Andersen 1981.
Methods |
Study design: RCT Country: Denmark Dates patients recruited: NR Maximum follow up: 37 months Post MI randomised four weeks after discharge. |
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Participants |
Inclusion criteria: < 66 yrs with 1st MI. Exclusion criteria: patients without motivation and patients with impairment of the motorial apparatus that excluded training. N Randomised: total: 75 intervention: 38; comparator: 37 Diagnosis (% of pts): post MI: 100% Age (mean ±SD): intervention: 52.2 ± 7.5; comparator: 55.6 ± 6.3 Percentage male: intervention: 100%; comparator: 100% Ethnicity: NR |
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Interventions |
Intervention: aerobic activity e.g. running, cycling, skipping + weights for 1 hour x 2 weekly for 2 months, then x 1 week for 10 months. Then continue at home. Components: exercise. Setting: centre‐based initially, followed by home. Aerobic exercise: Modality: e.g. running, cycling, skipping. Length of session: 1 hour Frequency: twice a week for two months, and then weekly for 10 months. Intensity: initial load of 150kpm/min (24.5W). increased with 150kpm/min every 6 mins. Resistance training included? yes ‐ weights. Total duration: 12 months. Co‐interventions: none described Comparator: non‐trained group (although some patients trained on own initiative). Co‐interventions: none described. |
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Outcomes | Total & CHD mortality. Non fatal MI. Outcomes measured at 1, 13, 25, & 37 months post‐discharge. |
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Source of funding | NR | |
Conflicts of interest | NR | |
Notes | 88 participants were randomised, but 13 failed to follow up. Therefore 75 took part in the study. Several participants in C trained on own initiative, but were analysed as intention to treat. Authors concluded that physical training after MI appears to reduce consequences and to improve PWC, but PWC declines once participant on their own Physcial training had no effect on period of convalescence or return to work, but age and previous occupation were of significance. |
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Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Low risk | "random numbers". |
Allocation concealment (selection bias) | Unclear risk | Allocation concealment not reported. |
Blinding of outcome assessment (detection bias) All outcomes | Unclear risk | Blinding not described. |
Incomplete outcome data (attrition bias) All outcomes | High risk | 15% lost to follow‐up, no description of withdrawals or dropouts. |
Selective reporting (reporting bias) | Low risk | All outcomes were reported at all time points. |
Groups balanced at baseline | Low risk | No significant differences in “basic data” for training and control patients. |
Intention‐to‐treat analysis conducted | Low risk | Yes. |
Groups received same treatment (apart from the intervention) | Low risk | Intervention included exercise only. |