Demographic and Clinical Determinants of Moderate to Vigorous Physical Activity During Home-Based Cardiac Rehabilitation

Abstract

The MVPA levels of patients attending home-based CR tend to vary depending on gender, whether or not metabolic syndrome was present, and prior MVPA levels, suggesting the need to potentially target these particular groups in future behavioral interventions aimed at increasing MVPA.

Predicting Risk Factors of Heart Disease among Jordanian Patients

“…On the other hand, male patients scored significantly higher exercise than female patients. This is in line with other studies conducting in other nations [26] [27]. Minges et al, [27] conducted an international prospective observational study with large sample size (n = 3572) in the USA, Australia and Spain to examine gender differences in physical activity after heart disease problem.…”

Community SES, Perceived Environment, and Physical Activity During Home-Based Cardiac Rehabilitation: Is There a Need to Consider the Urban vs. Rural Distinction?

“…3 Briefly, 280 participants completed a baseline questionnaire; however, ten participants were excluded from the current analysis due to the inability to classify the patients' addresses as urban vs. rural. Detailed information for the remaining 270 participants can be found in Table 1.…”

“…3 Patients were asked, (a) "How many days in a typical week out of the past 3 months did you do moderate (e.g., fast walking, easy bicycling, easy swimming, and dancing) exercises for at least 10 minutes at a time?" _____days and (b) "On the days when you did moderate exercises, how much total time on average did you spend per day doing these moderate exercise(s)?"…”

“…Regrettably, a growing body of literature indicates that patients attending home-based CR programs do not adhere to their MVPA prescriptions. 2,3 Research in other CR contexts have attempted to explain MVPA levels via intrapersonal (e.g., self-efficacy) and interpersonal (e.g., social support) variables. 4 Although important, such studies Blanchard, Rainham, and McSweeney are with the Dalhousie University, Halifax, Nova Scotia, Canada; Spence is with the University of Alberta, Edmonton, Alberta, Canada; McDonnell, Reid, and Edwards are with the University of Ottawa, Ottawa, Ontario, Canada; Rhodes is with the University of Victoria, Victoria, British Columbia, Canada; McGannon is with the Laurentian University, Greater Sudbury, Ontario, Canada.…”

“…Therefore, it is important to discern whether the urban MVPA advantage exists (i.e., controlling for community SES) in home-based CR and whether this relationship is stable, particularly since MVPA levels have been shown to fluctuate during home-based CR. 3 In the home-based CR context, it is also important to consider the patients' perceptions of their home and community environments. Research in non-diseased populations has shown that increased MVPA was significantly associated with having more pieces of home physical activity (PA) equipment 10,11 and various community characteristics such as reduced crime and access to walking paths.…”