Sustained Post-Intervention Effects of Small Community Walking on Physical Activity, Well-Being, and Social Capital Among Older Patients With Cardiovascular Disease in the Chronic Phase ― A Follow-up Multicenter Randomized Controlled Trial
Background: Because the sustained effects of physical activity (PA) and the positive psychological and social aspects during the chronic phase of cardiac rehabilitation (CR) have not been clarified, we examined the sustained post-intervention effects of small community walking (SCW) on PA, well-bein...
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| Published in | Circulation Reports p. CR-25-0034 |
|---|---|
| Main Authors | , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
The Japanese Circulation Society
22.08.2025
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| Subjects | |
| Online Access | Get full text |
| ISSN | 2434-0790 2434-0790 |
| DOI | 10.1253/circrep.CR-25-0034 |
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| Abstract | Background: Because the sustained effects of physical activity (PA) and the positive psychological and social aspects during the chronic phase of cardiac rehabilitation (CR) have not been clarified, we examined the sustained post-intervention effects of small community walking (SCW) on PA, well-being, and individual-level social capital in older patients with cardiovascular disease (CVD) in the chronic phase and the influence of increased well-being and social capital on increased PA.Methods and Results: The subjects were 48 older patients with CVD who were randomly divided into SCW and walking-alone groups and were available for a 6-month follow-up survey after a 3 months’ intervention by healthcare workers. We measured PA, well-being (subjective happiness scale), and social capital before, 3 months after the intervention, and 6 months after the intervention ended. At 6 months post-intervention, only the SCW group maintained significant increases from the pre-intervention values in PA and well-being (P<0.01). Furthermore, increased well-being was a predictor of increased PA in the SCW group (P<0.01).Conclusions: Our results suggest that SCW effectively maintains PA and well-being, even after the intervention ends, in older patients with CVD during the chronic phase. In addition, the effects of SCW are associated with PA and well-being. The relationship between PA and individual-level social capital should be further investigated. |
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| AbstractList | Background: Because the sustained effects of physical activity (PA) and the positive psychological and social aspects during the chronic phase of cardiac rehabilitation (CR) have not been clarified, we examined the sustained post-intervention effects of small community walking (SCW) on PA, well-being, and individual-level social capital in older patients with cardiovascular disease (CVD) in the chronic phase and the influence of increased well-being and social capital on increased PA.Methods and Results: The subjects were 48 older patients with CVD who were randomly divided into SCW and walking-alone groups and were available for a 6-month follow-up survey after a 3 months’ intervention by healthcare workers. We measured PA, well-being (subjective happiness scale), and social capital before, 3 months after the intervention, and 6 months after the intervention ended. At 6 months post-intervention, only the SCW group maintained significant increases from the pre-intervention values in PA and well-being (P<0.01). Furthermore, increased well-being was a predictor of increased PA in the SCW group (P<0.01).Conclusions: Our results suggest that SCW effectively maintains PA and well-being, even after the intervention ends, in older patients with CVD during the chronic phase. In addition, the effects of SCW are associated with PA and well-being. The relationship between PA and individual-level social capital should be further investigated. |
