AN EVALUATION OF HULA AS EXERCISE TRAINING FOLLOWING CABG SURGERY

在美国，心血管疾病是导致死亡和残疾的主要原因，无论性别或种族。 运动训练降低广泛性青光眼患者的发病率和死亡率并改善其生活质量 一系列心脏病，包括最近接受冠状动脉搭桥手术的人 (CABG)。作为一种被广泛推荐的护理标准，运动训练仍然没有得到充分利用， 特别是在土著夏威夷人和太平洋人(NHPP)中，只有10%-20%的合格患者是 提到了心脏康复计划。可提高可获得性和遵从性的干预措施， 尤其是在少数民族中，是需要的。在这个拟议的项目中，我们计划评估 草裙舞，夏威夷土著的传统舞蹈形式，在最近接受冠脉搭桥术的患者身上。 草裙舞最初由夏威夷原住民表演，以传达他们的历史和精神信仰，现在普遍 作为一种锻炼和表达的形式，可能特别适合虚弱的人 行动能力有限，符合运动训练和二级训练的推荐范例 预防冠心病。我们计划使用草裙舞开发一种与文化相关的干预措施，即 符合心脏康复运动训练的目标和理念--低强度、长时间 (30-60‘持续时间)达到3-4最大预计心率的70%-80%的运动 每周一次。然后，我们将评估这种与文化相关的干预措施的安全性和有效性 近期接受冠脉搭桥术的NHPP受试者。我们假设草裙舞会改善功能性 能力和健康相关的生活质量与控制组进行比较，控制组以类似的频率和 持续时间。我们的第二个目标是探索草裙舞任何有益效果潜在的可能机制。 心脏康复运动训练在心脏病患者中的利用率仍然很低， 特别是在NHPP中，尽管被证明可以改善生存和生活质量。它被广泛认可 需要以创新的方式改善准入和遵守情况，特别是在少数族裔群体中。这 研究将在NHPP中测试基于草裙舞的文化相关运动训练干预的影响 他们最近接受了冠脉搭桥术。

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.