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The safety and effectiveness of cardiac rehabilitation for abdominal aortic aneurysm

Research Project

Project/Area Number 15K16351
Research Category

Grant-in-Aid for Young Scientists (B)

Allocation TypeMulti-year Fund
Research Field Rehabilitation science/Welfare engineering
Research InstitutionThe University of Tokyo

Principal Investigator

Nakayama Atsuko  東京大学, 医学部附属病院, 助教 (60529147)

Project Period (FY) 2015-04-01 – 2018-03-31
Project Status Completed (Fiscal Year 2017)
Budget Amount *help
¥3,900,000 (Direct Cost: ¥3,000,000、Indirect Cost: ¥900,000)
Fiscal Year 2016: ¥1,430,000 (Direct Cost: ¥1,100,000、Indirect Cost: ¥330,000)
Fiscal Year 2015: ¥2,470,000 (Direct Cost: ¥1,900,000、Indirect Cost: ¥570,000)
KeywordsAAA / cardiac rehabilitation / 腹部大動脈瘤 / 心臓リハビリテーション / 運動療法
Outline of Final Research Achievements

We conducted a retrospective cohort study on patients with a small AAA before surgery. The risk for AAA repair was much lower in the rehabilitation group after matching. AAA expansion rate was slower in the rehabilitation group (before matching: rehabilitation versus nonrehabilitation group, 2.3±3.7 versus 3.8±3.4 mm/y [P=0.008]; after matching: rehabilitation versus nonrehabilitation group, 2.1±3.0 versus 4.5±4.0 mm/y [P<0.001]). Elevation of blood pressure during exercise was positively correlated with AAA expansion rate after the rehabilitation program (r=0.569, P<0.001). Cardiac rehabilitation protects against the expansion of small AAAs and mitigates the risk associated with AAA repair, possibly because of the decreased elevation of blood pressure during exercise. The report was published. Cardiac Rehabilitation Protects Against the Expansion of Abdominal Aortic Aneurysm. J Am Heart Assoc. 2018 Feb 27;7(5).

Report

(4 results)
  • 2017 Annual Research Report   Final Research Report ( PDF )
  • 2016 Research-status Report
  • 2015 Research-status Report
  • Research Products

    (3 results)

All 2018 2017

All Journal Article (1 results) (of which Peer Reviewed: 1 results,  Open Access: 1 results) Presentation (2 results) (of which Int'l Joint Research: 1 results)

  • [Journal Article] Cardiac rehabilitation protects against the expansion of abdominal aortic aneurysm2018

    • Author(s)
      Nakayama A, Morita H, Nagayama M, Hoshina K, Uemura Y, Tomoike H, Komuro I.
    • Journal Title

      Journal of the American Heart Association

      Volume: 7 Issue: 5 Pages: 5-12

    • DOI

      10.1161/jaha.117.007959

    • Related Report
      2017 Annual Research Report
    • Peer Reviewed / Open Access
  • [Presentation] Is woman tolerant to flail? The sub analysis of the Sakakibara Cardiac REhabilitation AMong patients with cardiovascular disease (SCREAM) study.2018

    • Author(s)
      Atsuko Nakayama
    • Organizer
      日本循環器学会
    • Related Report
      2017 Annual Research Report
  • [Presentation] The Cardiac Rehabilitation Protects against the Expansion of Abdominal Aortic Aneurysm.2017

    • Author(s)
      Atsuko Nakayama
    • Organizer
      American Heart Association
    • Related Report
      2017 Annual Research Report
    • Int'l Joint Research

URL: 

Published: 2015-04-16   Modified: 2019-03-29  

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