Sedentary behaviour in cardiovascular disease patients: risk group identification and the impact of cardiac rehabilitation
Open accessAbstract
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.
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Patients with cardiovascular disease have been reported to spend more time in sedentary activities than their healthy peers.
“these patients have been reported to spend more time in sedentary activities than their healthy peers.57”
From Exercise benefits in cardiovascular diseases: From mechanisms to clinical implementation (2023) · cites this paper as [57]
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- Authors
- Bakker, E. A., van Bakel, B. M. A., Aengevaeren, W. R. M., Meindersma, E. P., Snoek, J. A., Waskowsky, W. M., van Kuijk, A. A., Jacobs, M. M. L. M., Hopman, M. T. E., Thijssen, D. H. J., & Eijsvogels, T. M. H.
- Affiliations
- Radboud University Medical Center (NL)
- Rijnstate Hospital (NL)
- Isala (NL)
- Jeroen Bosch Ziekenhuis (NL)
- Corresponding author
- Eijsvogels, Thijs M.H.
- ORCID
- Venue
- International Journal of Cardiology
- Publisher
- Elsevier BV
- Published
- 2021-03
- Volume
- 326
- Pages
- 194-201
- ISSN
- 0167-5273 (ISSN-L)
- OpenAlex
- W3106026336
- Cited by
- 91
- References
- 43
- Citations by year
- 2026: 8 · 2025: 15 · 2024: 27 · 2023: 23 · 2022: 13 · 2021: 5
- FWCI
- 6.16
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- International Journal of Cardiology (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Liverpool John Moores University (acceptedVersion)
- Radboud Repository (Radboud University) (submittedVersion, other-oa)
- Radboud Repository (Radboud University) (submittedVersion)
- Funders
- Hartstichting
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Keywords
- sedentary behavior, cardiovascular disease, cardiac rehabilitation, risk factors, comorbidities, cardiac anxiety, alcohol consumption, physical inactivity, sedentary time reduction, accelerometer-measured sedentary time
- MeSH terms
- Cardiac Rehabilitation, Cardiovascular Diseases, Humans, Male, Risk Factors, Social Identification, Sedentary Behavior, Accelerometry
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