Long-Term Exercise Maintenance, Physical Activity, and Health-Related Quality of Life After Cardiac Rehabilitation

Izawa, Kazuhiro P.; Yamada, Sumio; Oka, Koichiro; Watanabe, Satoshi; Omiya, Kazuto; Iijima, Shigeruko; Hirano, Yasumitsu; Kobayashi, Toru; Kasahara, Yusuke; Samejima, Hisanori; Osada, Naohiko

doi:10.1097/01.phm.0000143404.59050.11

Cited by 59 publications

(47 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…23,24 Using objective measures in large crosssectional studies of CR graduates is rare, with only 2 groups utilizing heart rate wristwatch monitors 22 and pedometers. 25 Additionally, discrepancies in reported PA participation may be related to the amount of time since CR graduation, which ranges across studies from 1 month to a few years. However, there was no significant relationship between PA levels and time since graduation in the current study.…”

Section: Discussionmentioning

confidence: 99%

“…Many of the findings were consistent with the literature; greater PA was significantly associated with male sex, younger age, better perceived health status, higher VO 2 peak, better cholesterol control, greater social support, higher income, location, being married, and full-time work status. 21,25 To our knowledge, we were first to identify among this population a significant relationship between PA and the correlates of PA enjoyment, number of comorbidities, fear of falling, mode of transportation to PA, and CR staff support. The PA enjoyment variable is particularly interesting.…”

Section: Socioecological Correlates Of Physical Activitymentioning

confidence: 99%

See 1 more Smart Citation

Physical Activity Behavior Two to Six Years Following Cardiac Rehabilitation: A Socioecological Analysis

Bentley

Khan

et al. 2012

Clinical Cardiology

View full text Add to dashboard Cite

Background: Cardiac rehabilitation (CR) promotes long-term positive health behaviours, such as physical activity (PA), in patients following a cardiovascular event. We have limited knowledge of long-term PA and its correlates. Therefore, this research examined both PA behaviour and socioecological correlates among elderly graduates 2-6 years following CR. Hypothesis: CR graduates will have a moderate PA level in the long term. Greater PA will be associated with various multilevel correlates.Methods: This was a retrospective, cross-sectional study which quantified PA using the Physical Activity Scale for the Elderly (PASE) and collected information about socioecological correlates at the intrapersonal, interpersonal and health service levels. Both univariate and multivariate analyses assessed PA and PA correlates. Results: The majority of the 584 participants were older (69.8 ± 9.8), male (80.3%), and well educated (75.4% ≥ some post-secondary). Average time since CR graduation was 41.5 ± 11.5 months. Seventy five percent of CR graduates reported current weekly PA levels that met, or exceeded, Canadian PA guidelines (>150 minutes of moderate-vigorous PA). Univariate analyses identified 13 PASE score correlates. Multivariate analyses identified age, PA enjoyment, current work status, CR staff support, location of primary residence, and perceived health as significantly associated with higher PASE scores (p < 0.001).Conclusions: Three and a half years post-CR graduates had high PA levels. Greater PA was associated with several modifiable multilevel correlates at all levels of influence. Understanding correlates of long-term PA behaviour among CR graduates will help identify groups at risk for nonadherence and assist with continued program development. IntroductionCompared to patients who only receive conventional inhospital care, patients who complete a cardiac rehabilitation (CR) program following a cardiac event experience a significant reduction in all-cause mortality 1 -3 by 20% to 25% within 3 years. 3 CR programs are traditionally short-term multifaceted interventions that include physical activity (PA) as a core element. 2,4,5 One of the overarching objectives of CR is to encourage patients to maintain PA at guidelinerecommended levels after program completion. Current Canadian PA guidelines for effective health advocate at least 150 minutes of moderate-vigorous PA per week. 6 There is some evidence that states that PA behavior among CR graduates in the short term (1 year post-CR) often fails toThe authors have no funding, financial relationships, or conflicts of interest to disclose. meet the recommendations. 7,8 There is very little evidence on PA behavior over the long term (2 or more years).Encouraging positive health behaviors among CR graduates is a complex process that involves many levels of influence. To examine these levels of influence, a comprehensive approach to health promotion must be employed, such as the socioecological model. 9 The socioecological model integrates intra-and interpersonal fa...

