Welcome Jennifer Reed, RKin, PhD to the JCRP editorial board!
Dr. Jennifer Reed is a Scientist and Director of the Exercise Physiology and Cardiovascular Health Lab in the Division of Cardiac Prevention and Rehabilitation at the University of Ottawa Heart Institute. She is also an Assistant Professor in the School of Epidemiology and Public Health in the Faculty of Medicine at the University of Ottawa, Adjunct Professor in the School of Human Kinetics in the Faculty of Health Sciences at the University of Ottawa, and a Registered Kinesiologist with the College of Kinesiologists of Ontario.
Dr. Reed’s overall research program focuses on the role of exercise in cardiovascular disease prevention and rehabilitation. She has particular interests in the role of exercise in the management and treatment of atrial fibrillation; developing exercise training strategies for women with cardiovascular disease; and, re-examining practical approaches to monitoring and prescribing exercise training in clinical populations.
As a member of the JCRP Editorial Board, she looks forward to contributing to and supporting the important field of cardiovascular prevention and rehabilitation.
Featured Article of the Week - A Comparison of Exercise Intensity in Hybrid versus Standard Phase Two Cardiac Rehabilitation
Enrollment in standard facility-based Phase II cardiac rehabilitation (S-CR) is suboptimal. To address this, the National Heart Lung and Blood Institute and the National Institute on Aging recently funded four trials that target the development of alternate methods for delivering CR. Furthermore, the coronavirus disease pandemic reinforced the need for delivering CR outside of the hospital- or clinic-based setting. There has been little study, however, comparing exercise training intensity during S-CR versus remote (i.e. home) sessions in Hybrid CR (described below). The iATTEND (improving ATTENDance to CR) trial is an ongoing study that is randomizing patients to S-CR or Hybrid-CR. This sub-study of iATTEND includes the first 38 patients who completed > 18 CR visits and for whom a target heart rate range was determined based on results of a symptom limited exercise tolerance test. Patients assigned to the S-CR group completed all sessions in S-CR. Patients assigned to Hybrid-CR were asked to complete > 1 and < 12 of their 18 sessions in S-CR, with the remaining sessions completed remotely at-home or in the community using telehealth (TH). The number of in-facility CR visits was based on individual patient preference and clinical need(s) for additional in-person supervision identified by the CR staff; patients were limit to < 1 in person sessions/wk . The exercise prescription for both groups included > 30 min/session 3 d/wk, using aerobic-type exercise equipment. The TH component involves use of a video-application (app) on the patient’s smart device. Expressed as a percentage of heart rate reserve, the overall mean exercise training intensity from the TH sessions was 65 + 10%, versus 63 + 12% for patients in S-CR (P = .29). The overall mean rate of perceived exertion (RPE) across all 18 sessions for the TH-visits was 13 + 4, versus 13 + 5 for patients in S-CR (P = .10). The results of this study demonstrate that Hybrid-CR delivered with remote TH results in exercise training intensities that are not significantly different from S-CR.
- 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