| ArticleNumber | CR-25-0034 |
| Author | Shigeki Tsuzuku Shinsuke Hanatani Tomonori Kanazawa Kotaro Tamari Yasutomo Sakai Taishi Nakamura Shinji Sato Kenichi Tsujita Ryo Yamashita Eisaku Harada Akira Nozuhara Yoshinori Yamanouchi |
| Author_xml | – sequence: 1 givenname: Ryo surname: Yamashita fullname: Yamashita, Ryo – sequence: 2 givenname: Shinji surname: Sato fullname: Sato, Shinji – sequence: 3 givenname: Yasutomo surname: Sakai fullname: Sakai, Yasutomo – sequence: 4 givenname: Kotaro surname: Tamari fullname: Tamari, Kotaro – sequence: 5 givenname: Eisaku surname: Harada fullname: Harada, Eisaku – sequence: 6 givenname: Shigeki surname: Tsuzuku fullname: Tsuzuku, Shigeki – sequence: 7 givenname: Taishi surname: Nakamura fullname: Nakamura, Taishi – sequence: 8 givenname: Shinsuke surname: Hanatani fullname: Hanatani, Shinsuke – sequence: 9 givenname: Yoshinori surname: Yamanouchi fullname: Yamanouchi, Yoshinori – sequence: 10 givenname: Akira surname: Nozuhara fullname: Nozuhara, Akira – sequence: 11 givenname: Tomonori surname: Kanazawa fullname: Kanazawa, Tomonori – sequence: 12 givenname: Kenichi surname: Tsujita fullname: Tsujita, Kenichi |
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| Cites_doi | 10.1253/circj.CJ-23-0292 10.1253/circj.CJ-23-0820 10.1007/s10902-014-9538-z 10.7326/0003-4819-120-9-199405010-00001 10.1016/j.socscimed.2013.05.006 10.1253/circj.CJ-22-0234 10.2466/02.06.10.13.PMS.113.5.631-646 10.1161/01.CIR.99.7.963 10.1016/j.ajpc.2021.100146 10.1016/j.ijcard.2012.09.117 10.1161/01.CIR.0000075572.40158.77 10.1111/j.1365-2648.2005.03601.x 10.1161/CIRCULATIONAHA.117.028002 10.1007/s00038-014-0588-0 10.1253/circj.CJ-23-0668 10.1371/journal.pone.0012135 10.1186/s12889-015-1391-4 10.1038/srep01735 10.1123/japa.12.1.45 10.1016/j.jacc.2018.07.042 10.1253/circj.CJ-25-0002 10.1253/circrep.CR-24-0134 10.1253/circj.CJ-23-0890 10.1016/j.pmcj.2011.09.004 10.1186/s12889-021-10175-3 10.1161/CIRCULATIONAHA.120.052737 10.5772/intechopen.68333 10.1371/journal.pone.0051061 10.1186/s12889-018-5664-6 10.1177/1474515113492603 10.1253/circrep.CR-24-0105 10.1207/s15324796abm3101_9 10.1111/ggi.14005 10.1164/ajrccm.166.1.at1102 10.1253/circrep.CR-23-0060 10.3390/ijerph20010303 10.1253/circj.CJ-23-0102 10.1023/A:1006824100041 10.1056/NEJM199406023302201 10.1253/circj.CJ-22-0606 10.1253/circrep.CR-24-0137 10.1097/00001504-200503000-00013 10.1016/j.je.2016.06.005 10.5432/ijshs.IJSHS20080352 10.1253/circrep.CR-24-0058 10.1007/s10902-020-00288-8 10.1589/jpts.36.128 10.1253/circj.CJ-19-0342 10.5502/ijw.v3i1.6 |
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| References | 9. Mizuno A, Kaneko H, Suzuki Y, Okada A, Takeda N, Morita H, et al. Enduring relevance of the stages of change model for transforming lifestyle behaviors. Circ J 2023; 87: 1138–1142, doi:10.1253/circj.CJ-23-0292. 28. Satake S, Arai H. The revised Japanese version of the Cardiovascular Health Study criteria (revised J-CHS criteria). Geriatr Gerontol Int 2020; 20: 992–993, doi:10.1111/ggi.14005. 34. Yamashita R, Sato S, Akase R, Doi T, Tsuzuku S, Yokoi T, et al. Effects of social network incentives and financial incentives on physical activity and social capital among older women: A randomized controlled trial. BMC Public Health 2021; 21: 188, doi:10.1186/s12889-021-10175-3. 41. Pop CL. Physical activity, body image, and subjective well-being. InTech 2017, doi:10.5772/intechopen.68333. 5. Harkness K, Heckman GA, Akhtar-Danesh N, Demers C, Gunn E, McKelvie RS. Cognitive function and self-care management in older patients with heart failure. Eur J Cardiovasc Nurs 2014; 13: 277–284, doi:10.1177/1474515113492603. 44. Kye SY, Park K. Health-related determinants of happiness in Korean adults. Int J Publ Health 2014; 59: 731–738, doi:10.1007/s00038-014-0588-0. 