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January 9, 2026Journal of Rehabilitation MedicineOpen Access

Women and men benefit equally from cardiac rehabilitation regarding aerobic capacity and other health outcomes, though women showed greater improvements in depressive symptoms.

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Key result

Women and men benefit equally from cardiac rehabilitation regarding aerobic capacity and other health outcomes, though women showed greater improvements in depressive symptoms.

Authors

NHNienke ter HoeveMBMarie de BakkerMSMadoka Sunamura

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Overview

Secondary analysis shows men and women gain similar benefits in cardiac rehabilitation, suggesting personalized programs may be needed.

Key Points

  • To examine differences in cardiac rehabilitation outcomes between men and women after an acute coronary syndrome.
  • Measured aerobic capacity using the 6-Minute Walk Test
  • Assessed physical behaviour with accelerometers
  • Evaluated cardiovascular risk profiles including weight, blood pressure, and cholesterol
  • Monitored psychosocial well-being through questionnaires
  • Applied GEE models adjusting for age and baseline characteristics
  • Both sexes showed similar benefits in physical behaviour and cardiovascular risk profile after rehabilitation
  • Women had a greater improvement in depressive symptoms compared to men
  • A lower percentage of women met physical activity targets compared to men
  • Men lagged in meeting aerobic capacity targets compared to women
  • Long-term follow-up indicated ongoing disparities in meeting health targets for both sexes

Study Design

Type

RCT (n=771)

Randomization

1:1:1

Multicenter

Yes

PICO

P
Population
acute coronary syndrome (n=771)
I
Intervention / Comparator
Cardiac Rehabilitation vs Standard CR
O
Primary Outcome
6-Minute Walk Test distance (m), p=0.026

Main Result

Absolute Event Rate: 71.3% vs 58.8%

p-value: p=0.026

Limitations

  • The original study was not powered to investigate sex differences.
  • Only 84% of patients completed cardiac rehabilitation.
  • No specific targets available for participation in society and HRQoL.

Cite This Study

Hoeve et al. (2026) conducted an RCT in acute coronary syndrome (n=771). Cardiac Rehabilitation vs. Standard CR was evaluated on 6-Minute Walk Test distance (m) (p=0.026). Women and men benefit equally from cardiac rehabilitation regarding aerobic capacity and other health outcomes, though women showed greater improvements in depressive symptoms.

synapsesocial.com/papers/696128ef44c2cd6c68456bf0https://doi.org/10.2340/jrm.v58.44504
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