Patient-informed insights among women in cardiac rehabilitation across Canada: Is it time to pay more attention to age?
References
- Mehta PK, Gaignard S, Schwartz A, Manson JE. Traditional and emerging sex-specific risk factors for cardiovascular disease in women. Rev Cardiovasc Med. 2022;23(8):288. doi: 10.31083/j.rcm2308288.
- Cushman M, Shay CM, Howard VJ, Jiménez MC, Lewey J, McSweeney JC, et al. Ten-year differences in women’s awareness related to coronary heart disease: results of the 2019 American Heart Association National Survey: a special report from the American Heart Association. Circulation. 2021;143(7):e239-e48. doi: 10.1161/CIR.0000000000000907.
- Bairey Merz CN, Andersen H, Sprague E, Burns A, Keida M, Walsh MN, et al. Knowledge, attitudes, and beliefs regarding cardiovascular disease in women: the Women’s Heart Alliance. J Am Coll Cardiol. 2017;70(2):123-32. doi: 10.1016/j.jacc.2017.05.024.
- McDonnell LA, Turek M, Coutinho T, Nerenberg K, de Margerie M, Perron S, et al. Women’s heart health: knowledge, beliefs, and practices of Canadian physicians. J Womens Health (Larchmt). 2018;27(1):72-82. doi: 10.1089/jwh.2016.6240.
- Vikulova DN, Grubisic M, Zhao Y, Lynch K, Humphries KH, Pimstone SN, et al. Premature atherosclerotic cardiovascular disease: trends in incidence, risk factors, and sex-related differences, 2000 to 2016. J Am Heart Assoc. 2019;8(14):e012178. doi: 10.1161/JAHA.119.012178.
- Ritchey MD, Wall HK, George MG, Wright JS. US trends in premature heart disease mortality over the past 50 years: where do we go from here? Trends Cardiovasc Med. 2020;30(6):364-74. doi: 10.1016/j.tcm.2019.09.005.
- Ghisi GLM, Marzolini S, Price J, Beckie TM, Mamataz T, Naheed A, et al. Women-focused cardiovascular rehabilitation: an international council of cardiovascular prevention and rehabilitation clinical practice guideline. Can J Cardiol. 2022;38(12):1786-98. doi: 10.1016/j.cjca.2022.06.021.
- Freene N, Hartono S, McManus M, Mair T, Tan R, Davey R. Validity of the Active Australia Survey in an Australian cardiac rehabilitation population. J Sci Med Sport. 2024;27(8):545-50. doi: 10.1016/j.jsams.2024.04.016.
- Garcia M, Mulvagh SL, Merz CN, Buring JE, Manson JE. Cardiovascular disease in women: clinical perspectives. Circ Res. 2016;118(8):1273-93. doi: 10.1161/CIRCRESAHA.116.307547.
- Khadanga S, Gaalema DE, Savage P, Ades PA. Underutilization of cardiac rehabilitation in women: Barriers and solutions. J Cardiopulm Rehabil Prev. 2021;41(4):207-13. doi: 10.1097/HCR.0000000000000629.
- Ghisi GLM, Kim W-S, Cha S, Aljehani R, Cruz MMA, Vanderlei LCM, et al. Women’s cardiac rehabilitation barriers: results of the International Council of Cardiovascular Prevention and Rehabilitation’s First Global Assessment. Can J Cardiol. 2023;39(11):S375-83. doi: 10.1016/j.cjca.2023.07.016.
- Vidal-Almela S, Czajkowski B, Prince SA, Chirico D, Way KL, Pipe AL, et al. Lessons learned from community-and home-based physical activity programs: a narrative review of factors influencing women’s participation in cardiac rehabilitation. Eur J Prev Cardiol. 2021;28(7):761-78. doi: 10.1177/2047487320907748.
- Marçal IR, O’Neill CD, Hausen M, Mitra M, Visintini S, Reed JL. Sex-specific inclusion of patients with cardiovascular disease in exercise research in Canada. CJC Open. 2025;7(6):840-2. doi: 10.1016/j.cjco.2025.03.022.
