{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,13]],"date-time":"2026-05-13T23:49:49Z","timestamp":1778716189233,"version":"3.51.4"},"reference-count":30,"publisher":"BMJ","issue":"2","funder":[{"DOI":"10.13039\/501100000274","name":"British Heart Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000274","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["Open Heart"],"accepted":{"date-parts":[[2016,7,7]]},"published-print":{"date-parts":[[2016,8]]},"abstract":"<jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Although cardiac rehabilitation (CR) is a proven intervention in reducing cardiovascular mortality and morbidity there is concern that CR programme delivery may not yield comparable outcomes across age groups.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Purpose<\/jats:title>\n                  <jats:p>This study sought to determine if the outcomes achieved after completing CR were influenced by age in patients with coronary heart disease.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Method<\/jats:title>\n                  <jats:p>Patients were stratified into 2 age groups: young (18\u201365\u2005years) and elderly (&gt;65\u2005years). Pre-CR and post-CR assessments were used to compute changes in 9 CR outcomes (body mass index (BMI), waist size, hyperlipidaemia, hypertension, smoking, walking fitness, physical activity, anxiety and depression). Pearson's \u03c7<jats:sup>2<\/jats:sup> test was used to examine the association between the age groups and outcome. Data was extracted from the UK National Audit from July 2010 to June 2015.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 203\u2005012 young patients (55.1\u00b17.9\u2005years, 78% male) and 262\u2005813 elderly patients (76.1\u00b16.9\u2005years, 63.9% male) were analysed. Young patients had a better ratio of improvement across a wide range of risk factors in particular smoking cessation (OR=3.3, p&lt;0.001) while elderly patients had a better ratio of improvement in body shape risk factors BMI (OR=1.3, p&lt;0.001), waist size in women (OR=1.3, p=0.016).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>Age is a significant predictor of outcomes following CR. While elderly patients achieve better outcomes in body shape risk factors, younger patients clearly achieve better outcomes across a wider range of risk factors in particular smoking cessation.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1136\/openhrt-2016-000450","type":"journal-article","created":{"date-parts":[[2016,8,3]],"date-time":"2016-08-03T22:20:06Z","timestamp":1470262806000},"page":"e000450","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":9,"title":["Does cardiac rehabilitation favour the young over the old?"],"prefix":"10.1136","volume":"3","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0766-3053","authenticated-orcid":false,"given":"Abdulrahman","family":"Al Quait","sequence":"first","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, University of York, Heslington, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Doherty","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, Faculty of Science, University of York, Heslington, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2016,8,3]]},"reference":[{"key":"2025081709542833000_3.2.e000450.1","first-page":"1","article-title":"Exercise-based cardiac rehabilitation for coronary heart disease","volume":"67","author":"Anderson","year":"2016","journal-title":"JACC Cardiovasc Interv"},{"key":"2025081709542833000_3.2.e000450.2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.166.17.1878"},{"key":"2025081709542833000_3.2.e000450.3","unstructured":"ONS. Ageing of the UK population. 2015. http:\/\/www.ons.gov.uk\/ons\/rel\/pop-estimate\/population-estimates-for-uk--england-and-wales--scotland-and-northern-ireland\/mid-2014\/sty-ageing-of-the-uk-population.html (accessed 15 Jan 2016)."},{"key":"2025081709542833000_3.2.e000450.4","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu278"},{"key":"2025081709542833000_3.2.e000450.5","unstructured":"Townsend N , Bhatnagar P , Wilkins E , et al . Cardiovascular disease statistics, 2015. London: British Heart Foundation, 2015."},{"key":"2025081709542833000_3.2.e000450.6","unstructured":"NACR. The National Audit of Cardiac Rehabilitation\u2014Annual Statistical Report 2014. 2015. http:\/\/www.cardiacrehabilitation.org.uk\/docs\/2007.pdf"},{"key":"2025081709542833000_3.2.e000450.7","unstructured":"BACPR. 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