{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T23:33:39Z","timestamp":1787960019526,"version":"build-2784847793"},"reference-count":31,"publisher":"Oxford University Press (OUP)","issue":"7","license":[{"start":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T00:00:00Z","timestamp":1519776000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Eur J Prev Cardiolog"],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec><jats:title>Background<\/jats:title><jats:p> Although disease-specific exercise guidelines for cardiovascular disease (CVD) are widely available, it remains uncertain whether these different exercise guidelines are integrated properly for patients with different CVDs. The aim of this study was to assess the inter-clinician variance in exercise prescription for patients with various CVDs and to compare these prescriptions with recommendations from the EXercise Prescription in Everyday practice and Rehabilitative Training (EXPERT) tool, a digital decision support system for integrated state-of-the-art exercise prescription in CVD. <\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p> The study was a prospective observational survey. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Fifty-three CV rehabilitation clinicians from nine European countries were asked to prescribe exercise intensity (based on percentage of peak heart rate (HR<jats:sub>peak<\/jats:sub>)), frequency, session duration, programme duration and exercise type (endurance or strength training) for the same five patients. Exercise prescriptions were compared between clinicians, and relationships with clinician characteristics were studied. In addition, these exercise prescriptions were compared with recommendations from the EXPERT tool. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> A large inter-clinician variance was found for prescribed exercise intensity (median (interquartile range (IQR)): 83 (13) % of HR<jats:sub>peak<\/jats:sub>), frequency (median (IQR): 4 (2) days\/week), session duration (median (IQR): 45 (18) min\/session), programme duration (median (IQR): 12 (18) weeks), total exercise volume (median (IQR): 1215 (1961) peak-effort training hours) and prescription of strength training exercises (prescribed in 78% of all cases). Moreover, clinicians\u2019 exercise prescriptions were significantly different from those of the EXPERT tool ( p\u2009&lt;\u20090.001). <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> This study reveals significant inter-clinician variance in exercise prescription for patients with different CVDs and disagreement with an integrated state-of-the-art system for exercise prescription, justifying the need for standardization efforts regarding integrated exercise prescription in CV rehabilitation. <\/jats:p><\/jats:sec>","DOI":"10.1177\/2047487318760888","type":"journal-article","created":{"date-parts":[[2018,2,28]],"date-time":"2018-02-28T08:25:43Z","timestamp":1519806343000},"page":"682-691","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":53,"title":["Do clinicians prescribe exercise similarly in patients with different cardiovascular diseases? Findings from the EAPC EXPERT working group survey"],"prefix":"10.1093","volume":"25","author":[{"given":"Dominique","family":"Hansen","sequence":"first","affiliation":[{"name":"Heart Centre Hasselt, Jessa Hospital, Hasselt, Belgium"},{"name":"UHasselt, Faculty of Medicine and Life Sciences, BIOMED-REVAL-Rehabilitation Research Centre, Hasselt University, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gustavo","family":"Rovelo Ruiz","sequence":"additional","affiliation":[{"name":"UHasselt, Faculty of Sciences, Expertise Centre for Digital Media, Hasselt University, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patrick","family":"Doherty","sequence":"additional","affiliation":[{"name":"Department of Health Sciences, University of York, York, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie-Christine","family":"Iliou","sequence":"additional","affiliation":[{"name":"Cardiac Rehabilitation Department, H\u00f4pital Corentin Celton, H\u00f4pitaux Universitaires Paris Ouest, Issy les Moulineaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Vromen","sequence":"additional","affiliation":[{"name":"Academic Medical Centre, Department of Medical Informatics, Amsterdam, Maxima Medisch Centrum, Department of Cardiology, Veldhoven, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Hinton","sequence":"additional","affiliation":[{"name":"British Association for Cardiovascular Prevention and Rehabilitation, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ines","family":"Frederix","sequence":"additional","affiliation":[{"name":"Heart Centre Hasselt, Jessa Hospital, Hasselt, Belgium"},{"name":"UHasselt, Faculty of Medicine and Life Sciences, BIOMED-REVAL-Rehabilitation Research Centre, Hasselt University, Belgium"},{"name":"Faculty of Medicine and Health Sciences, Antwerp University, Antwerpen, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthias","family":"Wilhelm","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Interdisciplinary Center for Sports Medicine, Inselspital, University Hospital Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jean-Paul","family":"Schmid","sequence":"additional","affiliation":[{"name":"Clinic Barmelweid, Department of Cardiology, Barmelweid, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ana","family":"Abreu","sequence":"additional","affiliation":[{"name":"Cardiology Department, Hospital Santa Marta, Lisbon, Portugal"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marco","family":"Ambrosetti","sequence":"additional","affiliation":[{"name":"Cardiovascular Rehabilitation Unit, Le Terrazze Clinic, Cunardo, 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