Objectively Measured Changes in Physical Activity and Sedentary Behavior in Cardiac Rehabilitation

A PROSPECTIVE COHORT STUDY

Nicole Freene, Margaret McManus, Tarryn Mair, Ren Tan, Rachel Davey

    Research output: Contribution to journalArticle

    2 Citations (Scopus)

    Abstract

    Purpose: Physical inactivity and sedentary behavior (SB) are independent risk factors for cardiovascular disease and all-cause mortality. No studies appear to have investigated whether SB in cardiac rehabilitation (CR) participants changes over time. The aim of this study was to objectively assess physical activity (PA) and SB of CR participants over 6 wks. Methods: Using a prospective cohort study design, 72 CR participants, age = 64.2 ± 9.6 y (mean ± standard deviation [SD]) (79% male), wore an ActiGraph ActiSleep accelerometer for 7 consecutive days at the beginning and end of a 6-wk program to assess daily minutes of moderate-to-vigorous PA (MVPA) and SB (<100 counts/min). Other outcomes collected were self-reported MVPA (Active Australia Survey) and SB (Past-Day Adults' Sedentary Time Questionnaire), body mass index, waist-to-hip ratio, lipid profile, blood glucose level, quality of life (MacNew), exercise capacity (6-min walk test), anxiety and depression (Hospital Anxiety and Depression Scale). Results: Time spent in MVPA and SB did not change over 6 wks. However, exercise capacity and light-intensity PA significantly improved (P <.01). On average, participants spent 11.8 ± 1.1 hr daily in SB, with 9.5 ± 14.7 min daily in MVPA at the end of the CR program. There was some evidence that males and females had different movement patterns. Conclusions: Levels of PA are low and SB is high in CR participants despite changes in exercise capacity over 6 wks. Participants in CR did increase their PA but only in the light-intensity range. Alternative approaches in CR should be considered to encourage participants to move more and sit less.

    Original languageEnglish
    Pages (from-to)E5-E8
    JournalJournal of Cardiopulmonary Rehabilitation and Prevention
    Volume38
    Issue number6
    Early online date26 Jun 2018
    DOIs
    Publication statusPublished - Nov 2018

    Fingerprint

    Anxiety
    Depression
    Light
    Waist-Hip Ratio
    Cardiac Rehabilitation
    Blood Glucose
    Body Mass Index
    Cohort Studies
    Cardiovascular Diseases
    Quality of Life
    Prospective Studies
    Lipids
    Mortality
    Surveys and Questionnaires
    Walk Test

    Cite this

    @article{f34d18e92785410aabe60aed79b8cccf,
    title = "Objectively Measured Changes in Physical Activity and Sedentary Behavior in Cardiac Rehabilitation: A PROSPECTIVE COHORT STUDY",
    abstract = "Purpose: Physical inactivity and sedentary behavior (SB) are independent risk factors for cardiovascular disease and all-cause mortality. No studies appear to have investigated whether SB in cardiac rehabilitation (CR) participants changes over time. The aim of this study was to objectively assess physical activity (PA) and SB of CR participants over 6 wks. Methods: Using a prospective cohort study design, 72 CR participants, age = 64.2 ± 9.6 y (mean ± standard deviation [SD]) (79{\%} male), wore an ActiGraph ActiSleep accelerometer for 7 consecutive days at the beginning and end of a 6-wk program to assess daily minutes of moderate-to-vigorous PA (MVPA) and SB (<100 counts/min). Other outcomes collected were self-reported MVPA (Active Australia Survey) and SB (Past-Day Adults' Sedentary Time Questionnaire), body mass index, waist-to-hip ratio, lipid profile, blood glucose level, quality of life (MacNew), exercise capacity (6-min walk test), anxiety and depression (Hospital Anxiety and Depression Scale). Results: Time spent in MVPA and SB did not change over 6 wks. However, exercise capacity and light-intensity PA significantly improved (P <.01). On average, participants spent 11.8 ± 1.1 hr daily in SB, with 9.5 ± 14.7 min daily in MVPA at the end of the CR program. There was some evidence that males and females had different movement patterns. Conclusions: Levels of PA are low and SB is high in CR participants despite changes in exercise capacity over 6 wks. Participants in CR did increase their PA but only in the light-intensity range. Alternative approaches in CR should be considered to encourage participants to move more and sit less.",
    keywords = "heart diseases, physical activity, sedentary lifestyle, Prospective Studies, Humans, Middle Aged, Self Report, Male, Cardiac Rehabilitation, Exercise, Time Factors, Exercise Tolerance, Sex Factors, Female, Aged, Accelerometry, Sedentary Behavior",
    author = "Nicole Freene and Margaret McManus and Tarryn Mair and Ren Tan and Rachel Davey",
    year = "2018",
    month = "11",
    doi = "10.1097/HCR.0000000000000334",
    language = "English",
    volume = "38",
    pages = "E5--E8",
    journal = "Journal of Cardiopulmonary Rehabilitation",
    issn = "0883-9212",
    publisher = "Lippincott Williams and Wilkins",
    number = "6",

