Prevalence of Physical Activity and Sedentary Behavior Among Adults With Cardiovascular Disease in the United States
Open accessAbstract
BACKGROUND: Physical activity (PA) is recommended for primary and secondary prevention of cardiovascular disease (CVD). This study described the prevalence of self-reported and accelerometer-measured PA and sedentary behavior, using a nationally representative sample from the United States, a subset of whom had CVD, including angina, coronary heart disease (CHD), congestive heart failure (CHF), and myocardial infarction (MI). METHODS: Using the most recently available accelerometer data (combined 2003-2006) from the National Health and Nutrition Examination Survey, the study sample included 680 adults with CVD, who completed a questionnaire and wore an ActiGraph accelerometer for 1 week. A group without CVD (n = 1000) was also selected as the referent, with similar age, gender, and race/ethnic distributions as those with CVD (angina, CHD, CHF, MI) to compare PA and sedentary behavior estimates. Percentages and means were weighted to reflect the US population from 2003 to 2006. RESULTS: Among those with CVD, the proportion of individuals who engaged in self-reported past-month, moderate-intensity leisure activity ranged from 39.7% (CHF) to 53.8% (CHD) and vigorous-intensity leisure activity from 12.9% (CHF) to 18.4% (CHD), with walking being the most commonly reported activity. Television watching ≥4 h/d ranged from 36.2% (MI) to 44.8% (CHF). Using accelerometry, moderate- to vigorous-intensity PA ranged from 8.6 (CHF) to 11.4 min/d (angina). Sedentary behavior ranged from 9.6 (angina) to 10.1 h/d (CHF). All 4 CVD groups had lower leisure activity and moderate- to vigorous-intensity PA, and higher television watching and sedentary behavior, when compared with the referent group. CONCLUSIONS: Further efforts are needed to encourage PA and reduce sedentary behavior for secondary prevention of CVD.
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Patients with cardiometabolic diseases, including coronary artery disease or diabetes, spend 70% to 90% of their waking time in sedentary behavior.
“patients with cardiometabolic diseases, including patients with coronary artery disease or diabetes, spend 70% to 90% of their waking time in sedentary behavior [7-9]”
From Feasibility and Preliminary Efficacy of a “Sit Less” Program Leveraging Fitbit Tracking and Tailored Text Messages in Cardiometabolic Disease: Findings From 2 Parallel Randomized Controlled Trials in Coronary Artery Disease and Type 2 Diabetes (2026) · cites this paper as [8]
The Results (Accelerometry Determined Physical Activity and Sedentary Behavior; page unavailable) report 9.8–10.3 sedentary hours per day among adults with cardiovascular disease, out of 14.2–14.5 hours of accelerometer wear during waking hours—roughly 70%. The study includes coronary heart disease, but does not report this measure for patients with diabetes or establish the upper end of the claimed 70%–90% range. (LLM, conf=0.86)
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- Authors
- Evenson, K. R., Butler, E. N., & Rosamond, W. D.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Evenson, Kelly R.
- Venue
- Journal of Cardiopulmonary Rehabilitation and Prevention
- Published
- 2014-11
- Volume
- 34
- Issue
- 6
- Pages
- 406-419
- ISSN
- 1932-7501 (ISSN-L)
- PMC
- PMC4216242
- OpenAlex
- W2314418090
- Cited by
- 79
- References
- 28
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 4 · 2023: 4 · 2022: 3 · 2021: 10 · 2020: 14 · 2019: 7 · 2018: 3 · 2017: 12 · 2016: 9 · 2015: 4
- FWCI
- 5.56
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Cardiopulmonary Rehabilitation and Prevention (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute on Aging
- National Heart, Lung, and Blood Institute (R21HL115385)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- physical activity, sedentary behavior, cardiovascular disease, coronary artery disease, congestive heart failure, myocardial infarction, angina pectoris, television viewing, moderate-to-vigorous physical activity, leisure-time physical activity, walking, secondary prevention, prevalence
- MeSH terms
- Aged, Aged, 80 and over, Cardiovascular Diseases, Female, Humans, Male, Middle Aged, Surveys and Questionnaires, United States, Exercise, Prevalence, Sedentary Behavior, Self Report, Accelerometry
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