13. DeBusk RF, Miller NH, Superko HR, Dennis CA, Thomas RJ, Lew HT, et al. A case-management system for coronary risk factor modification after acute myocardial infarction. Ann Inter Med 1994; 120: 721–729, doi:10.7326/0003-4819-120-9-199405010-00001. 26. Araki N, Hirota T, Hidaka H, Horibe T, Numaguchi R, Takaki J, et al. Factors affecting recovery of 6-minute walk distance after coronary artery bypass grafting. Circ Rep 2023; 5: 317–322, doi:10.1253/circrep.CR-23-0060. 38. Shephard RJ, Balady GJ. Exercise as cardiovascular therapy. Circulation 1999; 99: 963–972, doi:10.1161/01.cir.99.7.963. 43. Moljord IEO, Moksnes UK, Eriksen L, Espnes GA. Stress and happiness among adolescents with varying frequency of physical activity. Percept Mot Skills 2011; 113: 631–646, doi:10.2466/02.06.10.13.PMS.113.5.631-646. 11. Tokeshi T, Date A, Miura H, Kumasaka L, Arakawa T, Nakao K, et al. Predictors of improvement in exercise capacity after cardiac rehabilitation differ between octogenarian and young-old patients with acute myocardial infarction. Circ J 2023; 87: 815–823, doi:10.1253/circj.CJ-22-0606. 3. Vasankari V, Halonen J, Vasankari T, Anttila V, Airaksinen J, Sievänen H, et al. Physical activity and sedentary behaviour in secondary prevention of coronary artery disease: A review. Am J Prev Cardiol 2021; 5: 100146, doi:10.1016/j.ajpc.2021.100146. 31. Chancellor J, Layous K, Lyubomirsky S. Recalling positive events at work makes employees feel happier, move more, but interact less: A 6-week randomized controlled intervention at a Japanese workplace. J Happiness Stud 2015; 16: 871–887. 23. Tsutsui H, Isobe M, Ito H, Ito H, Okumura K, Ono M, et al. JCS 2017/JHFS 2017 guideline on diagnosis and treatment of acute and chronic heart failure-digest version. Cir J 2019; 83: 2084–2184, doi:10.1253/circj.CJ-19-0342. 45. Clark AM, Whelan HK, Barbour R, MacIntyre PD. A realist study of the mechanisms of cardiac rehabilitation. J Adv Nurs 2005; 14: 362–371, doi:10.1111/j.1365-2648.2005.03601.x. 16. Kuwabara M, Mori M, Komoto S. Japanese national plan for promotion of measures against cerebrovascular and cardiovascular disease. Circulation 2021; 143: 1929–1931, doi:10.1161/CIRCULATIONAHA.120.052737. 29. Kono Y, Sakurada K, Iida Y, Iwata K, Kato M, Kamiya K, et al. Real-world evidence of feasible assessment and intervention in cardiovascular physical therapy for older patients with heart failure: Insight from the J-Proof HF of the Japanese society of cardiovascular physical therapy. Circ Rep 2024; 6: 441–447, doi:10.1253/circrep.CR-24-0058. 40. Kim ACH, Ryu J, Lee C, Kim KM, Heo J. Sport participation and happiness among older adults: A mediating role of social capital. J Happiness Stud 2021; 22: 1623–1641, doi:10.1007/s10902-020-00288-8. 6. Miyawaki N, Takashima A. Evidence of cardiac rehabilitation for heart failure with reduced ejection fraction in recovery to maintenance phase. Circ Rep 2025; 7: 4–5, doi:10.1253/circrep.CR-24-0134. 20. Ueshima K, Fujiwara T, Takao S, Suzuki E, Iwase T, Doi H, et al. Does social capital promote physical activity?: A population-based study in Japan. PLoS One 2010; 5: e12135, doi:10.1371/journal.pone.0012135. 2. Bäck M, Cider A, Gillström J, Herlitz J. Physical activity in relation to cardiac risk markers in secondary prevention of coronary artery disease. Int J Cardiol 2013; 168: 478–483, doi:10.1016/j.ijcard.2012.09.117. 46. Fisher KJ, Li F, Michael Y, Cleveland M. Neighborhood-level influences on physical activity among older adults: A multilevel analysis. J Aging Phys Act 2004; 12: 45–63, doi:10.1123/japa.12.1.45. 18. Yamashita R, Sato S, Sakai Y, Tamari K, Nozuhara A, Kanazawa T, et al. Effects of small community walking intervention on physical activity, well-being, and social capital among older patients with cardiovascular disease in the maintenance phase: A randomized controlled trial. J Phys Ther Sci 2024; 36: 128–135, doi:10.1589/jpts.36.128. 