ICCPR Women-Focused CR Clinical Practice Guideline
Dear Cardiac Rehabilitation (CR) Community:
Please find on this page links to high-quality reviews and seminal articles on women in CR (or sex/gender differences in CR), so we can learn to better engage them and improve their outcomes. If you have some suggestions for additional resources to display that are high-quality, please email us at email@example.com.
Women are an under-represented patient group in cardiac rehab, despite great need. Once enrolled, women are more likely to dropout and often don’t improve to the same degree as men. Therefore ICCPR embarked on a rigorous process to develop the first clinical practice guideline on women-focused CR (forthcoming).
Women’s CR Preferences
Sex differences in CR preferences and degree to which they are met: please write out citation as below and link to https://pubmed.ncbi.nlm.nih.gov/8761836/
Women’s CR Utilization
Sex differences in CR barriers (quantitative): Grace, S.L., Gravely-Witte, S., Kayaniyil, S., Brual, J., Suskin, N., & Stewart, D.E. (2009). A multisite examination of sex differences in cardiac rehabilitation barriers by participation status. Journal of Women’s Health, 18(2), 209-216. https://www.liebertpub.com/doi/10.1089/jwh.2007.0753?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed
Review on sex differences in CR referral: Colella, T.J., Gravely, S., Marzolini, S., Grace, S.L., Francis, J.A., Oh, P., & Scott, L.B. (2015). Sex bias in referral of women to outpatient cardiac rehabilitation? A meta-analysis. European Journal of Preventive Cardiology, 22(4): 423-441
Review on sex differences in CR enrolment: Samayoa, L., Grace, S.L., Gravely, S., Benz Scott, L., Marzolini, S. & Colella, T. (2014). Sex differences in cardiac rehabilitation enrolment: A meta-analysis. Canadian Journal of Cardiology, 30: 793-800. https://www.sciencedirect.com/science/article/pii/S0828282X13016383?via%3Dihub
Review on sex differences in CR adherence: Oosenbrug, E., Marinho, R.P., Zhang, J., Marzolini, S., Colella, T.J., Pakosh, M., & Grace, S.L. (2016). Sex differences in cardiac rehabilitation adherence: A meta-analysis. Canadian Journal of Cardiology;32(11):1316-1324. https://www.sciencedirect.com/science/article/pii/S0828282X16000970?via%3Dihub
Women’s CR Outcomes
Meta-analysis attempt re mortality and morbidity: Ghisi, G.M., Chaves, G.S., Bennett, A., Lavie, C.J., & Grace, S.L. (2019). The effects of cardiac rehabilitation on mortality and morbidity in women: A meta-analysis attempt. Journal of Cardiopulmonary Rehabilitation and Prevention; 39:39-42. https://journals.lww.com/jcrjournal/Fulltext/2019/01000/The_Effects_of_Cardiac_Rehabilitation_on_Mortality.7.aspx
Registry data showing lower mortality in women with CR: type out citation and link to https://academic.oup.com/eurjpc/article/29/3/485/6294517
Narrative review on women’s exercise response: type out citation and link to https://academic.oup.com/eurjpc/article/28/7/779/6318921?utm_medium=Email&utm_source=EAPC&utm_campaign=European+Journal+of+Preventive+Cardiology
Review of women’s CR outcomes by area / component: type out citation and link to https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.121.319894\
Sex differences in METs: type out and link to https://www.omicsonline.org/open-access/sexbased-differences-in-metabolic-equivalents-mets-after-cardiac-rehabilitation-a-systematic-review-116851.html
Registry data on sex differences in risk factor target attainment: Turk-Adawi, K.I., Oldridge, N.B., Vitcenda, M.J., Tarima, S.S. & Grace, S.L. (2016). Secondary prevention recommendation attainment with cardiac rehabilitation: Is there a gender disparity? Women’s Health Issues;26(3):278-287. https://www.sciencedirect.com/science/article/pii/S1049386716000335?via%3Dihub
WHAT TO DO ABOUT IT?
Interventions to Increase Women’s CR Use
Automatic / systematic CR referral: Gravely, S., Anand, S.S., Stewart, D.E., & Grace, S.L. (2014). Effect of referral strategies on access to cardiac rehabilitation among women. European Journal of Preventive Cardiology, 21(8): 1018-1025. https://academic.oup.com/eurjpc/article/21/8/1018/5925800?login=true
Review of women’s CR barriers and suggested solutions to overcome them: type out citation and link to https://pubmed.ncbi.nlm.nih.gov/28365100/
Review of women’s preferred features for non-clinical CR delivery: type out citation and link to https://journals.sagepub.com/doi/10.1177/2047487320907748
CR for Cardiac Conditions More Common in Women
Review regarding SCAD, stress as well as peripartum cardiomyopathy, MINOCA: type out and link to https://www.sciencedirect.com/science/article/pii/S0033062022000147?via%3Dihub
Review regarding TAVI, PAD: type out and link https://journals.lww.com/jcardiovascularmedicine/Abstract/2018/12000/Cardiac_rehabilitation_in_women__state_of_the_art.2.aspx
Women-Focused CR / CR Especially for Women (CREW) Specifically
Randomized trial on model for women: Andraos, C., Arthur, H.M., Oh, P., Chessex, C., Brister, S., & Grace, S.L. (2015). Women’s preferences for cardiac rehabilitation program model: A randomized controlled trial. European Journal of Preventive Cardiology; 22(12): 1513-1522. https://academic.oup.com/eurjpc/article/22/12/1513/5926344?login=true
Review on what is women-focused CR: Mamataz, T., Ghisi, G.L.M., Pakosh, M., & Grace, S.L. (2021). Nature, availability and utilization of women-focused cardiac rehabilitation: A systematic review. BMC Cardiovascular Disorders;21:459. https://rdcu.be/cylke
Review on outcomes of women-focused CR: Mamataz, T., Ghisi, G.L.M.*, Pakosh, M., & Grace, S.L. (2022). Outcomes of women-focused cardiac rehabilitation: A systematic review and meta-analysis. Maturitas:160;32-60. https://www.sciencedirect.com/science/article/pii/S0378512222000202?via%3Dihu
Global availability of women-focused CR: Turk-Adawi, K., Supervia, M., Lopez-Jimenez, F., Adawi, A., Sadeghi, M., & Grace, S.L. (2021). Women-only cardiac rehabilitation delivery around the globe. Heart, Lung & Circulation; 30(1):135-143. https://www.sciencedirect.com/science/article/pii/S1443950620300603?via%3Dihub
Interventions to Improve Women’s Outcomes (Clinical and Other)
Review on alternative forms of exercise (forthcoming)
Appendix from Women-Focused CR Clinical Practice Guideline : List of Women-Focused CR Implementation Tools. Click here
POTPOURRI – Narrative Reviews on Women and CR, etc
About the association
The International Council of Cardiovascular Prevention and Rehabilitation (ICCPR) was created in 2010 to bring together associations dedicated to the promotion of cardiovascular disease prevention and cardiac rehabilitation globally. Named Board member from each associations serve on our Council, which meets quarterly. ICCPR is an Associate International Member of the World Heart Federation.
Copyright © 2010 International Council of Cardiovascular Prevention and Rehabilitation (ICCPR). All Rights Reserved.