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

Pomeshkina 2017.

Study characteristics
Methods Study design: single‐centre RCT with 3 arms (supervised cycling vs home‐based walking vs control)
Country: Russia
Dates participants recruited: NR
Maximum follow‐up: 12 months
Participants Inclusion criteria: male with coronary artery disease, planned myocardial revascularisation surgery (cardiopulmonary bypass)
Exclusion criteria: age over 65 years, unstable angina pectoris, recent MI (less than 30 days), changes in ECG making it difficult to interpret the QRS complex and ST segment, atrial fibrillation and other serious cardiac arrhythmias, decreased LVEF ( < 40%), pulmonary hypertension, respiratory and renal failure, metabolic (obesity, decompensated diabetes mellitus) and concomitant diseases that prevent exercise
N randomised: total: 114; intervention 1 (cycling): 36; intervention 2 (walking): 36; comparator: 42
Diagnosis (% of participants): CABG (100%)
Age (median, IQR): intervention 1 (cycling): 57, 51‐59; intervention: 56, 51‐57; comparator: 56 (51‐57)
Percentage male: 100%
Ethnicity (white %): NR
Interventions Intervention:
Group 1: controlled aerobic exercise carried out on a stationary bike
Group 2: independent dosed walking at home, with training pace controlled by pedometer
Components: Exercise only
Setting: group 1 ‐ hospital‐based; group 2 ‐ home‐based
Exercise programme modality: group 1 ‐ cycling; group 2 ‐ walking
Length of session: 30 minutes
Frequency: group 1: 3 sessions per week; group 2: at least 3 times per week
Intensity: group 1: 50% to 75% peak heart rate; group 2: walking pace determined by calculation using cycle ergometry test, target heart rate 50% to 75% peak
Resistance training included? No
Total duration: 3 months
Co‐interventions: None described
Comparator: Medication plus monthly telephone follow‐up
Co‐interventions: None described
Outcomes HRQoL (results not reported)
Source of funding Not reported
Conflicts of interest None declared
Notes Paper translated from Russian. Authors contacted to request HRQoL data, but no response received
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk By simple randomisation using a table of random numbers
Allocation concealment (selection bias) Unclear risk No information provided
Blinding of outcome assessment (detection bias)
All outcomes Unclear risk No information provided
Incomplete outcome data (attrition bias)
All outcomes Low risk Number randomised and reported in final outcomes the same, appears to be no dropouts
Selective reporting (reporting bias) High risk Methods state that at each time point, participants underwent clinical examination, echocardiography, quality of life assessment and determination of exercise tolerance, but these results are not reported.