24. Kitai T, Kohsaka S, Kato T, Kato E, Sato K, Teramoto K, et al. JCS/JHFS 2025 Guideline on diagnosis and treatment of heart failure. Circ J 2025; 89: 1278–1444, doi:10.1253/circj.CJ-25-0002. 14. Moore SM, Charvat JM, Gordon NH, Pashkow F, Ribisl P, Roberts BL, et al. Effects of a CHANGE intervention to increase exercise maintenance following cardiac events. Ann Behav Med 2006; 31: 53–62, doi:10.1207/s15324796abm3101_9. 36. Thompson PD, Buchner D, Pina IL, Balady GJ, Williams MA, Marcus BH, et al. American Heart Association Council on Clinical Cardiology Subcommittee on Exercise, Rehabilitation, and Prevention; American Heart Association Council on Nutrition, Physical Activity and Metabolism Subcommittee on Physical Activity. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: A statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on physical Activity). Circulation 2003; 107: 3109–3116, doi:10.1161/01.CIR.0000075572.40158.77. 47. Arai H, Nagatsuka M, Hirai K. The relationship between regular exercise and social capital among Japanese community residents. Int J Sport Health Sci 2008; 6: 188–193, doi:10.5432/ijshs.IJSHS20080352. 35. Mani A, Rahwan I, Pentland A. Including peer pressure to promote cooperation. Sci Rep 2013; 3: 1735, doi:10.1038/srep01735. 37. Lakka TA, Venäläinen JM, Rauramaa R, Salonen R, Tuomilehto J, Salonen JT. Relationship between leisure-time physical activity and cardiorespiratory fitness and the risk of acute myocardial infarction. N Engl J Med 1994; 330: 1549–1554, doi:10.1056/NEJM199406023302201. 49. Kanamori S, Kai Y, Kondo K, Hirai H, Ichida Y, Suzuki K, et al. Participation in sports organizations and prevention of functional disability in older Japanese people: The AGES cohort study. PLoS One 2012; 7: e51061, doi:10.1371/journal.pone.0051061. 1. Makita S, Yasu T, Akashi JY, Adachi H, Izawa H, Ishihara S, et al. JCS/JACR 2021 Guideline on rehabilitation in patients with cardiovascular disease. Circ J 2023; 87: 155–235, doi:10.1253/circj.CJ-22-0234. 22. Penedo FJ, Dahn JR. Exercise and well-being: A review of mental and physical health benefits associated with physical activity. Curr Opin Psychiatry 2005; 18: 189–193, doi:10.1097/00001504-200503000-00013. 30. Lyubomirsky S, Lepper HS. A measure of subjective happiness: Preliminary reliability and construct validation. Social Indicators Res 1999; 46: 137–155. 15. Kubzansky LD, Huffman JC, Boehm JK, Hernandez R, Kim ES, Koga HK, et al. Positive psychological well-being and cardiovascular disease: JACC health promotion series. J Am Coll Cardiol 2018; 72: 1382–1396, doi:10.1016/j.jacc.2018.07.042. 33. Aharony N, Pan W, Ip C, Khayal I. Pentland A. Social fMRI: Investigating and shaping social mechanisms in the real world. Pervasive Mobile Comput 2011; 7: 643–659. 25. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166: 111–117, doi:10.1164/ajrccm.166.1.at1102. 39. Zhang X, Wang D, Li F. Physical exercise, social capital, hope, and subjective well-being in China: A parallel mediation analysis. Int J Environ Res Public Health 2022; 20: 303, doi:10.3390/ijerph20010303. 12. Yamamoto S, Okamura M, Akashi YJ, Tanaka S, Shimizu M, Tsuchikawa Y, et al. Impact of long-term exercise-based cardiac rehabilitation in patients with chronic heart failure: A systematic review and meta-analysis. Circ J 2024; 88: 1360–1371, doi:10.1253/circj.CJ-23-0820. 21. Richards J, Jiang X, Kelly P, Chau J, Bauman A, Ding D. Don’t worry, be happy: Cross-sectional associations between physical activity and happiness in 15 European countries. BMC Public Health 2015; 15: 53, doi:10.1186/s12889-015-1391-4. 42. Hyde A, Maher JP, Elavsky S. Enhancing our understanding of physical activity and well-being from a lifespan perspective. Int J Wellbeing 2013; 3: 98–115, doi:10.5502/ijw.v3i1.6. 