265 Physical activity recommendations for people with cardiovascular disease: A National Heart Foundation of Australia policy

Briffa, Tom; Stubbs, T.; Sherrin, N.; Maiorana, Andrew; Oldenburg, Brian; Allen, R.

doi:10.1016/s1440-2440(17)30761-2

Cited by 9 publications

(8 citation statements)

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“…The diagnoses of the participants indicated that they would be receiving potentially cardiotoxic chemotherapy and each patient's regimen comprised individualised composites and doses of the cytotoxic agents. There was evidence of preexisting risk factors for CVD in 30% of participants and 61% were overweight or obese reflecting the current CVD risk factor profile of all Australians [22,23]. Participants reported a strong unwillingness to undertake lifestyle changes.…”

Section: Discussionmentioning

confidence: 99%

“…Cardiac health behaviour, ability, willingness, knowledge and attitudes (ordinal and Likert-scale data) and standard items from the ABS Australian Health Survey (AHS) [20] elicited patients' modifiable health practices, such as food choices, smoking, and alcohol consumption. Physical activity was measured with the Godin Leisure TimE Questionnaire (GLTEQ) [21] and exercise practices were asked as per the current unhealthy CVD risk factor and lifestyle profile of the general Australian population [22,23]. These AHS items enabled comparison with national rates for these activities.…”

Section: Psychosocial Factorsmentioning

confidence: 99%

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Cardiotoxicity and cardiovascular disease risk assessment for patients receiving breast cancer treatment

et al. 2017

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Background: Cardiotoxicity from anticancer therapy affects heart function and structure. Cardiotoxicity can also lead to accelerated development of chronic diseases, especially in the presence of risk factors. Methods: This study aimed to develop and pilot a combined cardiovascular disease and cardiotoxicity risk assessment questionnaire to quantify the potential extent of risk factors in breast cancer patients prior to treatment. The questionnaire underwent content and face validity evaluation by an expert panel followed by pilot testing in a sample of breast cancer patients (n = 36). Questionnaires were self-administered while attending chemotherapy clinic, in the presence of a research assistant. Results: Mean age of participants was 54.8 years (range 36-72 years). Participants reported CVD risk factors including diabetes 2.8%, hypertension 19.8%, hypercholesterolaemia 11% and sleep apnoea 5%. Lifestyle risk factors, included not eating the recommended serves of vegetables (100%) or fruit (78%) per day; smoking (13%) and regularly consuming alcohol (75%). Twenty five percent reported being physically inactive, 61%, overweight or obese, 24%, little or no social support and 30% recorded high to very high psychological distress. Participants were highly (75%) reluctant to undertake lifestyle changes; i.e. changing alcohol consumption; dietary habits; good emotional/mental health strategies; improving physical activity; quitting smoking; learning about heart-health and weight loss. Conclusion: This study is an important step towards prevention and management of treatment-associated cardiotoxicity after breast cancer diagnosis. We recommend that our questionnaire is providing important data that should be included in cancer registries so that researchers can establish the relationship between CVD risk profile and cardiotoxicity outcomes and that this study revealed important teaching opportunities that could be used to examine the impact on health literacy and help patients better understand the consequences of cancer treatment.

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Section: Discussionmentioning

confidence: 99%

Section: Psychosocial Factorsmentioning

confidence: 99%

Cardiotoxicity and cardiovascular disease risk assessment for patients receiving breast cancer treatment

et al. 2017

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“…9 on the basis of this evidence, clinical practice guidelines in the us, 6 Canada, 15 europe, 16,17 and australia 18,19 recommend Cr referral as standard care for patients with acute coronary syndrome and those undergoing interven tional cardiac procedures. 6 Despite the established benefits of Cr, evidence shows that referral to, and subsequent enrollment in, Cr programs is disconcertingly low.…”

Section: Introductionmentioning

confidence: 99%

Effects of cardiac rehabilitation referral strategies on referral and enrollment rates

et al. 2009

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| Despite recommendations in clinical practice guidelines, evidence suggests that utilization of cardiac rehabilitation (CR) following indicated cardiac events is low. Referral strategies, such as automatic referral, have been advocated to improve CR utilization. In this Review, we evaluate the effects of referral strategies on rates of CR referral and enrollment. Referral strategies are categorized as 'automatic' (the use of electronic health records or systematic discharge order sets), as 'liaison' (discussions with allied healthcare providers), or as 'other' (for example, the use of motivational letter to patients). The highest rates of CR referral have been achieved in studies implementing automatic referral orders, whereas the highest rates of CR enrollment have resulted from a combination of automatic and liaison methods. Overall, innovative referral strategies significantly increase CR utilization. While further investigation is needed, institutions should evaluate their CR referral practice in light of these findings.

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“…As the subjects have more severe symptoms and greater limitation of physical activity (as we move from Class Ithe most functional to Class IVthe less functional), the prognosis worsens, with a lower class corresponding to more functionality. We built three items to classify physical activity according to the recommendations of Briffa et al (2006) for physical exercise in heart failure considering as regular the performance of any physical activity that enhances or maintains physical fitness and health with a periodicity of at least three times weekly and at least 30 minutes each day, rarely the practice of physical exercise less than this and never if currently does not perform any physical activity to maintain their physical condition.…”

Section: Methodsmentioning

confidence: 99%

Happiness, Hope, and Affection as Predictors of Quality of Life and Functionality of Individuals With Heart Failure at Three-Month Follow-up

Leal¹,

Pais-Ribeiro²,

Martins-Oliveira³

2012

JPR

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The scientific evidence supporting the management of the chronically ill in a positive psychological perspective in opposition to traditional pathological approach is scarce. This study examines issues associated with recovery of health status in heart failure, in particular hope, affection, and happiness. We use a longitudinal study of 128 symptomatic patients who after medical intervention reported improved quality of life and function at 3-month follow-up. We evaluated the contribution of happiness, hope and affection, individually and as a whole, in the quality of life and functionality of individuals with heart failure. Happiness (Subjective Happiness Scale), Hope (HOPE Scale), and affection (PANAS (positive and negative affect schedule)) were determined before medical intervention. Individually, we found that happiness is correlated with the quality of life and functionality, hope to self-efficacy dimension of the quality of life scale, positive affect to functionality and negative affect with symptoms dimension, quality of life dimension, and overall sum of the quality of life scale. Overall, we found that happiness has a unique contribution to the quality of life, except in self-efficacy dimension where hope takes this contribution and positive affect has a unique contribution to the functionality in this short-term follow-up. The results highlight the importance of positive variables to health outcomes for people with heart failure and should be considered in intervention programs for this syndrome.

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265 Physical activity recommendations for people with cardiovascular disease: A National Heart Foundation of Australia policy

Cited by 9 publications

References 0 publications

Cardiotoxicity and cardiovascular disease risk assessment for patients receiving breast cancer treatment

Cardiotoxicity and cardiovascular disease risk assessment for patients receiving breast cancer treatment

Effects of cardiac rehabilitation referral strategies on referral and enrollment rates

Happiness, Hope, and Affection as Predictors of Quality of Life and Functionality of Individuals With Heart Failure at Three-Month Follow-up

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