Understanding physical activity and exercise behaviors in patients with heart failure

Albert, Nancy; Forney, Jennifer; Slifcak, Ellen; Sorrell, Jeanne M.

doi:10.1016/j.hrtlng.2014.08.006

Cited by 26 publications

(55 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…As principais barreiras para a atividade física relatadas pelos idosos foram relacionadas aos problemas gerados pela IC, o que indica que há um desconhecimento não só dos benefícios que a atividade física pode trazer, mas também, acerca de como estes idosos podem ser ativos com a doença. De fato, estas informações não são repassadas de maneira efetiva pelos profissionais de saúde, e isso causa um receio entre os idosos em realizar qualquer tipo de atividade física, pois acreditam que a prática leva a piora dos sintomas da doença 24 . Estes problemas são tratados como desafios por uma diretriz reconhecida sobre o tema, entretanto, não há no docu-mento orientações de possíveis soluções 25 .…”

Section: Discussionunclassified

Barreiras associadas à prática de atividade física no tempo livre de idosos com insuficiência cardíaca

Oliveira

Hohl

Hino

2019

Rev Bras Ativ Fís Saúde

View full text Add to dashboard Cite

O objetivo deste estudo foi analisar a associação entre as barreiras para a prática de atividade física com o nível de atividade física no tempo livre de idosos com insuficiência cardíaca.Trata-se de um estudo transversal, no qual foram analisados dados de 156 idosos (40,4% mulheres) de 60 a 92 anos de idade de um ambulatório acadêmico de insuficiência cardíaca. Foram analisados os dados referentes a informações sociodemográficas, comorbidades, comportamento de risco, barreiras para atividade física e prática de atividade física no tempo livre. Para verificar a associação entre as variáveis foi utilizado o teste Qui-quadrado para tendência. Dentre as barreiras relatadas pelos idosos, as principais foram associadas com a condição clínica, como: falta de ar (27,4%), fraqueza nas pernas (21,7%) e dor nas pernas (19,1%). O nível de atividade física no tempo livre dos idosos apresentou diferença significativa conforme o número de barreiras percebidas (p = 0,018), onde idosos que relataram mais barreiras eram mais inativos fisicamente. Considerando esses achados, estratégias devem ser desenvolvidas para que haja uma educação em saúde a fim de salientar os benefícios da atividade física a longo prazo no controle das principais barreiras, para que os idosos tenham maior chance de iniciar e manter uma prática regular de atividade física.

show abstract

Section: Discussionunclassified

Barreiras associadas à prática de atividade física no tempo livre de idosos com insuficiência cardíaca

Oliveira

Hohl

Hino

2019

Rev Bras Ativ Fís Saúde

View full text Add to dashboard Cite

show abstract

“…It is also beneficial in reducing cardiovascular mortality. Heart failure patients should therefore be encouraged to increase physical activity [201] albeit adherence to physical activity remains a challenge [202]. This could be overcome by participating in cardiac rehabilitation programme [203], which consists of supervised exercise training and disease-related self-care counseling.…”

Section: Physical Activitymentioning

confidence: 99%

Management of Noncardiac Comorbidities in Chronic Heart Failure

Chong

Singh

Parry

et al. 2015

Cardiovascular Therapeutics

View full text Add to dashboard Cite

SummaryPrevalence of heart failure is increasing, especially in the elderly population. Noncardiac comorbidities complicate heart failure care and are increasingly common in elderly patients with reduced or preserved ejection fraction heart failure, owing to prolongation of patient's lives by advances in chronic heart failure (CHF) management. Common comorbidities include respiratory disease, renal dysfunction, anemia, arthritis, obesity, diabetes mellitus, cognitive dysfunction, and depression. These conditions contribute to the progression of the disease and may alter the response to treatment, partly as polypharmacy is inevitable in these patients. Cardiologists and other physicians caring for patients with CHF need to be vigilant to comorbid conditions that complicate the care of these patients. There is now more guidance on management of noncardiac comorbidities in heart failure, and this article contains a comprehensive review of the most recent updates on management of noncardiac comorbidities in CHF.

