smoking
Smoking:The degree of dependence on tobacco consumption will be recorded through the Fargeström test.
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
Systolic blood pressure
Physiological parameter
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
Systolic blood pressure
Physiological parameter
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
Systolic blood pressure
Physiological parameter
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
Diastolic blood pressure
Physiological parameter
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
Diastolic blood pressure
Physiological parameter
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
Diastolic blood pressure
Physiological parameter
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
Total cholesterol
Physiological parameter
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
Total cholesterol
Physiological parameter
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
Total cholesterol
Physiological parameter
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
Low-density lipoproteins cholesterol
Physiological parameter
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
Low-density lipoproteins cholesterol
Physiological parameter
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
Low-density lipoproteins cholesterol
Physiological parameter
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
High-density lipoproteins cholesterol
Physiological parameter
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
High-density lipoproteins cholesterol
Physiological parameter
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
High-density lipoproteins cholesterol
Physiological parameter
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
Triglycerides
Physiological parameter
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
Triglycerides
Physiological parameter
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
Triglycerides
Physiological parameter
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
Basal plasma glucose
Physiological parameter
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
Basal plasma glucose
Physiological parameter
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
Basal plasma glucose
Physiological parameter
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
The quality of life related to health.
Level of perception of the patient regarding their state of health. It will be measured through the EuroQol-5D test.
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
The quality of life related to health.
Level of perception of the patient regarding their state of health. It will be measured through the EuroQol-5D test.
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
The quality of life related to health.
Level of perception of the patient regarding their state of health. It will be measured through the EuroQol-5D test.
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
Assess the adherence to cardiovascular medication.
It will be recorded if the patient is successfully taking the cardiovascular medication through the Haynes-Sackett test.
Time frame: At baseline, when the supervised physical exercise program of phase II of the CRP has been completed.
Assess the adherence to cardiovascular medication.
It will be recorded if the patient is successfully taking the cardiovascular medication through the Haynes-Sackett test.
Time frame: At 6 months of the supervised physical exercise program of phase II of the CRP has been completed.
Assess the adherence to cardiovascular medication.
It will be recorded if the patient is successfully taking the cardiovascular medication through the Haynes-Sackett test.
Time frame: At 12 months of the supervised physical exercise program of phase II of the CRP has been completed.
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