{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T09:17:36Z","timestamp":1764494256447,"version":"3.37.3"},"reference-count":34,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clin Physio Funct Imaging"],"published-print":{"date-parts":[[2023,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>This study aimed to determine how behavioural restrictions due to the emergency declaration following the coronavirus disease 2019 (COVID\u201019) pandemic affect exercise tolerance and its outcomes in patients in Phase III cardiac rehabilitation programme. This is a multicenter retrospective cohort study. Participants in outpatient cardiac rehabilitation programmes and cardiopulmonary exercise testing before and after the emergency declarations were included. A total of 90 participants were included (median age 75.0 years, 69% male), and the changes in physical function and exercise tolerance were compared before and after the emergency declaration. Patients were divided into a decline\u2010in\u2010peak oxygen uptake (VO<jats:sub>2<\/jats:sub>) group and a nondecline\u2010in\u2010peak VO<jats:sub>2<\/jats:sub> group. Comparison before and after the emergency declaration showed that the anaerobic threshold declined significantly and peak VO<jats:sub>2<\/jats:sub> exhibited a downward trend. The decline\u2010in\u2010peak VO<jats:sub>2<\/jats:sub> group consisted of 16 patients (17%) with better exercise tolerance, multiple comorbidities, and declined lower extremity muscle strength. These patients also had a higher rate of subsequent composite events (hazard ratio, 5.2; 95% confidence interval, 1.4\u201318.8, <jats:italic>p<\/jats:italic>\u2009=\u20090.01). Before and after the emergency declaration, the patient's exercise tolerance may decline, leading to a poor prognosis. This study suggests the importance of maintaining exercise tolerance during the COVID\u201019 pandemic.<\/jats:p>","DOI":"10.1111\/cpf.12823","type":"journal-article","created":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T10:34:18Z","timestamp":1682332458000},"page":"318-326","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of the COVID\u201019 pandemic on exercise tolerance and patient outcomes with Phase III cardiac rehabilitation in Japan: A multicenter study"],"prefix":"10.1111","volume":"43","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6562-9473","authenticated-orcid":false,"given":"Tatsuro","family":"Kitayama","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Itabashi Heart Clinic Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kenta","family":"Mikami","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Iwatsuki Minami Hospital Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoto","family":"Usui","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Kisen Hospital Tokyo Japan"},{"name":"Department of Nephrology, Graduate School of Medicine Juntendo University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryo","family":"Emori","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Sonoda Third Hospital Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taishi","family":"Tsuji","sequence":"additional","affiliation":[{"name":"Faculty of Health and Sport Sciences University of Tsukuba Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasuyuki","family":"Maruyama","sequence":"additional","affiliation":[{"name":"Department of Cardiology Iwatsuki Minami Hospital Saitama Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadanori","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Cardiology Itabashi Heart Clinic Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2023,5]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3181e52e69"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1152\/jappl.1986.60.6.2020"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.9.1173"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17186878"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.hjr.0000189807.22224.54"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1161\/hc3901.095960"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000041428.99427.06"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronj\/49.2.M85"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0276106"},{"key":"e_1_2_9_11_1","first-page":"343","article-title":"Determinants of exercise capacity in acute myocardial infarction patients with diabetes mellitus","volume":"38","author":"Hiraki K.","year":"2011","journal-title":"Journal of the Japanese Physical Therapy Association"},{"key":"e_1_2_9_12_1","first-page":"436","article-title":"Determinants of exercise capacity in chronic heart failure patients with chronic kidney disease","volume":"38","author":"Hotta C.","year":"2011","journal-title":"Journal of the Japanese Physical Therapy Association"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejheart.2003.07.008"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0b013e31824bd886"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph191912599"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/2047487313492252"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/MRR.0000000000000473"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.11.050"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.2169\/internalmedicine.2281-18"},{"key":"e_1_2_9_20_1","article-title":"Exercise\u2010based cardiac rehabilitation for adults with heart failure","volume":"1","author":"Long L.","year":"2019","journal-title":"Cochrane Database of Systematic Reviews"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0107924"},{"key":"e_1_2_9_22_1","unstructured":"Makita S.&Yasu T.(2021)The Japanese Circulation Society The Japanese Association of Cardiac Rehabilitation. 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