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. |
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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 |
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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 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 |
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Outcomes | Total and CHD mortality Non‐fatal MI Outcomes measured at 1, 13, 25 and 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 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. |
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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 |