Esmée A Bakker1, Bram M A van Bakel2, Wim R M Aengevaeren3, Esther P Meindersma4, Johan A Snoek5, Willem M Waskowsky5, Annette A van Kuijk6, Monique M L M Jacobs7, Maria T E Hopman2, Dick H J Thijssen1, Thijs M H Eijsvogels8. 1. Radboud Institute for Health Sciences, Department of Physiology, Radboud University Medical Center, Nijmegen, The Netherlands; Research Institute for Sports and Exercise Sciences, Liverpool John Moores University, UK. 2. Radboud Institute for Health Sciences, Department of Physiology, Radboud University Medical Center, Nijmegen, The Netherlands. 3. Department of Cardiology, Rijnstate Hospital, The Netherlands. 4. Radboud Institute for Health Sciences, Department of Cardiology, Radboud University Medical Center, Nijmegen, The Netherlands; Heart Centre, Isala, Zwolle, The Netherlands. 5. Heart Centre, Isala, Zwolle, The Netherlands. 6. Tolbrug Rehabilitation Centre, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands. 7. Department of Cardiology, Jeroen Bosch Hospital, 's-Hertogenbosch, The Netherlands. 8. Radboud Institute for Health Sciences, Department of Physiology, Radboud University Medical Center, Nijmegen, The Netherlands. Electronic address: Thijs.Eijsvogels@radboudumc.nl.
Abstract
BACKGROUND: Sedentary behaviour (SB) is potentially an important target to improve cardiovascular health. This study 1) compared SB between cardiovascular disease (CVD) patients and age-matched controls, 2) identified characteristics associated with high SB levels, and 3) determined the impact of contemporary cardiac rehabilitation (CR) on SB. METHODS: For objective 1, we recruited 131 CVD patients and 117 controls. All participants were asked about their general characteristics and medical history. SB was assessed by an objective accelerometer (activPAL3 micro). For objective 2, 2584 CVD patients were asked to fill in a questionnaire about their general characteristics, lifestyle, medical history and their SB. For objective 3, 131 CVD patients were followed over time and measured, pre-, directly post- and 2 months post-CR. RESULTS: Objective 1. CVD patients spent 10.4 h/day (Q25 9.5; Q75 11.2) sedentary which was higher compared to healthy controls (9.4 h/day [Q25 8.4; Q75 10.29]). Objective 2. CVD patients being male, single or divorced, employed, physically inactive, reporting high alcohol consumption, living in an urban environment, having comorbidities and cardiac anxiety demonstrated a greater odds for large amounts of SB. Objective 3. The CR program significantly reduced sedentary time (-0.4 h/day [95%CI -0.7; -0.1]), which remained lower at 2-months post-CR (-0.3 h/day [95%CI -0.6; -0.03]). CONCLUSIONS: CVD patients had greater amounts of objectively measured sedentary time compared to healthy controls. Sedentarism was associated with personal- and lifestyle characteristics, and comorbidities. Participation in a contemporary CR program slightly reduced sedentary time, but tailored interventions are needed to target SB in CVD patients.
BACKGROUND: Sedentary behaviour (SB) is potentially an important target to improve cardiovascular health. This study 1) compared SB between cardiovascular disease (CVD) patients and age-matched controls, 2) identified characteristics associated with high SB levels, and 3) determined the impact of contemporary cardiac rehabilitation (CR) on SB. METHODS: For objective 1, we recruited 131 CVDpatients and 117 controls. All participants were asked about their general characteristics and medical history. SB was assessed by an objective accelerometer (activPAL3 micro). For objective 2, 2584 CVDpatients were asked to fill in a questionnaire about their general characteristics, lifestyle, medical history and their SB. For objective 3, 131 CVDpatients were followed over time and measured, pre-, directly post- and 2 months post-CR. RESULTS: Objective 1. CVDpatients spent 10.4 h/day (Q25 9.5; Q75 11.2) sedentary which was higher compared to healthy controls (9.4 h/day [Q25 8.4; Q75 10.29]). Objective 2. CVDpatients being male, single or divorced, employed, physically inactive, reporting high alcohol consumption, living in an urban environment, having comorbidities and cardiac anxiety demonstrated a greater odds for large amounts of SB. Objective 3. The CR program significantly reduced sedentary time (-0.4 h/day [95%CI -0.7; -0.1]), which remained lower at 2-months post-CR (-0.3 h/day [95%CI -0.6; -0.03]). CONCLUSIONS:CVDpatients had greater amounts of objectively measured sedentary time compared to healthy controls. Sedentarism was associated with personal- and lifestyle characteristics, and comorbidities. Participation in a contemporary CR program slightly reduced sedentary time, but tailored interventions are needed to target SB in CVDpatients.
Authors: B M A van Bakel; S H Kroesen; A Günal; A Scheepmaker; W R M Aengevaeren; F F Willems; R Wondergem; M F Pisters; J Dam; A M Janssen; M de Bruin; M T E Hopman; D H J Thijssen; T M H Eijsvogels Journal: BMJ Open Sport Exerc Med Date: 2022-05-24
Authors: Carley D O'Neill; Sol Vidal-Almela; Tasuku Terada; Kimberley L Way; Kentaro Kamiya; Billy Sperlich; Peter Duking; Jean-Phillipe Chaput; Stephanie A Prince; Andrew L Pipe; Jennifer L Reed Journal: CJC Open Date: 2021-08-28
Authors: Bram M A van Bakel; Esmée A Bakker; Femke de Vries; Dick H J Thijssen; Thijs M H Eijsvogels Journal: Int J Environ Res Public Health Date: 2021-11-13 Impact factor: 4.614
Authors: Bram M A van Bakel; Frederik M A van den Heuvel; Jacqueline L Vos; Hajar Rotbi; Esmée A Bakker; Robin Nijveldt; Dick H J Thijssen; Thijs M H Eijsvogels Journal: J Clin Med Date: 2022-02-19 Impact factor: 4.241