Fan Ye1, Steven Yale, Yi Zheng, Hui Hu, Li Zhou, Jason Fanning, Joseph Yeboah, Peter Brubaker, Alain G Bertoni. 1. Section on Cardiovascular Medicine (Drs Ye, Zhou, and Yeboah) and Division of Public Health Sciences (Dr Bertoni), Wake Forest University School of Medicine, Winston-Salem, North Carolina; Department of Internal Medicine, University of Central Florida, Orlando (Dr Yale); Department of Epidemiology, University of Florida, Gainesville (Ms Zheng and Dr Hu); and Department of Health and Exercise Science, Wake Forest University, Winston-Salem, North Carolina (Drs Fanning and Brubaker).
Abstract
PURPOSE: Lack of physical activity (PA) is an important risk for heart failure (HF). The objective of this study was to examine PA trends in HF and non-HF participants from a nationally representative sample of US adults from 2007 to 2016. METHODS: Work-related/recreational activities (min/wk) were calculated on the basis of the reported frequency, intensity, and duration, respectively. Multivariable analyses were performed using National Health and Nutrition Examination Survey data. RESULTS: Among 28 824 participants, younger (aged 18-64 yr) HF participants reported less PA time than non-HF groups, especially vigorous PA. Differences were found to be smaller in older (≥ 65 yr) participants. Overall, the percentage of younger participants who met PA guidelines was significantly lower in the HF individuals in work-related PA and total PA from 2007 to 2016 than in the non-HF participants (OR = 0.55: 95% CI, 0.39-0.59 for total PA, 0.45, 0.28-0.75 for vigorous work-related PA, and 0.68, 0.47-0.97 for moderate work-related PA, respectively). In older participants, only when considering total PA, the prevalence of meeting PA guidelines was significantly different between HF and non-HF groups (0.78, 0.62-0.98). CONCLUSIONS: Self-reported PA, especially vigorous activities, is much lower in older HF participants. However, the disparity in meeting PA guidelines between those with HF and without HF is remarkable in younger individuals. Future research should focus on better understanding the psychological and physical barriers to engaging in PA among HF patients.
PURPOSE: Lack of physical activity (PA) is an important risk for heart failure (HF). The objective of this study was to examine PA trends in HF and non-HF participants from a nationally representative sample of US adults from 2007 to 2016. METHODS: Work-related/recreational activities (min/wk) were calculated on the basis of the reported frequency, intensity, and duration, respectively. Multivariable analyses were performed using National Health and Nutrition Examination Survey data. RESULTS: Among 28 824 participants, younger (aged 18-64 yr) HF participants reported less PA time than non-HF groups, especially vigorous PA. Differences were found to be smaller in older (≥ 65 yr) participants. Overall, the percentage of younger participants who met PA guidelines was significantly lower in the HF individuals in work-related PA and total PA from 2007 to 2016 than in the non-HF participants (OR = 0.55: 95% CI, 0.39-0.59 for total PA, 0.45, 0.28-0.75 for vigorous work-related PA, and 0.68, 0.47-0.97 for moderate work-related PA, respectively). In older participants, only when considering total PA, the prevalence of meeting PA guidelines was significantly different between HF and non-HF groups (0.78, 0.62-0.98). CONCLUSIONS: Self-reported PA, especially vigorous activities, is much lower in older HF participants. However, the disparity in meeting PA guidelines between those with HF and without HF is remarkable in younger individuals. Future research should focus on better understanding the psychological and physical barriers to engaging in PA among HF patients.
Authors: Andrew W Gardner; Polly S Montgomery; Ming Wang; Biyi Shen; Shangming Zhang; William A Pomilla Journal: J Cardiopulm Rehabil Prev Date: 2022-04-06 Impact factor: 3.646