Women's and Men's Exercise Adherence After a Cardiac Event: Does Age Make a Difference?

Dolansky, Mary A.; Stepanczuk, Beth; Charvat, Jacqueline; Moore, Shirley

doi:10.3928/19404921-20090706-03

Cited by 58 publications

(61 citation statements)

References 46 publications

(51 reference statements)

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“…These elderly women mentioned that they practiced their exercises even when they were not in the mood, and realized that exercise was necessary regardless of their mood, indicating their belief in the benefits stemming from the practice. Therefore, educational initiatives highlighting the importance of exercise need to be promoted 8,41…”

Section: Discussionmentioning

confidence: 99%

Adherence of older women with strength training and aerobic exercise

Picorelli¹,

Pereira²,

Felício³

et al. 2014

CIA

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BackgroundParticipation of older people in a program of regular exercise is an effective strategy to minimize the physical decline associated with age. The purpose of this study was to assess adherence rates in older women enrolled in two different exercise programs (one aerobic exercise and one strength training) and identify any associated clinical or functional factors.MethodsThis was an exploratory observational study in a sample of 231 elderly women of mean age 70.5 years. We used a structured questionnaire with standardized tests to evaluate the relevant clinical and functional measures. A specific adherence questionnaire was developed by the researchers to determine motivators and barriers to exercise adherence.ResultsThe adherence rate was 49.70% in the aerobic exercise group and 56.20% in the strength training group. Multiple logistic regression models for motivation were significant (P=0.003) for the muscle strengthening group (R2=0.310) and also significant (P=0.008) for the aerobic exercise group (R2=0.154). A third regression model for barriers to exercise was significant (P=0.003) only for the muscle strengthening group (R2=0.236). The present study shows no direct relationship between worsening health status and poor adherence.ConclusionFactors related to adherence with exercise in the elderly are multifactorial.

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Section: Discussionmentioning

confidence: 99%

Adherence of older women with strength training and aerobic exercise

Picorelli¹,

Pereira²,

Felício³

et al. 2014

CIA

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“…Despite these impressive reductions in outcomes, most people with CAD do not engage in sustained physical activity or other health behaviors consistently over time and rates of non-adherence are high. 11,12 According to data from NHANES (2009–2010), among those with cardiovascular disease (CVD), almost two-thirds engage in no physical activity. 13 Studies demonstrate that among people who have been hospitalized for CAD, physical activity levels increase initially following discharge and then begin to decline at about 2–4 months post-discharge.…”

Section: Introductionmentioning

confidence: 99%

“…12,14 Among people who participate in exercise-based cardiac rehabilitation programs, all age groups experience a downward trend in exercise over time and only 22% of people are adherent to guidelines after 12 months. 11 Therefore, new approaches are needed to both educate those with CAD and at risk for CAD about health behaviors, such as physical activity, as well as motivate sustained healthy behaviors over time.…”

Section: Introductionmentioning

confidence: 99%

Developing self-management education in coronary artery disease

et al. 2014

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We describe a three-step approach to develop and evaluate a novel coronary artery disease (CAD) self-management educational workbook. First, we conducted interviews using grounded theory methods with a diverse CAD cohort (n=61) to identify needs and perceptions. Second, we developed the workbook, incorporating themes that emerged from the qualitative interviews. Finally, 225 people with CAD used the workbook in a longitudinal study and we evaluated their use of and experience with the workbook at 12 months. 12-month evaluation data revealed that the workbook: provided practical health information; enhanced behavior-specific self-efficacy; and reinforced that healthy behaviors decrease risk. Participants who read the workbook had greater within-patient increases in physical activity at 12-months compared with non-readers (p=0.093) and among Black/Hispanic participants, workbook readers’ increases were significant (592 vs. −645, p=0.035). A self-management educational workbook developed using qualitative methods can provide relevant, disease-specific health information for patients with CAD.

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“…Additionally, our findings that high physical activity was not significantly lower in older than younger women might be unexpected, but have also been indicated in another study. [20] As recommended in the guidelines, [6] the majority of the respondents rated walking as the most usual physical activity, though this was less likely among older women. Since older persons consume more metabolic energy than younger persons when walking it is a recommended type of physical activity that should be included in rehabilitation plans.…”

Section: Discussionmentioning

confidence: 97%

Physical activity in women after an acute myocardial infarction

Løvlien

Mundal

Hall‐Lord

2015

JNEP

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Citation for the original published paper (version of record):Løvlien, M., Mundal, L., Hall-Lord, M-L. (2015) Physical activity in women after an acute myocardial infarction.. ABSTRACT Background: Physical activity is recognized as being important in reducing mortality after an acute myocardial infarction. The study aimed to describe younger and older women's leisure time physical activity after an acute myocardial infarction, their motivations and barriers for engaging in physical activity and to assess aspects associated with referral and attendance in cardiac rehabilitation programmes. Methods: Women diagnosed with an acute myocardial infarction were consecutively recruited and answered a questionnaire 2-3 months after hospital discharge. Journal of Nursing Education andResults: The majority of the respondents (86%) were physically active after their acute myocardial infarction and 34% were physically active ≥ 4 days a week for ≥ 30 minutes. Respondents ≥ 66 years were less likely than respondents < 66 years to report moderate physical activity (39% vs. 58%, p = .03) and more likely to report low physical activity (27% vs. 8%, p < .01). No differences were found between these age groups reporting high physical activity (34% vs. 34%). Respondents ≥ 66 years were also less likely than younger respondents to maintain or increase their physical activity after the acute event (59% vs. 76%, p < .01), to be informed about the significance of physical activity while in hospital (61% vs. 80%, p = .01), to be referred to a cardiac rehabilitation programme (49% vs. 75%, p ≤ .01) and to attend such a programme (30% vs. 65%, p < .01). Conclusions: Women's age was associated with physical activity as well as their possibilities regarding cardiac rehabilitation after an acute myocardial infarction.

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Women's and Men's Exercise Adherence After a Cardiac Event: Does Age Make a Difference?

Cited by 58 publications

References 46 publications

Adherence of older women with strength training and aerobic exercise

Adherence of older women with strength training and aerobic exercise

Developing self-management education in coronary artery disease

Physical activity in women after an acute myocardial infarction

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