Résumé
Objective The aim of the study was to describe (1) the amount of physical activity (PA) in cardiac rehabilitation (CR) graduates by sex, and (2) the correlates of their PA. Design Secondary analysis of baseline data from a randomized trial was undertaken. Graduates were recruited from three CR programs. Participants completed a questionnaire, which assessed constructs from the socio-ecological model (i.e., individual-level, social- and physical-environmental levels). Physical activity was measured objectively using an ActiGraph GT3X accelerometer. Multilevel modeling was performed. Results Two hundred fifty-five patients consented, of which 200 (78.4%) completed the survey and provided valid accelerometer data. Participants self-reported engaging in a mean ± standard deviation of 184.51 ± 129.10 min of moderate-to-vigorous-intensity PA (MVPA) per week (with men engaging in more than women, P < 0.05). Accelerometer data revealed participants engaged in 169.65 ± 136.49 mins of MVPA per week, with 43 (25.1%) meeting recommendations. In the mixed models, the socio-ecological correlate significantly related to greater self-reported MVPA was self-regulation (P = 0.01); the correlate of accelerometer-derived MVPA was neighborhood aesthetics (P = 0.02). Conclusions Approximately one-quarter of CR program completers are achieving MVPA recommendations, although two-thirds perceive they are. The CR programs should exploit accelerometry and promote self-regulation skills, namely, self-monitoring, goal-setting, positive reinforcement, time management, and relapse prevention. Patients should be encouraged to exercise in pleasing locations.
| Langue d'origine | English |
|---|---|
| Pages (de-à) | 816-824 |
| Nombre de pages | 9 |
| Journal | American Journal of Physical Medicine and Rehabilitation |
| Volume | 97 |
| Numéro de publication | 11 |
| DOI | |
| Statut de publication | Published - nov. 1 2018 |
Note bibliographique
Funding Information:This work was supported by a grant-in-aid from the Heart and Stroke Foundation of Canada (Toronto, Ontario, Canada; Award Number: #G-14-0006126). SLG was supported in her work by the Toronto General & Toronto Western Hospital Foundation and the Peter Munk Cardiac Centre, University Health Network. SAP is funded by a Fellowship from the Canadian Institute of Health Research and by an Endowed Strategic Research Fellowship from the University of Ottawa Heart Institute Foundation. The funders played no role in the design of the study, in the collection, analysis, or interpretation of data, or in writing the article. This study has been approved by the appropriate institutional and/or national research ethics committee and has been performed in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments or comparable ethical standards. This article does not contain any studies with animals performed by any of the authors. Informed consent was obtained from all individual participants in the study. Financial disclosure statements have been obtained, and no conflicts of interest have been reported by the authors or by any individuals in control of the content of this article. Supplemental digital content is available for this article. Direct URL citations appear in the printed text and are provided in the HTML and PDF versions of this article on the journal’s Web site (www.ajpmr.com). Copyright © 2018 Wolters Kluwer Health, Inc. All rights reserved. ISSN: 0894-9115 DOI: 10.1097/PHM.0000000000000972
Publisher Copyright:
© Wolters Kluwer Health, Inc. All rights reserved.
ASJC Scopus Subject Areas
- Physical Therapy, Sports Therapy and Rehabilitation
- Rehabilitation
PubMed: MeSH publication types
- Journal Article
- Research Support, Non-U.S. Gov't