19. Ho EC, Hawkley L, Dale W, Waite L, Huisingh-Scheetz M. Social capital predicts accelerometry-measured physical activity among older adults in the U.S.: A cross-sectional study in the National Social Life, Health, and Aging Project. BMC Public Health 2018; 18: 804, doi:10.1186/s12889-018-5664-6. 8. Hiruma T, Nakayama A, Sakamoto J, Hori K, Nanasato M, Hosoda T, et al. Comprehensive cardiac rehabilitation following acute myocardial infarction improves clinical outcomes regardless of exercise capacity. Circ J 2024; 88: 982–992, doi:10.1253/circj.CJ-23-0668. 10. Hori K, Nakayama A, Kobayashi D, Adachi Y, Hirakawa K, Shimokawa T. Exploring the frailty components related to hospitalization-associated disability in older patients after cardiac surgery using a comprehensive frailty assessment. Circ J 2023; 87: 1112–1119 44 45 46 47 48 49 10 11 12 13 14 15 16 17 18 19 1 2 3 4 5 6 7 8 9 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 |
| References_xml | – reference: 10. Hori K, Nakayama A, Kobayashi D, Adachi Y, Hirakawa K, Shimokawa T. Exploring the frailty components related to hospitalization-associated disability in older patients after cardiac surgery using a comprehensive frailty assessment. Circ J 2023; 87: 1112–1119, doi:10.1253/circj.CJ-23-0102. – reference: 28. Satake S, Arai H. The revised Japanese version of the Cardiovascular Health Study criteria (revised J-CHS criteria). Geriatr Gerontol Int 2020; 20: 992–993, doi:10.1111/ggi.14005. – reference: 13. DeBusk RF, Miller NH, Superko HR, Dennis CA, Thomas RJ, Lew HT, et al. A case-management system for coronary risk factor modification after acute myocardial infarction. Ann Inter Med 1994; 120: 721–729, doi:10.7326/0003-4819-120-9-199405010-00001. – reference: 18. Yamashita R, Sato S, Sakai Y, Tamari K, Nozuhara A, Kanazawa T, et al. Effects of small community walking intervention on physical activity, well-being, and social capital among older patients with cardiovascular disease in the maintenance phase: A randomized controlled trial. J Phys Ther Sci 2024; 36: 128–135, doi:10.1589/jpts.36.128. – reference: 38. Shephard RJ, Balady GJ. Exercise as cardiovascular therapy. Circulation 1999; 99: 963–972, doi:10.1161/01.cir.99.7.963. – reference: 3. Vasankari V, Halonen J, Vasankari T, Anttila V, Airaksinen J, Sievänen H, et al. Physical activity and sedentary behaviour in secondary prevention of coronary artery disease: A review. Am J Prev Cardiol 2021; 5: 100146, doi:10.1016/j.ajpc.2021.100146. – reference: 23. Tsutsui H, Isobe M, Ito H, Ito H, Okumura K, Ono M, et al. JCS 2017/JHFS 2017 guideline on diagnosis and treatment of acute and chronic heart failure-digest version. Cir J 2019; 83: 2084–2184, doi:10.1253/circj.CJ-19-0342. – reference: 7. Nozaki K, Hamazaki N, Kamiya K, Ueno K, Miki T, Nanri Y, et al. Association between amount of physical activity and clinical outcomes after treatment for cardiovascular disease in cancer survivors. Circ Rep 2024; 6: 547–554, doi:10.1253/circrep.CR-24-0105. – reference: 4. Hegde SM, Claggett B, Shah AM, Lewis EF, Anand I, Shah SJ, et al. Physical activity and prognosis in the TOPCAT trial (Treatment of preserved cardiac function heart failure with an aldosterone antagonist). Circulation 2017; 136: 982–992, doi:10.1161/CIRCULATIONAHA.117.028002. – reference: 6. Miyawaki N, Takashima A. Evidence of cardiac rehabilitation for heart failure with reduced ejection fraction in recovery to maintenance phase. Circ Rep 2025; 7: 4–5, doi:10.1253/circrep.CR-24-0134. – reference: 20. Ueshima K, Fujiwara T, Takao S, Suzuki E, Iwase T, Doi H, et al. Does social capital promote physical activity?: A population-based study in Japan. PLoS One 2010; 5: e12135, doi:10.1371/journal.pone.0012135. – reference: 12. Yamamoto S, Okamura M, Akashi YJ, Tanaka S, Shimizu M, Tsuchikawa Y, et al. Impact of long-term exercise-based cardiac rehabilitation in patients with chronic heart