Welcome Marta Supervia MD MSc CCRP to the JCRP editorial board!
Dr. Supervia is the Cardiac Rehabilitation Program Medical Director at Gregorio Marañón University Hospital, Madrid, Spain (the biggest CR program in Spain). She is the Head of Rehabilitation Research Group and the Residence Program Director of Physical Medicine and Rehabilitation at Gregorio Marañón University Hospital. She works as a research collaborator at Mayo Clinic, Rochester, Minnesota. Dr. Supervia also participates at ISPRM, SERMEF & SORECAR as a committee member. She has collaborated as a Member of the Development Group for Ischemic Heart Disease for the World Health Organization's Package of Interventions for Rehabilitation (Rehabilitation 2030). Furthermore, she has contributed to the cardiac rehabilitation evidence base with several publications and also was an author in the sixth edition of the AACVPR Guidelines for Cardiac Rehabilitation Programs. Dr. Supervia has been an invited speaker at several international Rehabilitation & Cardiology congresses. She is thrilled to be part of the JCRP editorial board as this journal disseminates important, high-quality studies related to cardiac and pulmonary rehabilitation.
Featured Article of the Week - Long-term cardiac maintenance programming: a single-site analysis of more than 200 participants.
Focus of the paper: Maintenance of secondary prevention behaviors after completion of early cardiac rehabilitation (typically up to 36 sessions over 3-4 months) is critically important for sustained clinical benefit. The German medical system includes the availability of long-term exercise-based cardiac maintenance programs (CMP) for eligible patients. The authors sought to determine the long-term effects of participation in a single German CMP.
Key methods: This retrospective study included 207 subjects (>95% with coronary artery disease, age 60±9 years, 16% women) for the primary analysis. A subgroup of 20 CMP participants and a non-CMP control group of 20 persons (matched for sex, age and time from baseline evaluation) were also compared. A clinical examination, which included a physical examination, level of habitual physical activity, assessment of interim cardiac events, blood glucose and blood lipids, echocardiogram and a cardiopulmonary exercise test, was performed at baseline and annually thereafter. This paper reported results for anthropometry, blood test variables, the echocardiogram and exercise test results. CMP consisted of group meetings twice weekly for 90 minutes and included exercise training as well as discussions regarding nutrition, stress management, disease-coping skills and lifestyle skills.
Important findings: The average length of follow-up was 6.3±4.8 years. Among CMP participants, peak VO2 decreased from 26.1±6.2 to 24.6±7.1 ml/kg/min (P = 0.003). Body weight increased byan average of 3.6%. Waist circumference increased by 4.0%. High-density lipoprotein cholesterol (HDL-C) increased by 6.3%. There were no significant changes in blood pressure or in echocardiographic variables. The CMP versus no CMP subgroup comparison revealed no significant differences in the change in variables over time.
Conclusions: Long-term participation in CMP, as currently practiced in Germany, did not result in maintenance of aerobic capacity. Patients gained a modest amount of weight and most other cardiovascular risk factors remained stable. Alteration in the exercise prescription guidelines for CMP to increase the exercise stimulus is needed.
- 2020 was a special year with the celebration of our 40th year of publishing the Journal. We had a record number of submissions to JCRP this past year, a sign that more and more authors value publishing their research in JCRP. Now, with the turn of the calendar, we move forward with excitement to the new year and the next 40 years for JCRP.
- This first issue of 2021 includes two excellent Reviews related to the benefits of exercise training for people with spinal cord injuries, including participating in cardiac rehabiliation programs. We also have a timely and highly useful brief report overviewing the use of masks for people participating in cardiac rehabilitation programs and daily activities. This issue has many outstanding articles.
- Please note the Featured Article of the week section above. Our Editorial group provides a brief overview of one article each week to call your attention to some of the key information you can learn from articles in this issue.
- I encourage you to post links to specific articles from this issue on your Facebook page and to tweet the links on your Twitter account (use the icons on our home page for both of these JCRP Social Media accounts). Doing so helps both Clinicians and Researchers to stay current with the latest research in Cardiac Rehabilitation, Pulmonary Rehabilitation, and Prevention. This will ultimately have a positive influence on patients in Cardiopumonary Rehabilitation Programs.
- We are looking ahead to a great 2021.
-Lenny Kaminsky, PhD, Editor-in-Chief