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IHD – Helps prevent fatigue and stress

Evidence summary (Updated 2022)
Physical activity is an established treatment to reduce fatigue and stress. Expert consensus opinion, via a workshop on 17th April 2018 and subsequent online evaluation, was sought and relevant published literature(1–3) was reviewed to achieve consensus on the underlying mechanism helping to explain why physical activity can help reduced fatigue and stress).

Quality of evidence
C – Low quality – the rationale for this mechanism is largely derived from expert consensus

Strength of recommendation
1 – Strong recommendation

There is a strong recommendation from a consensus of experts that physical activity can reduce fatigue and stress in patients with IHD but the supporting evidence behind this mechanism is of low quality


  1. R. M, M. M, A S. CR: participating in an exercise program in a quest to survive. Rehab Nurs Off J Assoc Rehab Nurses. 24(6):236–239.
  2. C. RM, M. MB, S. B, T M. I don’t have the heart”: a qualitative study of barriers to and facilitators of PA for people with CAD and depressive symptoms. Int J Behav Nutr Phys Act. 9:140.
  3. F. CA, G. J, J. W, R H. A qualitative study investigating patients’ beliefs about CR. Clin Rehabil. 19(1):87–96.