failure: A systematic review and meta-analysis. Circ J 2024; 88: 1360–1371, doi:10.1253/circj.CJ-23-0820. – reference: 34. Yamashita R, Sato S, Akase R, Doi T, Tsuzuku S, Yokoi T, et al. Effects of social network incentives and financial incentives on physical activity and social capital among older women: A randomized controlled trial. BMC Public Health 2021; 21: 188, doi:10.1186/s12889-021-10175-3. – reference: 14. Moore SM, Charvat JM, Gordon NH, Pashkow F, Ribisl P, Roberts BL, et al. Effects of a CHANGE intervention to increase exercise maintenance following cardiac events. Ann Behav Med 2006; 31: 53–62, doi:10.1207/s15324796abm3101_9. – reference: 24. Kitai T, Kohsaka S, Kato T, Kato E, Sato K, Teramoto K, et al. JCS/JHFS 2025 Guideline on diagnosis and treatment of heart failure. Circ J 2025; 89: 1278–1444, doi:10.1253/circj.CJ-25-0002. – reference: 26. Araki N, Hirota T, Hidaka H, Horibe T, Numaguchi R, Takaki J, et al. Factors affecting recovery of 6-minute walk distance after coronary artery bypass grafting. Circ Rep 2023; 5: 317–322, doi:10.1253/circrep.CR-23-0060. – reference: 11. Tokeshi T, Date A, Miura H, Kumasaka L, Arakawa T, Nakao K, et al. Predictors of improvement in exercise capacity after cardiac rehabilitation differ between octogenarian and young-old patients with acute myocardial infarction. Circ J 2023; 87: 815–823, doi:10.1253/circj.CJ-22-0606. – reference: 41. Pop CL. Physical activity, body image, and subjective well-being. InTech 2017, doi:10.5772/intechopen.68333. – reference: 30. Lyubomirsky S, Lepper HS. A measure of subjective happiness: Preliminary reliability and construct validation. Social Indicators Res 1999; 46: 137–155. – reference: 19. Ho EC, Hawkley L, Dale W, Waite L, Huisingh-Scheetz M. Social capital predicts accelerometry-measured physical activity among older adults in the U.S.: A cross-sectional study in the National Social Life, Health, and Aging Project. BMC Public Health 2018; 18: 804, doi:10.1186/s12889-018-5664-6. – reference: 15. Kubzansky LD, Huffman JC, Boehm JK, Hernandez R, Kim ES, Koga HK, et al. Positive psychological well-being and cardiovascular disease: JACC health promotion series. J Am Coll Cardiol 2018; 72: 1382–1396, doi:10.1016/j.jacc.2018.07.042. – reference: 17. Tsukada YT, Aoki-Kamiya C, Mizuno A, Nakayama A, Ide T, Aoyama R, et al. JCS/JCC/JACR/JATS 2024 guideline on cardiovascular practice with consideration for diversity, equity, and Inclusion. Circ J 2025; 89: 658–739, doi:10.1253/circj.CJ-23-0890. – reference: 1. Makita S, Yasu T, Akashi JY, Adachi H, Izawa H, Ishihara S, et al. JCS/JACR 2021 Guideline on rehabilitation in patients with cardiovascular disease. Circ J 2023; 87: 155–235, doi:10.1253/circj.CJ-22-0234. – reference: 47. Arai H, Nagatsuka M, Hirai K. The relationship between regular exercise and social capital among Japanese community residents. Int J Sport Health Sci 2008; 6: 188–193, doi:10.5432/ijshs.IJSHS20080352. – reference: 29. Kono Y, Sakurada K, Iida Y, Iwata K, Kato M, Kamiya K, et al. Real-world evidence of feasible assessment and intervention in cardiovascular physical therapy for older patients with heart failure: Insight from the J-Proof HF of the Japanese society of cardiovascular physical therapy. Circ Rep 2024; 6: 441–447, doi:10.1253/circrep.CR-24-0058. – reference: 33. Aharony N, Pan W, Ip C, Khayal I. Pentland A. Social fMRI: Investigating and shaping social mechanisms in the real world. Pervasive Mobile Comput 2011; 7: 643–659. – reference: 9. Mizuno A, Kaneko H, Suzuki Y, Okada A, Takeda N, Morita H, et al. Enduring relevance of the stages of change model for transforming lifestyle behaviors. Circ J 2023; 87: 1138–1142, doi:10.1253/circj.CJ-23-0292. – reference: 49. Kanamori S, Kai Y, Kondo K, Hirai H, Ichida Y, Suzuki K, et al. Participation in sports organizations and prevention of functional disability in older