    }

    TY - JOUR

    T1 - Objectively Measured Changes in Physical Activity and Sedentary Behavior in Cardiac Rehabilitation

    T2 - A PROSPECTIVE COHORT STUDY

    AU - Freene, Nicole

    AU - McManus, Margaret

    AU - Mair, Tarryn

    AU - Tan, Ren

    AU - Davey, Rachel

    PY - 2018/11

    Y1 - 2018/11

    N2 - Purpose: Physical inactivity and sedentary behavior (SB) are independent risk factors for cardiovascular disease and all-cause mortality. No studies appear to have investigated whether SB in cardiac rehabilitation (CR) participants changes over time. The aim of this study was to objectively assess physical activity (PA) and SB of CR participants over 6 wks. Methods: Using a prospective cohort study design, 72 CR participants, age = 64.2 ± 9.6 y (mean ± standard deviation [SD]) (79% male), wore an ActiGraph ActiSleep accelerometer for 7 consecutive days at the beginning and end of a 6-wk program to assess daily minutes of moderate-to-vigorous PA (MVPA) and SB (<100 counts/min). Other outcomes collected were self-reported MVPA (Active Australia Survey) and SB (Past-Day Adults' Sedentary Time Questionnaire), body mass index, waist-to-hip ratio, lipid profile, blood glucose level, quality of life (MacNew), exercise capacity (6-min walk test), anxiety and depression (Hospital Anxiety and Depression Scale). Results: Time spent in MVPA and SB did not change over 6 wks. However, exercise capacity and light-intensity PA significantly improved (P <.01). On average, participants spent 11.8 ± 1.1 hr daily in SB, with 9.5 ± 14.7 min daily in MVPA at the end of the CR program. There was some evidence that males and females had different movement patterns. Conclusions: Levels of PA are low and SB is high in CR participants despite changes in exercise capacity over 6 wks. Participants in CR did increase their PA but only in the light-intensity range. Alternative approaches in CR should be considered to encourage participants to move more and sit less.

    AB - Purpose: Physical inactivity and sedentary behavior (SB) are independent risk factors for cardiovascular disease and all-cause mortality. No studies appear to have investigated whether SB in cardiac rehabilitation (CR) participants changes over time. The aim of this study was to objectively assess physical activity (PA) and SB of CR participants over 6 wks. Methods: Using a prospective cohort study design, 72 CR participants, age = 64.2 ± 9.6 y (mean ± standard deviation [SD]) (79% male), wore an ActiGraph ActiSleep accelerometer for 7 consecutive days at the beginning and end of a 6-wk program to assess daily minutes of moderate-to-vigorous PA (MVPA) and SB (<100 counts/min). Other outcomes collected were self-reported MVPA (Active Australia Survey) and SB (Past-Day Adults' Sedentary Time Questionnaire), body mass index, waist-to-hip ratio, lipid profile, blood glucose level, quality of life (MacNew), exercise capacity (6-min walk test), anxiety and depression (Hospital Anxiety and Depression Scale). Results: Time spent in MVPA and SB did not change over 6 wks. However, exercise capacity and light-intensity PA significantly improved (P <.01). On average, participants spent 11.8 ± 1.1 hr daily in SB, with 9.5 ± 14.7 min daily in MVPA at the end of the CR program. There was some evidence that males and females had different movement patterns. Conclusions: Levels of PA are low and SB is high in CR participants despite changes in exercise capacity over 6 wks. Participants in CR did increase their PA but only in the light-intensity range. Alternative approaches in CR should be considered to encourage participants to move more and sit less.

    KW - heart diseases

    KW - physical activity

    KW - sedentary lifestyle

    KW - Prospective Studies

    KW - Humans

    KW - Middle Aged

    KW - Self Report

    KW - Male

    KW - Cardiac Rehabilitation

    KW - Exercise

    KW - Time Factors

    KW - Exercise Tolerance

    KW - Sex Factors

    KW - Female

    KW - Aged

    KW - Accelerometry

    KW - Sedentary Behavior

    UR - http://www.scopus.com/inward/record.url?scp=85055652551&partnerID=8YFLogxK

    UR - http://www.mendeley.com/research/objectively-measured-changes-physical-activity-sedentary-behavior-cardiac-rehabilitation-prospective

    U2 - 10.1097/HCR.0000000000000334

    DO - 10.1097/HCR.0000000000000334

    M3 - Article

    VL - 38

    SP - E5-E8

    JO - Journal of Cardiopulmonary Rehabilitation

    JF - Journal of Cardiopulmonary Rehabilitation

    SN - 0883-9212

    IS - 6

    ER -