{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T17:54:59Z","timestamp":1777571699896,"version":"3.51.4"},"reference-count":46,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"12","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2025,6,17]]},"abstract":"<jats:sec xml:lang=\"en\">\n            <jats:title>Background<\/jats:title>\n            <jats:p xml:lang=\"en\">Cardiac rehabilitation (CR) is a comprehensive secondary cardiovascular disease program with structured lifestyle interventions to reduce morbidity and mortality. The American Heart Association cardiovascular health (CVH) framework measures health\u2010promoting behaviors and clinical factors, but it has not been rigorously evaluated in the CR setting.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Methods<\/jats:title>\n            <jats:p xml:lang=\"en\">This retrospective cohort study analyzed patients attending CR from January 2018 to September 2020. Patients were evaluated at baseline (pre\u2010CR) and completion (post\u2010CR) using 3 clinical factors (blood pressure, cholesterol, and hemoglobin A1c) and 4 health behaviors (smoking, body mass index, physical activity, and diet). CVH score was computed as a composite of each Life's Simple 7 component by assigning 0 points for poor, 1 point for intermediate, or 2 points for ideal (range 0\u201314 points). CVH scores were further categorized as poor (0\u20136 points), intermediate (7\u20138 points), and ideal (9\u201314 points). Missing data in the analysis were accounted for using a multiple imputation procedure.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Results<\/jats:title>\n            <jats:p xml:lang=\"en\">Patients (N=937) were aged 64.0\u00b113.4\u2009years old, 34% women, and attended 11\u00b112 CR sessions. Pre\u2010CR, 97.2% had poor CVH scores, 2.8% had intermediate scores, and none met ideal CVH criteria. Post\u2010CR, there was a reduction in poor scores across all metrics except for hemoglobin A1c, which increased (40.6%\u201343.5%). Younger patients showed improvement in hemoglobin A1c, while older patients improved in body mass index and blood pressure.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec xml:lang=\"en\">\n            <jats:title>Conclusions<\/jats:title>\n            <jats:p xml:lang=\"en\">Our study demonstrates the efficacy of CR in improving CVH but underscores the need for better blood glucose management. Tailored interventions based on age and sex may further optimize outcomes for CR participants.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/jaha.124.039010","type":"journal-article","created":{"date-parts":[[2025,6,5]],"date-time":"2025-06-05T06:38:17Z","timestamp":1749105497000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Cardiovascular Health in Cardiac Rehabilitation: Applying the American Heart Association Life's Simple 7 Framework in a Center\u2010Based Cohort"],"prefix":"10.1161","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7873-9345","authenticated-orcid":false,"given":"Audry","family":"Chacin\u2010Suarez","sequence":"first","affiliation":[{"name":"Mayo Clinic","place":["Rochester"]},{"name":"Jefferson Einstein Philadelphia Hospital","place":["Philadelphia"]},{"name":"Thomas Jefferson University","place":["Philadelphia"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2958-3794","authenticated-orcid":false,"given":"Tomoaki","family":"Hama","sequence":"additional","affiliation":[{"name":"Mayo Clinic","place":["Rochester"]},{"name":"Tokai University Hachioji Hospital","place":["Hachioji, Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew P.","family":"Johnson","sequence":"additional","affiliation":[{"name":"Mayo Clinic","place":["Rochester"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3029-4973","authenticated-orcid":false,"given":"Helayna","family":"Abraham","sequence":"additional","affiliation":[{"name":"Baylor Heart and Vascular Institute","place":["Dallas"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3446-0414","authenticated-orcid":false,"given":"Thomas P.","family":"Olson","sequence":"additional","affiliation":[{"name":"Mayo Clinic","place":["Rochester"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6468-9324","authenticated-orcid":false,"given":"LaPrincess C.","family":"Brewer","sequence":"additional","affiliation":[{"name":"Mayo Clinic","place":["Rochester"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001289"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamanetworkopen.2020.11686"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamainternmed.2015.3819"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/circresaha.121.319894"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-022-02220-x"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001078"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/circulationaha.109.192703"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacadv.2023.100560"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2007.0753"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/s1474-5151(03)00060-4"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2021.05.010"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/hcr.0000000000000659"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1161\/circresaha.121.319811"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwad125.123"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1097\/hcr.0000000000000638"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.5334\/gh.1170"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1177\/2047487313512219"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2011.07.017"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000625"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0b013e3181f5185b"},{"key":"e_1_3_2_22_2","unstructured":"Lynne M Carleton A. 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