AN EVALUATION OF HULA AS EXERCISE TRAINING FOLLOWING CABG SURGERY

呼啦作为冠状动脉搭桥手术后运动训练的评估

• 批准号: 7339199
• 负责人: TODD B SETO
• 金额: $ 16.38万
• 依托单位: UNIVERSITY OF HAWAII AT MANOA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7339199
• 关键词: Activities of Daily Living; Adherence; Aerobic Exercise; Belief; Blood Glucose; Cardiac; Cardiovascular Diseases; Caring; Cause of Death; Cholesterol; Control Groups; Coronary Arteriosclerosis; Coronary Artery Bypass; Dancing; Disease; Educational Intervention; Effectiveness; Evaluation; Exercise; Exercise Tolerance; Fasting; Frequencies; Gender; Glycosylated hemoglobin A; Goals; Hawaiian population; Heart Diseases; Heart Rate; Hypotension; Improve Access; Individual; Intervention; Life Style; Measures; Meditation; Metabolic stress; Minority; Morbidity - disease rate; Movement; Music; Myocardial Infarction; Native-Born; Operative Surgical Procedures; Oxygen; Patients; Philosophy; Population; Quality of life; Race; Randomized; Range; Recording of previous events; Recovery; Rehabilitation therapy; Reporting; Risk Factors; SF-36; Safety; Secondary Prevention; Self Efficacy; Self Perception; Standards of Weights and Measures; Stress Tests; Structure; Sympathetic Nervous System; Testing; Time; Training; United States; Upper arm; Walking; Week; Weight; base; cardiovascular disorder risk; design; disability; ethnic minority population; expectation; health related quality of life; improved; innovation; intervention program; mortality; programs; psychosocial; uptake

Cardiovascular disease is the leading cause of death and disability in the US, regardless of gender or race. Exercise training reduces morbidity and mortality and improves quality of life among patients with a broad range of heart disease, including those who have recently undergone coronary artery bypass surgery (CABG). Widely recommended as a standard of care, exercise training remains substantially underutilized, particularly among Native Hawaiians and Pacific Peoples (NHPP) with only 10-20% of eligible patients being referred to cardiac rehabilitation programs. Interventions that can improve accessibility and adherence, particularly among ethnic minorities, are needed. In this proposed project, we plan to evaluate the impact of hula, the traditional dance form of Native Hawaiians, on patients who have recently undergone CABG. Originally performed by Native Hawaiians to convey their history and spiritual beliefs, hula is now commonly practiced as a form of exercise and expression that may be particularly suitable for debilitated individuals with limited mobility, and fits within the recommended paradigm for exercise training and the secondary prevention of coronary artery disease. We plan to develop a culturally relevant intervention using hula that is consistent with the goals and philosophy of cardiac rehabilitation exercise training - low-intensity, prolonged (30-60' duration) exercise designed to achieve 70-80% of the maximal predicted heart rate prescribed at 3-4 times per week. We will then evaluate the safety and efficacy of this culturally relevant intervention among NHPP subjects who have recently undergone CABG. We hypothesize that hula will improve functional capacity and health-related quality of life compared to a control group who meet at a similar frequency and duration. Our secondary goal is to explore the possible mechanisms underlying any beneficial effect of hula. Cardiac rehabilitation exercise training remains substantilly underutilized among patients with heart disease, particularly among NHPP, despite being shown to improve survival and quality of life. It is widely recognized that innovative ways to improve access and adherence is needed, particularly among racial minorities. This study will test the impact of a culturally relevant exercise training intervention based on hula among NHPP who have recently undergone CABG.

在美国，无论性别或种族，心血管疾病都是导致死亡和残疾的主要原因。