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: 7858529
• 负责人: TODD B SETO
• 金额: $ 26.63万
• 依托单位: UNIVERSITY OF HAWAII AT MANOA
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-06-01 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7858529
• 关键词: Activities of Daily Living; Adherence; Aerobic Exercise; Belief; Blood Glucose; Cardiac; Cardiovascular Diseases; 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; Group Meetings; 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; Recording of previous events; Recovery; Rehabilitation therapy; Reporting; Risk Factors; SF-36; Safety; Secondary Prevention; Self Efficacy; Self Perception; Stress Tests; Structure; Sympathetic Nervous System; Testing; Time; Training; United States; Upper arm; Walking; Weight; base; cardiovascular disorder risk; design; disability; empowered; ethnic minority population; expectation; group intervention; health related quality of life; heart rate variability; improved; innovation; intervention program; meetings; mortality; programs; psychosocial; standard of care; 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.

心血管疾病是美国死亡和残疾的主要原因，不分性别或种族。 运动训练可降低广泛性高血压患者的发病率和死亡率，并改善其生活质量。 一系列心脏病，包括那些最近接受冠状动脉搭桥手术的人 （CABG）。运动训练被广泛推荐为一种标准护理，但仍然没有得到充分利用， 特别是在夏威夷原住民和太平洋人民（NHPP）中，只有10-20%的合格患者 提到心脏康复计划。可以改善可及性和依从性的干预措施， 尤其是少数民族。在这个拟议的项目中，我们计划评估 草裙舞，夏威夷土著人的传统舞蹈形式，对最近接受冠状动脉旁路移植术的病人。 草裙舞最初由夏威夷土著人表演，以传达他们的历史和精神信仰，现在通常是 作为一种锻炼和表达的形式，可能特别适合身体虚弱的人 有限的流动性，并符合建议的模式，运动训练和中学 预防冠心病。我们计划用草裙舞开发一种与文化相关的干预措施， 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）运动，旨在达到3-4时规定的最大预测心率的70-80% 每周几次。然后，我们将评估这种文化相关干预措施的安全性和有效性， 近期接受过CABG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相比，以类似的频率， 持续时间我们的第二个目标是探索草裙舞有益效果的潜在机制。 心脏康复运动训练在心脏病患者中仍然没有得到充分利用， 特别是在NHPP中，尽管被证明可以提高生存率和生活质量。人们普遍认识到 需要创新的方法来改善获得和遵守，特别是在少数民族中。这 研究将测试基于草裙舞的文化相关运动训练干预在NHPP中的影响 最近接受了CABG。