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Cited by 37Cardiac Health and Mental HealthPhysical Activity and HealthCardiovascular and exercise physiology

High sedentary behaviour and low physical activity levels at 12 months after cardiac rehabilitation: A prospective cohort study

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Freene, Nicole, McManus, Margaret, Mair, Tarryn, Tan, Ren, Davey, Rachel·2020·Annals of Physical and Rehabilitation Medicine
DOI 10.1016/j.rehab.2019.07.008
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Abstract

Background International cardiac rehabilitation guidelines recommend that participants meet public health physical activity guidelines. Few studies have objectively measured how much time cardiac rehabilitation participants spend in physical activity and sedentary behaviour, particularly over the long term.Objective The aim of this study was to objectively assess physical activity and sedentary behaviour of cardiac rehabilitation participants over 12 months and determine whether they met the public health physical activity and sedentary behaviour guidelines.Methods Cardiac rehabilitation participants with coronary heart disease were recruited in a prospective cohort study (n=72). Participants wore an ActiGraph ActiSleep accelerometer for 7 consecutive days at baseline, 6 weeks, and 6 and 12 months to assess daily minutes of moderate-to-vigorous physical activity and sedentary behaviour (<100 counts/min). Other outcomes collected were self-reported physical activity and sedentary behaviour, body mass index, waist-to-hip ratio, lipid profile, blood glucose level, quality of life, exercise capacity, anxiety and depression.Results By intent-to-treat analysis, during the 6-week cardiac rehabilitation program, participants increased their light physical activity (P<0.01), which was maintained up to 12 months. Moderate-to-vigorous physical activity and sedentary behaviour did not change during the 6-week cardiac rehabilitation program but did improve over 6 months (sedentary behaviour decreased [P<0.001], moderate-to-vigorous physical activity increased [P<0.05]), which was maintained up to 1 year. Completion of moderate-to-vigorous physical activity in 10-min bouts did not change over 12 months, nor did the proportion of participants meeting physical activity guidelines (15-21%). Sedentary behaviour remained high throughout (11 hr/day).Conclusion Most cardiac rehabilitation participants did not meet the physical activity guidelines during and after a 6-week program up to 12 months. Reducing sedentary behaviour may be a more achievable first-line strategy for cardiac patients, moving participants along the energy expenditure continuum, aiming to increase their physical activity levels over the medium to long term.Trial registration Australian New Zealand Clinical Trials Registry (ANZCTR): ACTRN12615000995572, http://www.ANZCTR.org.au/ACTRN12615000995572.aspx.

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Authors
Freene, N., McManus, M., Mair, T., Tan, R., & Davey, R.
Affiliations
University of Canberra (AU)
Corresponding author
Freene, Nicole
ORCID
Venue
Annals of Physical and Rehabilitation Medicine
Publisher
Elsevier BV
Published
2020-01
Volume
63
Issue
1
Pages
53-58
ISSN
1877-0657 (ISSN-L)
DOI
10.1016/j.rehab.2019.07.008
OpenAlex
W2970375582
Cited by
37
References
29
Citations by year
2026: 6 · 2025: 6 · 2024: 9 · 2023: 6 · 2022: 2 · 2021: 2 · 2020: 6
FWCI
1.81
Type
journal article
Language
en
Open access
Licence
Locations
  • Annals of Physical and Rehabilitation Medicine (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • ACT Health
  • University of Canberra
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
Keywords
cardiac rehabilitation, sedentary behavior, physical activity, moderate-to-vigorous physical activity, coronary artery disease, accelerometer-measured activity, physical activity guidelines, long-term follow-up, energy expenditure, exercise capacity
MeSH terms
Walk Test, Cardiac Rehabilitation, Aged, Blood Pressure, Coronary Disease, Female, Humans, Lipoproteins, HDL, Male, Middle Aged, Prospective Studies, Time Factors, Exercise, Body Mass Index, Practice Guidelines as Topic, Waist-Hip Ratio, Sedentary Behavior, Accelerometry

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