show abstract

“…This finding may be an artifact of faulty participant recall or the provider's assessment of the individual's HF status. However, existing literature suggests providers often don't talk to their HF patients about exercise (Albert et al, 2015;Tierney et al, 2011).…”

Section: Discussionmentioning

confidence: 99%

“…Medicare began covering it for those with an EF less than 40% (Downing & Balady, 2011;Keteyian, Squires, Ades, & Thomas, 2014). In addition, many times providers fail to ask the patient about the type or amount of exercise they currently participate in and, thus, patients do not see exercise as important (Albert, Forney, Slifcak, & Sorrell, 2015;Tierney et al, 2011).…”

Section: Adherence To Exercise In Hfmentioning

confidence: 99%

“…In order to have a holistic picture of the person with HF, providers need to consider the impact of all recommendations from the persons' perspective. Determining the way a person feels about the management option is important, as it can influence his/her response to the treatment (Albert et al, 2015;Bruckenthal, 2010). In order to improve people's attitudes and adherence to recommendations, providers also need to increase the entertainment value or likeability of the options (Bruckenthal, 2010).…”

Section: Improving Pain and Depression Management With Exercisementioning

confidence: 99%

See 1 more Smart Citation

Pain and physical activity in older depressed heart failure patients

Haedtke¹

View full text Add to dashboard Cite

In loving memory of my husband Alan Haedtke iii The person who says something is impossible should not interrupt the person who is doing it Chinese Proverbs iv ACKNOWLEDGEMENTS I want to thank Carolyn Turvey for allowing me to add "my" tools to your ongoing study and being so supportive. Special thanks to Marianne and Keela for working over the summer to make this possibility a reality. Without your guidance and unending reiterations none of this would have been possible. Finally, thanks to each member of my dissertation committee for the time invested in preparing me to become a scholar. v ABSTRACT Background/SignificanceHeart failure patients have high mortality, co-morbidity, hospitalization rates, costs and numerous recommendations to follow. Non-cardiac pain is common and an additional compounding problem as it decreases heart failure (HF) patients' ability to follow recommendations, decreases quality of life and increases the likelihood of being hospitalized.When depression is combined with HF and pain, patients are even less able to follow recommendations, treatment plans, and self-care behaviors.Exercise is an important, low-cost intervention for pain that has considerably fewer adverse effects/interactions than pharmacologic therapies. Given the low rates of participation in exercise and the many barriers that discourage exercise participation, an essential first step is to establish current physical activity levels and how pain may further influence potential engagement in exercise programs. ObjectivesTo characterize and describe: the experience of pain, pain management, the self-reported physical activity level including relationships between pain intensity, pain interference, total activity time, sitting time, perceptions of exercise, and depression, in older depressed HF participants. MethodsThis descriptive cross-sectional study analyzed data from 62 participants with depression and Class II-IV HF. Data from the Brief Pain Inventory, Rand 36, International Physical Activity Questionnaire, Beck Depression Inventory II, and Exercise and Pain Management Questionnaire were used in the analysis.vi ResultsThe majority of depressed HF patients had moderate to severe pain intensity and interference and no differences were found in demographics between those who had pain and those who didn't. Depression level did not have an additional impact on pain intensity or pain interference. Non-pharmacological treatments were severely underutilized. The majority of participants think exercise will be helpful to treat their pain. The most common barriers to exercise for depressed HF patients include: shortness of breath (72%), having no one to exercise with (59%), fatigue (56%), other health conditions (56%), and the weather is too hot or too cold (55%). Those who had higher pain intensity, pain interference, or depression scores were just as likely to report that exercise would be helpful in managing pain as those with lower scores.Lastly, the majority would like to be more physically active. ConclusionThe prevalence...

show abstract

Understanding physical activity and exercise behaviors in patients with heart failure

Cited by 26 publications

References 41 publications

Barreiras associadas à prática de atividade física no tempo livre de idosos com insuficiência cardíaca

Barreiras associadas à prática de atividade física no tempo livre de idosos com insuficiência cardíaca

Management of Noncardiac Comorbidities in Chronic Heart Failure

Pain and physical activity in older depressed heart failure patients

Contact Info

Product

Resources

About