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The question given was that Do older adults with chronic heart disease have better outcomes if they have a combination of physical exercise and medical treatment as opposed to older adults that are only treated medically?
According to the assessment, this is not PICO question because it is not covering all the points of the PICO such as:
P – Population/Patient/ Problem
I – Intervention/ indicator
C – Comparison
O – Outcome of Interest
The PICO question should be such that which is covering all four points. The question is having three parts that are population, intervention, and comparison but in this question, the Outcome part is missing.
The new PICO question would be
Do older adults with chronic heart disease have better outcomes if they have a combination of physical exercise and medical treatment as opposed to older adults that are only treated medically to improve quality of life?
The article presents that regular physical activity includes exercises such as walking on foot, running, or swimming, which produces cardiovascular adaptationto amplifywork out muscle strength, ability, and staying power. Regular bodily movement helps in preventing the growth of heart diseases. Physical work outreduce the danger of several added problems such as obesity, diabetes, osteoporosis, breast cancer, type 2 diabetes, and colon cancer. In this article, the American Heart Association also discussed the point by providing evidence on the use of a physical activity to prevent and treat cardiovascular diseases (Winzer, Woitek & Linke, 2018). Healthcare professionals are looking after new ways to implement physical activity programs for patients to investigate new areas. The article presented a strong relationship between physical activityand decreased cardiovascular associated risk diseases by limiting inaccuracies that occurred in physical activity levels. The epidemiological studies in the article also provide natural plausibility to give decisive proof that physical exercise reduces the hazard of occurrence of cardiovascular disease (Winzer et al., 2018).
The peer discussion included the concept that this article was a meta-analysis done to support ideas, conclusions, and recommendations of different articles related to this topic. I found this article very useful because in a single article I got the analysis of several articles related to physical activity, its usefulness, prevention from several diseases by doing exercises, and prevention of heart-related diseases. The gist of reduction of atherosclerosis was present that covered the point to prevent and treat atherosclerotichazardfactor such as insulin confrontation, elevated hemoglobinforce, low density of lipid-protein, and concentrations of obesity.
Thus from the article, it could be said that exercise along with lifestyle and dietary modifications helps in reducing the risk of several diseases (Winzer et al., 2018). This will help in reducing mortality as well as morbidity rates. However, health professionals should personally engage the patients in changing lifestyle by spending their more time doing physical activity. Also, they should encourage community members to know the importance of physical exercises and necessary skills.
Winzer, E. B., Woitek, F., &Linke, A. (2018).Physical activity in the prevention and treatment of coronary artery disease. Journal of the American Heart Association, 7(4), e007725. Retrieved from: https://www.ahajournals.org/doi/10.1161/01.cir.0000075572.40158.77
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