{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T06:13:48Z","timestamp":1784614428730,"version":"3.55.0"},"reference-count":31,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"5","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2018,3,6]]},"abstract":"\n Background<\/jats:title>\n \n Lack of participation in cardiac rehabilitation (\n CR<\/jats:styled-content>\n ) and slow gait speed have both been associated with poor long\u2010term outcomes in older adults after acute myocardial infarction (\n AMI<\/jats:styled-content>\n ). Whether the effect of\n CR<\/jats:styled-content>\n participation on outcomes after\n AMI<\/jats:styled-content>\n differs by gait speed is unknown.\n <\/jats:p>\n <\/jats:sec>\n \n Methods and Results<\/jats:title>\n \n We examined the association between gait speed and\n CR<\/jats:styled-content>\n participation at 1\u00a0month after discharge after\n AMI<\/jats:styled-content>\n , and death and disability at 1\u00a0year, in 329 patients aged \u226565\u00a0years enrolled in the\n TRIUMPH<\/jats:styled-content>\n (Translational Research Investigating Underlying Disparities in Recovery From Acute Myocardial Infarction: Patients' Health Status) registry. Among these patients, 177 (53.7%) had slow gait speed (<0.8\u00a0m\/s) and 109 (33.1%) participated in\n CR<\/jats:styled-content>\n . Patients with slow gait speed were less likely to participate in\n CR<\/jats:styled-content>\n compared with patients with normal gait speed (27.1% versus 40.1%;\n P<\/jats:italic>\n =0.012). In unadjusted analysis,\n CR<\/jats:styled-content>\n participants with normal gait speed had the lowest rate of death or disability at 1\u00a0year (9.3%), compared with those with slow gait speed and no\n CR<\/jats:styled-content>\n participation (43.2%). After adjustment for cardiovascular risk factors and cognitive impairment, both slow gait speed (odds ratio, 2.30; 95% confidence interval, 1.30\u20134.06) and non\u2010\n CR<\/jats:styled-content>\n participation (odds ratio, 2.34; 95 confidence interval, 1.22\u20134.48) were independently associated with death or disability at 1\u00a0year. The effect of\n CR<\/jats:styled-content>\n on the primary outcome did not differ by gait speed (\n P<\/jats:italic>\n =0.70).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n \n CR<\/jats:styled-content>\n participation is associated with reduced risk for death or disability after\n AMI<\/jats:styled-content>\n . The beneficial effect of\n CR<\/jats:styled-content>\n participation does not differ by gait speed, suggesting that slow gait speed alone should not preclude referral to\n CR<\/jats:styled-content>\n for older adults after\n AMI<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1161\/jaha.117.008296","type":"journal-article","created":{"date-parts":[[2018,2,25]],"date-time":"2018-02-25T01:10:25Z","timestamp":1519521025000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":25,"title":["Slow Gait Speed and Cardiac Rehabilitation Participation in Older Adults After Acute Myocardial Infarction"],"prefix":"10.1161","volume":"7","author":[{"given":"Kelsey","family":"Flint","sequence":"first","affiliation":[{"name":"Division of Cardiology, University of Colorado, Aurora, CO"},{"name":"Colorado Cardiovascular Outcomes Research, Aurora, CO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kevin","family":"Kennedy","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute Saint Luke's Health System, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Suzanne V.","family":"Arnold","sequence":"additional","affiliation":[{"name":"Saint Luke's Mid America Heart Institute Saint Luke's Health System, Kansas City, MO"},{"name":"University of Missouri\u2013Kansas City, Kansas City, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John A.","family":"Dodson","sequence":"additional","affiliation":[{"name":"Leon H. Charney Division of Cardiology, Department of Medicine, New York University School of Medicine, New York, NY"},{"name":"Division of Healthcare Delivery Science, Department of Population Health, New York University School of Medicine, New York, NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sharon","family":"Cresci","sequence":"additional","affiliation":[{"name":"Cardiovascular Division, Washington University in St Louis, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen P.","family":"Alexander","sequence":"additional","affiliation":[{"name":"Division of Cardiology, Duke Clinical Research Institute, Duke University Medical Center, Durham, NC"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","reference":[{"key":"e_1_3_4_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2010.1923"},{"key":"e_1_3_4_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14016"},{"key":"e_1_3_4_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/gerona\/55.4.M221"},{"key":"e_1_3_4_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2016.0316"},{"key":"e_1_3_4_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.06.039"},{"key":"e_1_3_4_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2016.04.068"},{"key":"e_1_3_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.12.040"},{"key":"e_1_3_4_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.115.002204"},{"key":"e_1_3_4_10_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2007.01413.x"},{"key":"e_1_3_4_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2014.07.005"},{"key":"e_1_3_4_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2014.07.004"},{"key":"e_1_3_4_13_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000134"},{"key":"e_1_3_4_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000066322.21016.4A"},{"key":"e_1_3_4_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.14239"},{"key":"e_1_3_4_16_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCOUTCOMES.110.960468"},{"key":"e_1_3_4_17_2","first-page":"111","article-title":"The telephone interview for cognitive status","volume":"1","author":"Brandt J","year":"1988","unstructured":"Brandt J, Spencer M, Folstein M. The telephone interview for cognitive status. Neuropsychiatry Neuropsychol Behav Neurol. 1988;1:111\u2013117.","journal-title":"Neuropsychiatry Neuropsychol Behav Neurol"},{"key":"e_1_3_4_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/gps.830"},{"key":"e_1_3_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0168-8510(90)90421-9"},{"key":"e_1_3_4_20_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.291.22.2727"},{"key":"e_1_3_4_21_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.3819"},{"key":"e_1_3_4_22_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.701466"},{"key":"e_1_3_4_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2014.03.030"},{"key":"e_1_3_4_24_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2012-001820"},{"key":"e_1_3_4_25_2","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e328305df05"},{"key":"e_1_3_4_26_2","first-page":"214","article-title":"Home\u2010 and hospital\u2010based cardiac rehabilitation exercise: the important role of physician recommendation","volume":"29","author":"Dunn SL","year":"2016","unstructured":"Dunn SL, Dunn LM, Buursma MP, Clark JA, Vander Berg L, DeVon HA, Tintle NL. Home\u2010 and hospital\u2010based cardiac rehabilitation exercise: the important role of physician recommendation. West J Nurs Res. 2016;29:214\u2013233.","journal-title":"West J Nurs Res"},{"key":"e_1_3_4_27_2","unstructured":"H.R.1155\u2014to amend title XVIII of the Social Security Act to allow physician assistants nurse practitioners and clinical nurse specialists to supervise cardiac intensive cardiac and pulmonary rehabilitation programs. 2017. Available at: https:\/\/www.congress.gov\/bill\/115th-congress\/house-bill\/1155. Accessed February 13 2018."},{"key":"e_1_3_4_28_2","first-page":"CD007130","article-title":"Home\u2010based versus centre\u2010based cardiac rehabilitation","author":"Anderson L","year":"2015","unstructured":"Anderson L, Sharp GA, Norton RJ, Dalal H, Dean SG, Jolly K, Cowie A, Zawada\u00a0A, Taylor RS. Home\u2010based versus centre\u2010based cardiac rehabilitation. 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