4.2 Review

Underutilization of Cardiac Rehabilitation in Women BARRIERS AND SOLUTIONS

Journal

Publisher

LIPPINCOTT WILLIAMS & WILKINS
DOI: 10.1097/HCR.0000000000000629

Keywords

cardiac rehabilitation; cardiovascular disease; secondary prevention

Funding

  1. National Institutes of Health Center of Biomedical Research Excellence award from the National Institute of General Medical Sciences [P20GM103644]
  2. National Heart, Lung and Blood Institute [R33HL143305]

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Despite the known benefits of cardiac rehabilitation (CR), it is underutilized particularly among women. Women are less likely to engage in CR compared with men, possibly due to lack of referral or psychosocial barriers. Furthermore, women do not improve their fitness as much as men in CR, despite having lower levels of fitness. This review provides recommendations for providers regarding participation and adherence, as well as optimal methods for exercise training for women in CR.
Purpose: Despite the known benefits of cardiac rehabilitation (CR), it remains underutilized particularly among women. The aim of this review was to provide an overview regarding women in CR, addressing barriers that may affect enrollment and attendance as well as to discuss the training response and methods to optimize exercise-related benefits of CR. Review Methods: The review examines original studies and meta-analyses regarding women in CR. Women are less likely to engage in CR compared with men, and this may be attributed to lack of referral or psychosocial barriers on the part of the patient. Furthermore, despite having lower levels of fitness, women do not improve their fitness as much as men in CR. This review summarizes the current literature and provides recommendations for providers regarding participation and adherence as well as optimal methods for exercise training for women in CR.

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