Determinants of physical activity after hospitalization for coronary artery disease: the Tracking Exercise After Cardiac Hospitalization (TEACH) Study
| Autor: | Robert D, Reid, Louise I, Morrin, Andrew L, Pipe, William A, Dafoe, Lyall A J, Higginson, Andreas T, Wielgosz, Stephen A, LeHaye, Paul W, McDonald, Ronald C, Plotnikoff, Kerry S, Courneya, Neil B, Oldridge, Louise J, Beaton, Sophia, Papadakis, Monika E, Slovinec D'Angelo, Heather E, Tulloch, Chris M, Blanchard |
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| Rok vydání: | 2006 |
| Předmět: |
Adult
Male medicine.medical_specialty Epidemiology medicine.medical_treatment Physical activity Coronary Disease Motor Activity Coronary artery disease Diabetes mellitus Internal medicine Medicine Humans In patient Prospective Studies Prospective cohort study Aged Aged 80 and over Rehabilitation business.industry Follow up studies Coronary arteriosclerosis Middle Aged medicine.disease Prognosis Exercise Therapy Hospitalization Cardiology Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on EpidemiologyPrevention and Cardiac Rehabilitation and Exercise Physiology. 13(4) |
| ISSN: | 1741-8267 |
| Popis: | Little is known about physical activity levels in patients with coronary artery disease (CAD) who are not engaged in cardiac rehabilitation. We explored the trajectory of physical activity after hospitalization for CAD, and examined the effects of demographic, medical, and activity-related factors on the trajectory.A prospective cohort study.A total of 782 patients were recruited during CAD-related hospitalization. Leisure-time activity energy expenditure (AEE) was measured 2, 6 and 12 months later. Sex, age, education, reason for hospitalization, congestive heart failure (CHF), diabetes, and physical activity before hospitalization were assessed at recruitment. Participation in cardiac rehabilitation was measured at follow-up.AEE was 1948+/-1450, 1676+/-1290, and 1637+/-1486 kcal/week at 2, 6 and 12 months, respectively. There was a negative effect of time from 2 months post-hospitalization on physical activity (P0.001). Interactions were found between age and time (P=0.012) and education and time (P=0.001). Main effects were noted for sex (men more active than women; P0.001), CHF (those without CHF more active; P0.01), diabetes (those without diabetes more active; P0.05), and previous level of physical activity (those active before hospitalization more active after; P0.001). Coronary artery bypass graft patients were more active than percutaneous coronary intervention (PCI) patients (P=0.033).Physical activity levels declined from 2 months after hospitalization. Specific subgroups (e.g. less educated, younger) were at greater risk of decline and other subgroups (e.g. women, and PCI, CHF, and diabetic patients) demonstrated lower physical activity. These groups need tailored interventions. |
| Databáze: | OpenAIRE |
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