Isabela Marcal
@isabelarmarcal.bsky.social
28 followers 21 following 11 posts
PhD trainee | Exercise Physiology & Cardiovascular Health Lab | University of Ottawa Heart Institute 🇨🇦
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isabelarmarcal.bsky.social
8/8 | ✅ Final takeaway

Despite years of recommendations, women remain underrepresented in Canadian CVD exercise trials (34%).

We must move beyond awareness to action! 🫀🏃‍♀️🇨🇦🌎

🔗 www.cjcopen.ca/article/S258...
isabelarmarcal.bsky.social
7/8 | 🧑‍🤝‍🧑 Who’s doing the research?

From surveyed authors (33% response rate):
•75% of first authors = women
•60% of senior authors = men

⚠️ Male authorship has been linked to lower female trial enrollment
isabelarmarcal.bsky.social
6/8 | 💡 What needs to change?

We call for:

•Education for referral sources
•Tailored, inclusive exercise programs
•Flexible formats (home-based)
•Safe and welcoming environments
isabelarmarcal.bsky.social
5/8 | 🚧 Barriers for women in exercise-based cardiac rehab

Still under-addressed:

•Lack of awareness
•Travel/family constraints
•Perception of exercise as tiring/painful

⚠️ No study reported sex-specific recruitment strategies
isabelarmarcal.bsky.social
4/8 | 📝 Reporting gaps

• <40% of studies reported sex-disaggregated data across study phases
•33% included sex-based discussions
•13% reported gender-related factors
isabelarmarcal.bsky.social
3/8 | 🔍 Key finding: The sex gap persists

Among 2,339 participants:

•34% were women
•66% were men

📉 No improvement in female inclusion over the past decade (range: 11–56%)
isabelarmarcal.bsky.social
2/8 | ⁉️ What was studied?

We conducted a rapid review of Canadian RCTs (2013–2023) on exercise interventions (≥4 weeks) in adults with CVD.

From 12,290 studies, 30 trials were included. We examined:

•Female vs. male participant %
•Sex-disaggregated reporting
•Sex/gender of authors
isabelarmarcal.bsky.social
🧵1/8 | Our new review investigated sex-specific inclusion in Canadian exercise-based trials & cardiovascular disease (CVD) 🫀🏃‍♀️🇨🇦 Let’s break it down 👇
Reposted by Isabela Marcal
jenniferreed.bsky.social
Enjoying #ESCPrev2025 and want the learning to continue? then come join our Cardiac Rehabilitation Rounds on Monday!

Dr. Tasuku Terada
@uniofnottingham.bsky.social
📅 Monday, April 7
⏰ 12 PM EDT
🔗 Register: ow.ly/JR2850VtlkL

FREE! and hot/cold beverages for those who attend in person.
isabelarmarcal.bsky.social
Ciao from Milan! 🇮🇹 Excited to attend and present twice at #ESCPrev2025 this year. Stop by our posters tomorrow and let's connect about exercise & cardiac rehab! 🫀🏃‍♀️✨ Thanks so much for the support #cantaptalent @heartinstitute.bsky.social @jenniferreed.bsky.social
isabelarmarcal.bsky.social
Just joined Bluesky! 👋

I'm a PhDc passionate about exercise training & cardiovascular rehabilitation.

📍 Exercise Physiology and Cardiovascular Health Lab / University of Ottawa Heart Institute 🇨🇦

Excited to connect! 🫀🏃‍♀️📚