Universität zu Köln

Maximidou, Theodoros ORCID: 0009-0003-5761-6957 and Mons, Ute ORCID: 0000-0003-1764-6783 (2025). Benefits of wearable-based cardiac rehabilitation interventions in secondary prevention of coronary artery disease – a systematic review and meta-analysis. American Journal of Preventive Cardiology, 23. pp. 1-13. Elsevier. ISSN 2666-6677

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Abstract

[Artikel-Nr.: 101015] Aim: To assess the benefits of wearable activity trackers in the treatment and care of patients with coronary artery disease (CAD), we performed a systematic review and meta-analysis. Methods: We systematically searched databases and trial registries until March 2025 for randomized controlled trials employing wearable devices (such as activity tracker, pedometer or accelerometer) in cardiac rehabilitation (CR) interventions in patients with CAD. The outcome data were pooled using fixed-effects meta-analysis. Subgroup analyses were conducted for risk of bias, length of follow up, type of wearable and presence of additional interventions. To assess the robustness of the main findings we carried out sensitivity analyses using random effects models and exclusion of outliers. Outcomes of interest were indicators of prognosis and prog- nostic factors. Results: We included a total of 23 studies and synthesized data from 20 studies in meta-analyses. Meta-analysis of steps per day showed a statistically significant difference favouring the intervention (MD 1060 steps/day, 95 % CI 650 to 1460). Subgroup analyses indicated smaller effects for studies with longer follow-up periods, and for those with high risk of bias. Sensitivity analyses showed robustness of these results. Meta-analyses of rehospi- talizations (RR 0.70, 95 % CI 0.52 to 0.95), 6 min walking test (MD 13.06 m, 95 % CI 0.10 to 26.03), and ab- solute VO2peak (MD 0.22 L/min, 95 % CI 0.02 to 0.49) also yielded statistically significant differences favouring.

Item Type:	Article
Creators:	Creators Email ORCID ORCID Put Code Maximidou, Theodoros UNSPECIFIED https://orcid.org/0009-0003-5761-6957 UNSPECIFIED Mons, Ute UNSPECIFIED https://orcid.org/0000-0003-1764-6783 UNSPECIFIED
URN:	urn:nbn:de:hbz:38-805529
Identification Number:	10.1016/j.ajpc.2025.101015
Journal or Publication Title:	American Journal of Preventive Cardiology
Volume:	23
Page Range:	pp. 1-13
Number of Pages:	13
Date:	September 2025
Publisher:	Elsevier
ISSN:	2666-6677
Language:	English
Faculty:	Faculty of Medicine
Divisions:	Faculty of Medicine > Innere Medizin > Klinik III für Innere Medizin - Kardiologie, Pneumologie, Angiologie und internistische Intensivmedizin
Subjects:	Medical sciences Medicine
Uncontrolled Keywords:	Keywords Language Coronary artery disease ; Cardiac rehabilitation ; Wearable devices ; Activity tracker ; Physical activity ; Prognosis English
['eprint_fieldname_oa_funders' not defined]:	Publikationsfonds UzK
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/80552