Japanese people: The AGES cohort study. PLoS One 2012; 7: e51061, doi:10.1371/journal.pone.0051061. – reference: 40. Kim ACH, Ryu J, Lee C, Kim KM, Heo J. Sport participation and happiness among older adults: A mediating role of social capital. J Happiness Stud 2021; 22: 1623–1641, doi:10.1007/s10902-020-00288-8. – reference: 16. Kuwabara M, Mori M, Komoto S. Japanese national plan for promotion of measures against cerebrovascular and cardiovascular disease. Circulation 2021; 143: 1929–1931, doi:10.1161/CIRCULATIONAHA.120.052737. – reference: 5. Harkness K, Heckman GA, Akhtar-Danesh N, Demers C, Gunn E, McKelvie RS. Cognitive function and self-care management in older patients with heart failure. Eur J Cardiovasc Nurs 2014; 13: 277–284, doi:10.1177/1474515113492603. – reference: 42. Hyde A, Maher JP, Elavsky S. Enhancing our understanding of physical activity and well-being from a lifespan perspective. Int J Wellbeing 2013; 3: 98–115, doi:10.5502/ijw.v3i1.6. – reference: 46. Fisher KJ, Li F, Michael Y, Cleveland M. Neighborhood-level influences on physical activity among older adults: A multilevel analysis. J Aging Phys Act 2004; 12: 45–63, doi:10.1123/japa.12.1.45. – reference: 32. Saito M, Kondo N, Aida J, Kawachi I, Koyama S, Ojima T, et al. Development of an instrument for community-level health related social capital among Japanese older people: The JAGES Project. J Epidemiol 2017; 27: 221–227, doi:10.1016/j.je.2016.06.005. – reference: 37. Lakka TA, Venäläinen JM, Rauramaa R, Salonen R, Tuomilehto J, Salonen JT. Relationship between leisure-time physical activity and cardiorespiratory fitness and the risk of acute myocardial infarction. N Engl J Med 1994; 330: 1549–1554, doi:10.1056/NEJM199406023302201. – reference: 44. Kye SY, Park K. Health-related determinants of happiness in Korean adults. Int J Publ Health 2014; 59: 731–738, doi:10.1007/s00038-014-0588-0. – reference: 25. ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: Guidelines for the six-minute walk test. Am J Respir Crit Care Med 2002; 166: 111–117, doi:10.1164/ajrccm.166.1.at1102. – reference: 36. Thompson PD, Buchner D, Pina IL, Balady GJ, Williams MA, Marcus BH, et al. American Heart Association Council on Clinical Cardiology Subcommittee on Exercise, Rehabilitation, and Prevention; American Heart Association Council on Nutrition, Physical Activity and Metabolism Subcommittee on Physical Activity. Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease: A statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on physical Activity). Circulation 2003; 107: 3109–3116, doi:10.1161/01.CIR.0000075572.40158.77. – reference: 31. Chancellor J, Layous K, Lyubomirsky S. Recalling positive events at work makes employees feel happier, move more, but interact less: A 6-week randomized controlled intervention at a Japanese workplace. J Happiness Stud 2015; 16: 871–887. – reference: 48. Ichida Y, Hirai H, Kondo K, Kawachi I, Takeda T, Endo H. Does social participation improve self-related health in the older population?: Quasi-experimental intervention study. Soc Sci Med 2013; 94: 83–90, doi:10.1016/j.socscimed.2013.05.006. – reference: 43. Moljord IEO, Moksnes UK, Eriksen L, Espnes GA. Stress and happiness among adolescents with varying frequency of physical activity. Percept Mot Skills 2011; 113: 631–646, doi:10.2466/02.06.10.13.PMS.113.5.631-646. – reference: 45. Clark AM, Whelan HK, Barbour R, MacIntyre PD. A realist study of the mechanisms of cardiac rehabilitation. J Adv Nurs 2005; 14: 362–371, doi:10.1111/j.1365-2648.2005.03601.x. – reference: 35. Mani A, Rahwan I, Pentland A. Including peer pressure to promote cooperation. Sci Rep 2013; 3: 1735, doi:10.1038/srep01735. – reference: 21. Richards J, Jiang X, Kelly P, Chau J, Bauman A, Ding D. Don’t worry, be happy: Cross-sectional associations between physical activity and happiness in 15 European