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. 2021 Nov 6;2021(11):CD001800. doi: 10.1002/14651858.CD001800.pub4

Andersen 1981.

Study characteristics
Methods Study design: RCT
Country: Denmark
Dates participants recruited: NR
Maximum follow‐up: 37 months
Post MI randomised four weeks after discharge.
Participants Inclusion criteria: < 66 yrs with 1st MI
Exclusion criteria: participants without motivation and participants with impairment of the motorial apparatus that excluded training
N randomised: total: 75; intervention: 38; comparator: 37
Diagnosis (% of participants): post MI: 100%
Age (mean ±SD): intervention: 52.2 ± 7.5; comparator: 55.6 ± 6.3
Percentage male: intervention: 100%; comparator: 100%
Ethnicity: NR
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 only
Setting: centre‐based initially, followed by home
Exercise programme 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 150 kpm/min (24.5 W). increased with 150 kpm/min every 6 mins
Resistance training included? yes ‐ weights
Total duration: 12 months
Co‐interventions: none described
Comparator: non‐trained group (although some participants trained on own initiative)
Co‐interventions: none described
Outcomes Total and CHD mortality
Non‐fatal MI
Outcomes measured at 1, 13, 25 and 37 months post‐discharge
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 control group trained on own initiative, but were analysed as intention‐to‐treat.
Triallists concluded that physical training after MI appears to reduce consequences and to improve PWC, but PWC declines once participant is on their own.
Physical training had no effect on period of convalescence or return to work, but age and previous occupation were of significance.
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