- Burgess S, Zaman S, Towns C, Coylewright M, Cader FA. The underrepresentation of women in cardiovascular clinical trials: state-of-the-art review and ethical considerations. Am Heart J. 2025;282:81-92. doi: 10.1016/j.ahj.2024.12.011.
- Burgess SN. Understudied, under-recognized, underdiagnosed, and undertreated: sex-based disparities in cardiovascular medicine. Circ Cardiovasc Interv.2022;15(2):e011714.doi:10.1161/CIRCINTERVENTIONS.121.011714.
- Mamataz T, Ghisi GLM, Pakosh M, Grace SL. Nature, availability, and utilization of women-focused cardiac rehabilitation: a systematic review. BMC Cardiovasc Disord. 2021;21(1):459. doi: 10.1186/s12872-021-02267-0.
- Way KL, Reed JL. Meeting the needs of women in cardiac rehabilitation. Circulation. 2019;139(10):1247-8. doi: 10.1161/CIRCULATIONAHA.118.037754.
- Mamataz T, Ghisi GL, Pakosh M, Grace SL. Outcomes and cost of women focused cardiac rehabilitation: a systematic review and meta-analysis. Maturitas. 2022;160:32-60. doi: 10.1016/j.maturitas.2022.01.008.
- O’Neill CD, Vidal-Almela S, Terada T, Kamiya K, Tulloch HE, Pipe AL, et al. Sex and age differences in anxiety and depression levels before and after aerobic interval training in cardiac rehabilitation. J Cardiopulm Rehabil Prev. 2022;42(1):15-21. doi: 10.1097/HCR.0000000000000617.
- Lalande K, Bouchard K, Coutinho T, Mulvagh S, Pacheco C, Liu S, et al. The unique needs and challenges of young females after spontaneous coronary artery dissection. J Cardiopulm Rehabil Prev. 2025;45(3):192-9. doi: 10.1097/HCR.0000000000000929.
- BradshawC, AtkinsonS, DoodyO. Employingaqualitativedescriptionapproach in healthcare research. Glob Qual Nurs Res. 2017;4:2333393617742282. doi: 10.1177/2333393617742282.
- Kiger ME, Varpio L. Thematic analysis of qualitative data: AMEE Guide No. 131. Med Teach. 2020;42(8):846-54. doi: 10.1080/0142159X.2020.1755030.
- Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3(2):77-101. doi: 10.1191/1478088706qp063oa.
- Braun V, Clarke V. What can “thematic analysis” offer health and wellbeing researchers? Int J Qual Stud Health Well-being. 2014;9:26152. doi: 10.3402/qhw.v9.26152.
- Sandesara PB, Lambert CT, Gordon NF, Fletcher GF, Franklin BA, Wenger NK, et al. Cardiac rehabilitation and risk reduction: time to “rebrand and reinvigorate”. J Am Coll Cardiol. 2015;65(4):389-95. doi: 10.1016/j.jacc.2014.10.059.
- Ades PA, Khadanga S, Savage PD, Gaalema DE. Enhancing participation in cardiac rehabilitation: focus on underserved populations. Prog Cardiovasc Dis. 2022;70:102-10. doi: 10.1016/j.pcad.2022.01.003.
- Ghisi GLM, Supervia M, Turk-Adawi K, Beleigoli A, Contractor A, Mampuya WM, et al. Women-focused cardiac rehabilitation delivery around the world and program enablers to support broader implementation. CJC Open. 2024;6(2):425-35. doi: 10.1016/j.cjco.2023.10.008.
DOI: https://doi.org/10.2478/advrehab-2026-0011 | Journal eISSN: 1734-4948
Language: English
Page range: 51 - 60
Submitted on: Nov 20, 2025
Accepted on: Mar 17, 2026
Published on: Jun 30, 2026
Published by: University of Physical Education in Warsaw
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year
Keywords:
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© 2026 Marianne Clark et al.
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.