countries. BMC Public Health 2015; 15: 53, doi:10.1186/s12889-015-1391-4. – reference: 22. Penedo FJ, Dahn JR. Exercise and well-being: A review of mental and physical health benefits associated with physical activity. Curr Opin Psychiatry 2005; 18: 189–193, doi:10.1097/00001504-200503000-00013. – reference: 2. Bäck M, Cider A, Gillström J, Herlitz J. Physical activity in relation to cardiac risk markers in secondary prevention of coronary artery disease. Int J Cardiol 2013; 168: 478–483, doi:10.1016/j.ijcard.2012.09.117. – reference: 39. Zhang X, Wang D, Li F. Physical exercise, social capital, hope, and subjective well-being in China: A parallel mediation analysis. Int J Environ Res Public Health 2022; 20: 303, doi:10.3390/ijerph20010303. – reference: 27. Miyazawa R, Iso Y, Yamamoto S, Matsuo T, Morisawa T, Takahashi T, et al. Impact of tailored multidisciplinary cardiac rehabilitation on patients with cardiovascular diseases and multimorbidity in convalescent rehabilitation hospitals in Japan: A multicenter, prospective observational study. Circ Rep 2025; 7: 403–410, doi:10.1253/circrep.CR-24-0137. – reference: 8. Hiruma T, Nakayama A, Sakamoto J, Hori K, Nanasato M, Hosoda T, et al. Comprehensive cardiac rehabilitation following acute myocardial infarction improves clinical outcomes regardless of exercise capacity. Circ J 2024; 88: 982–992, doi:10.1253/circj.CJ-23-0668. – ident: 9 doi: 10.1253/circj.CJ-23-0292 – ident: 12 doi: 10.1253/circj.CJ-23-0820 – ident: 31 doi: 10.1007/s10902-014-9538-z – ident: 13 doi: 10.7326/0003-4819-120-9-199405010-00001 – ident: 48 doi: 10.1016/j.socscimed.2013.05.006 – ident: 1 doi: 10.1253/circj.CJ-22-0234 – ident: 43 doi: 10.2466/02.06.10.13.PMS.113.5.631-646 – ident: 38 doi: 10.1161/01.CIR.99.7.963 – ident: 3 doi: 10.1016/j.ajpc.2021.100146 – ident: 2 doi: 10.1016/j.ijcard.2012.09.117 – ident: 36 doi: 10.1161/01.CIR.0000075572.40158.77 – ident: 45 doi: 10.1111/j.1365-2648.2005.03601.x – ident: 4 doi: 10.1161/CIRCULATIONAHA.117.028002 – ident: 44 doi: 10.1007/s00038-014-0588-0 – ident: 8 doi: 10.1253/circj.CJ-23-0668 – ident: 20 doi: 10.1371/journal.pone.0012135 – ident: 21 doi: 10.1186/s12889-015-1391-4 – ident: 35 doi: 10.1038/srep01735 – ident: 46 doi: 10.1123/japa.12.1.45 – ident: 15 doi: 10.1016/j.jacc.2018.07.042 – ident: 24 doi: 10.1253/circj.CJ-25-0002 – ident: 6 doi: 10.1253/circrep.CR-24-0134 – ident: 17 doi: 10.1253/circj.CJ-23-0890 – ident: 33 doi: 10.1016/j.pmcj.2011.09.004 – ident: 34 doi: 10.1186/s12889-021-10175-3 – ident: 16 doi: 10.1161/CIRCULATIONAHA.120.052737 – ident: 41 doi: 10.5772/intechopen.68333 – ident: 49 doi: 10.1371/journal.pone.0051061 – ident: 19 doi: 10.1186/s12889-018-5664-6 – ident: 5 doi: 10.1177/1474515113492603 – ident: 7 doi: 10.1253/circrep.CR-24-0105 – ident: 14 doi: 10.1207/s15324796abm3101_9 – ident: 28 doi: 10.1111/ggi.14005 – ident: 25 doi: 10.1164/ajrccm.166.1.at1102 – ident: 26 doi: 10.1253/circrep.CR-23-0060 – ident: 39 doi: 10.3390/ijerph20010303 – ident: 10 doi: 10.1253/circj.CJ-23-0102 – ident: 30 doi: 10.1023/A:1006824100041 – ident: 37 doi: 10.1056/NEJM199406023302201 – ident: 11 doi: 10.1253/circj.CJ-22-0606 – ident: 27 doi: 10.1253/circrep.CR-24-0137 – ident: 22 doi: 10.1097/00001504-200503000-00013 – ident: 32 doi: 10.1016/j.je.2016.06.005 – ident: 47 doi: 10.5432/ijshs.IJSHS20080352 – ident: 29 doi: 10.1253/circrep.CR-24-0058 – ident: 40 doi: 10.1007/s10902-020-00288-8 – ident: 18 doi: 10.1589/jpts.36.128 – ident: 23 doi: 10.1253/circj.CJ-19-0342 – ident: 42 doi: 10.5502/ijw.v3i1.6 |
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| Title | Sustained Post-Intervention Effects of Small Community Walking on Physical Activity, Well-Being, and Social Capital Among Older Patients With Cardiovascular Disease in the Chronic Phase ― A Follow-up Multicenter Randomized Controlled Trial |
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