Post-cardiac Surgery Patients
Conditions
Keywords
Sedentary Behaviour, Quality of Life, Cardiopulmonary Function
Brief summary
This study aims to investigate randomized controlled trial to evaluate whether reducing sedentary behavior improves recovery in post-cardiac surgery patients. Participants are assigned to either a behavioral intervention that substitutes sitting with light activity or to usual care. Changes in exercise capacity and quality of life are the primary measured outcomes. It is hypothesized that the intervention group will demonstrate superior gains in both physical function and well-being. The results could inform a valuable adjunct to existing cardiac rehabilitation programs.
Detailed description
This randomized controlled trial (RCT) aims to determine the efficacy of a targeted sedentary behavior (SB) modification program as a component of early recovery following cardiac surgery. Participants are randomly allocated to either an intervention group, receiving structured counseling and feedback to replace prolonged sitting with frequent bouts of light-intensity physical activity, or a control group receiving standard postoperative care alone. subjective enhancements in health-related quality of life, assessed via validated questionnaires.The randomized control trial involving 24 patients.The study duration will be 3 months with assesment conducted at baseline,mid and end of intervention.Group A(interventional group recieving Sedantary Behavior protocol+Cardiac Rehab),Group B(Control group recieving only Cardiac Rehab).
Interventions
OTHERSedentary Behaviour Modification Protocol
structured intervention designed to reduce the total time spent sitting or lying down (excluding sleeping) and to break up long, uninterrupted periods of inactivity. Effective protocols, often guided by the COM-B model (Capability, Opportunity, Motivation, Behaviour), aim to replace sedentary time with light-intensity physical activity (e.g., walking, standing).
A 3-12 week outpatient, medically supervised program starting shortly after surgery, focusing on monitored exercise (Treadmill), risk factor modification, and education to safely improve heart function. It involves 1-hour sessions 2-3 times a week, combining aerobic training, light strength training, and lifestyle counseling
Sponsors
Riphah International University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
50 Years to 80 Years
Healthy volunteers
No
Inclusion criteria
* Patient Aged 50-80 years (represents the majority cases) * Natural decline in physical capacity, making them an ideal population for studying these outcomes) * Underwent elective or emergency cardiac surgery (once patient is in ward)/1
Exclusion criteria
* Those requiring invasive mechanical ventilation * Individuals with significant cognitive impairment affecting consent or compliance * Pregnant women or Lactating Mother
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Peak Expiratory Flow Rate (PEFR) | 12 weeks | peak expiratory flow rates measured through digital spirometer.3 zones of measurements are commonly used to interpret peak flow rates. Normal value of PEFR is 80 to 100%.Green zone indicates 80 to 100% normal peak flow reading, yellow zone indicates 50 to 79 %of normal peak flow readings, and red zone indicates less than 50% of normal peak flow reading. |
| Forced Vital Capacity (FVC) | 12 weeks | Forced Vital Capacity (FVC) Forced vital capacity (FVC) measured through digital spirometer. If the value of FVC is within 80% of the reference value, the results are considered normal. Changes in FVC from baseline to 3rd week and after 6 weeks day of intervention will be assessed. |
| Forced Expiratory volume in 1sec (FEV1) | 12 weeks | Forced expiratory volume in 1sec (FEV1) measured through digital spirometer. If the value of FEV1 is within 80% of the reference value, the results are considered normal. |
| 36-Item Short Form Health Survey | 12 weeks | The SF-36 Health Survey is a widely used tool that measures eight scales related to functional and well-being health-related quality of life (HRQOL). |
| No. of steps | 12 weeks | Monitoring of 24- hours number of steps on an activity track watch |
Countries
Pakistan
Contacts
CONTACTSuman Sheraz, PhD
CONTACTImran Amjad, PhD
PRINCIPAL_INVESTIGATORSuman Sheraz, PhD
Riphah International University
Outcome results
None listed