{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T07:27:27Z","timestamp":1793172447673,"version":"4.5.0"},"reference-count":29,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,5,1]],"date-time":"2025-05-01T00:00:00Z","timestamp":1746057600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Advances in Rehabilitation Science and Practice"],"published-print":{"date-parts":[[2025,5]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Cardiac rehabilitation using mobile health is increasingly being described as effective in improving exercise habits and physical function. However, the effectiveness of combined mobile health and hospital-based cardiac rehabilitation in older patients with cardiovascular disease is unknown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate the effect of a wearable watch device combined with hospital-based cardiac rehabilitation in older patients with cardiovascular disease compared with those with usual care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A randomized, controlled trial was conducted in patients with cardiovascular disease aged \u2a7e60\u2009years who underwent hospital-based cardiac rehabilitation. The patients were randomized 1:1 in those with a wearable watch (Fitbit Versa 3) or usual care. During out-of-hospital cardiac rehabilitation, patients with a wearable watch were advised to check their heart rate with a wearable watch and to target their physical activity at the heart rate determined by cardiopulmonary exercise testing. The primary endpoint was a change in physical activity obtained from the International Physical Activity Questionnaire (metabolic equivalents [METs]-minute\/week) between the 2 groups during 12\u2009weeks.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Among 39 patients (median age\u2009=\u200973\u2009years, 82% men), the change in physical activity was significantly greater in patients with a wearable watch than in those with usual care (median: 2073 [1155-4400] vs 148 [\u22121261-899] METs-minute\/week; analysis of covariance;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u2009.001). In patients with a wearable watch, 6-minute walk distance, the peak oxygen uptake, peak METs, and anaerobic threshold were significantly improved, whereas no significant increase was observed in patients with usual care from baseline to 12\u2009weeks.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>In older patients with cardiovascular disease, a wearable watch device combined with hospital-based cardiac rehabilitation increases physical activity and improves exercise capacity outside of hospital.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/27536351251343538","type":"journal-article","created":{"date-parts":[[2025,5,31]],"date-time":"2025-05-31T01:39:40Z","timestamp":1748655580000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Integration of Wearables Into a Cardiac Rehabilitation Program and Its Impact on Physical Activity and Exercise Capacity in Older Patients With Cardiovascular Disease"],"prefix":"10.1177","volume":"14","author":[{"given":"Eijiro","family":"Yagi","sequence":"first","affiliation":[{"name":"Department of Cardiology, Kindai University Nara Hospital, Ikoma, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9089-3505","authenticated-orcid":false,"given":"Koichiro","family":"Matsumura","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kindai University Faculty of Medicine, Osakasayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuki","family":"Uchigashima","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kindai University Nara Hospital, Ikoma, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jun","family":"Shiroyama","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kindai University Nara Hospital, Ikoma, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mitsuki","family":"Hase","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kindai University Nara Hospital, Ikoma, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomoya","family":"Nanba","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation, Kindai University Nara Hospital, Ikoma, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nobuhiro","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kindai University Faculty of Medicine, Osakasayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yohei","family":"Funauchi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kindai University Faculty of Medicine, Osakasayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Masafumi","family":"Ueno","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kindai University Faculty of Medicine, Osakasayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kiyonori","family":"Togi","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kindai University Nara Hospital, Ikoma, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manabu","family":"Shirotani","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kindai University Nara Hospital, Ikoma, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaku","family":"Nakazawa","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Kindai University Faculty of Medicine, Osakasayama, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,5,30]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/2047487320913379"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.tcm.2017.02.005"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.01.030"},{"key":"e_1_3_3_5_2","article-title":"Exercise-based cardiac rehabilitation for coronary heart disease","volume":"11","author":"Dibben G","year":"2021","unstructured":"Dibben G, Faulkner J, Oldridge N, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2021;11:CD001800.","journal-title":"Cochrane Database Syst Rev"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1177\/2047487318825350"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-19-0241"},{"key":"e_1_3_3_8_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.117.029471"},{"key":"e_1_3_3_9_2","article-title":"Patterns of referral and postdischarge utilization of cardiac rehabilitation among patients hospitalized with heart failure: an analysis from the GWTG-HF registry","volume":"6","author":"Keshvani N","year":"2023","unstructured":"Keshvani N, Subramanian V, Wrobel CA, et al. Patterns of referral and postdischarge utilization of cardiac rehabilitation among patients hospitalized with heart failure: an analysis from the GWTG-HF registry. Circ Heart Fail. 2023;6:e010144.","journal-title":"Circ Heart Fail"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwaa107"},{"key":"e_1_3_3_11_2","first-page":"34","article-title":"The design and implementation of a home-based cardiac rehabilitation program","volume":"34","author":"Rohrbach G","year":"2017","unstructured":"Rohrbach G, Schopfer DW, Krishnamurthi N, et al. The design and implementation of a home-based cardiac rehabilitation program. Fed Pract. 2017;34:34-39.","journal-title":"Fed Pract"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjpc\/zwab106"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.2196\/42845"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1002\/clc.23306"},{"key":"e_1_3_3_15_2","doi-asserted-by":"publisher","DOI":"10.2196\/23411"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-22-0234"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1249\/01.MSS.0000078924.61453.FB"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/clc.23757"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.872757"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cmet.2017.02.009"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0b013e31822f189c"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1253\/circrep.CR-21-0018"},{"key":"e_1_3_3_23_2","article-title":"Comparative effectiveness of interventions on promoting physical activity in older adults: a systematic review and network meta-analysis","volume":"10","author":"Wu S","year":"2024","unstructured":"Wu S, Li G, Shi B, et al. Comparative effectiveness of interventions on promoting physical activity in older adults: a systematic review and network meta-analysis. Digit Health. 2024;10:20552076241239182.","journal-title":"Digit Health"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.009173"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2022.01.003"},{"key":"e_1_3_3_26_2","doi-asserted-by":"publisher","DOI":"10.1136\/heartjnl-2015-308966"},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0285801"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2023.05.070"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2024.12.005"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.2196\/11335"}],"container-title":["Advances in Rehabilitation Science and Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/27536351251343538","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/27536351251343538","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/27536351251343538","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T01:34:09Z","timestamp":1777599249000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/27536351251343538"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,5]]},"references-count":29,"alternative-id":["10.1177\/27536351251343538"],"URL":"https:\/\/doi.org\/10.1177\/27536351251343538","relation":{},"ISSN":["2753-6351","2753-6351"],"issn-type":[{"value":"2753-6351","type":"print"},{"value":"2753-6351","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,5]]},"article-number":"27536351251343538"}}