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Socioecological Correlates Of Physical Activitymentioning

confidence: 99%

Physical Activity Behavior Two to Six Years Following Cardiac Rehabilitation: A Socioecological Analysis

Bentley

Khan

et al. 2012

Clinical Cardiology

View full text Add to dashboard Cite

show abstract

“…Izawa et al 22 After a cardiac rehabilitation program, two groups were followed for 6 months. One maintained PA (mean 9,252 steps/day, 1,909 kcal/ day) and the other one did not maintain it (mean 4,246 steps/day, 1,672 kcal/day).…”

Section: ↑ ↓mentioning

confidence: 99%

Associação entre atividade física e qualidade de vida em adultos

et al. 2012

View full text Add to dashboard Cite

show abstract

“…Empirical evidence show that completion of cardiac rehabilitation programs is related to increased exercise tolerance (Balady et al, 1996;Milani, Lavie, & Mehra, 2004), exercise maintenance, quality of life, and leisure-time physical activity (Izawa et al, 2004), as well as improved perception of physical function (Dolansky & Moore, 2004). Given the quantity of evidence supporting the effects of cardiac rehabilitation in increasing physical activity and overcoming psychosocial barriers to exercise (Boesch et al, 2005;Lavie & Milani, 1996;Lavie et al, 1999;Song & Lee, 2001;Worcester et al, 2003), it was not surprising that cardiac rehabilitation enrollment distinguished significantly among Irregular Exercisers and Inactive participants, and between Exercise Maintainers and Inactive participants.…”

Section: Sociodemographic and Clinical Correlates Of Exercise Patternsmentioning

confidence: 99%

A Prospective Examination of Patterns and Correlates of Exercise Maintenance in Coronary Artery Disease Patients

et al. 2007

View full text Add to dashboard Cite

This longitudinal study examined exercise behavior patterns (i.e., maintainers, irregular, and inactive) in cardiac patients, and investigate the sociodemographic, clinical, psychosocial, and environmental correlates of exercise patterns. 661 cardiac in-patients from 3 hospitals consented to participate (75% response rate) and were re-assessed 9 and 18 (81% retention) months postdischarge. Exercise patterns were assessed via the Health-Promoting Lifestyle Profile II subscale using a median split. Of 417 participants (mean age 63.1 ± 10.2) with complete data, 42.2% were classified as Exercise Maintainers, 21.3% as Irregular Exercisers, and 26.1% as Inactive. Multinomial logistic regression revealed that Exercise Maintainers were more likely to be male, have exercised prior to their diagnosis, attend cardiac rehabilitation, perceive fewer exercise barriers, and were less likely to be current-smokers, past-smokers, or attribute the cause of their disease to their own behavior. Patients more likely to maintain exercise have positive perceptions and utilize cardiac rehabilitation.

show abstract

Long-Term Exercise Maintenance, Physical Activity, and Health-Related Quality of Life After Cardiac Rehabilitation

Abstract: At >18 mos after acute myocardial infarction, the exercise maintenance rate in our patients remains high, and exercise maintenance may be one of the factors contributing to improvement of health-related quality of life and leisure-time objective physical activity level.

Cited by 59 publications

References 28 publications

Physical Activity Behavior Two to Six Years Following Cardiac Rehabilitation: A Socioecological Analysis

Physical Activity Behavior Two to Six Years Following Cardiac Rehabilitation: A Socioecological Analysis

Associação entre atividade física e qualidade de vida em adultos

A Prospective Examination of Patterns and Correlates of Exercise Maintenance in Coronary Artery Disease Patients

Contact Info

Product

Resources

About