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van Bakel, BMA, de Koning, IA, Bakker, EA, Pop, GAM, Cramer, E, van Geuns, RJM, Thijssen, DHJ and Eijsvogels, TMH (2023) Rapid Improvements in Physical Activity and Sedentary Behavior in Patients With Acute Myocardial Infarction Immediately Following Hospital Discharge. Journal of the American Heart Association, 12 (10). ISSN 2047-9980
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Rapid Improvements in Physical Activity and Sedentary Behavior in Patients With Acute Myocardial Infarction.pdf - Published Version Available under License Creative Commons Attribution Non-commercial No Derivatives. Download (5MB) | Preview |
Abstract
Background: Little is known about changes in physical activity (PA) and sedentary behavior (SB) patterns in the acute phase of a myocardial infarction (MI). We objectively assessed PA and SB during hospitalization and the first week after discharge.
Methods and Results: Consecutively admitted patients hospitalized with an MI were approached to participate in this pro-spective cohort study. SB, light-intensity PA, and moderate-vigorous intensity PA were objectively assessed for 24 h/d during hospitalization and up to 7 days after discharge in 165 patients. Changes in PA and SB from the hospital to home phase were evaluated using mixed-model analyses, and outcomes were stratified for predefined subgroups based on patient character-istics. Patients (78% men) were aged 65±10 years and diagnosed with ST-segment– elevation MI (50%) or non– ST-segment– elevation MI (50%). Sedentary time was high during hospitalization (12.6 [95% CI, 11.8–13.7] h/d) but substantially decreased following transition to the home environment (−1.8 [95% CI, −2.4 to −1.3] h/d). Furthermore, the number of prolonged sedentary bouts (≥60 minutes) decreased between hospital and home (−1.6 [95% CI, −2.0 to −1.2] bouts/day). Light-intensity PA (1.1 [95% CI, 0.8–1.6] h/d) and moderate-vigorous intensity PA (0.2 [95% CI, 0.1– 0.3] h/d) were low during hospitalization but significantly increased following transition to the home environment (light-intensity PA: 1.8 [95% CI, 1.4– 2.3] h/d; moderate-vigorous intensity PA: 0.4 [95% CI, 0.3– 0.5] h/d; both P<0.001). Improvements in PA and SB were similar across groups, except for patients who underwent coronary artery bypass grafting and who did not improve their PA patterns after discharge. Conclusions: Patients with MI demonstrate high levels of SB and low PA volumes during hospitalization, which immediately improved following discharge at the patient’s home environment.
Registration: URL: trialsearch.who.int/; Unique identifier: NTR7646.
| Item Type: | Article |
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| Uncontrolled Keywords: | Humans; Exercise; Patient Discharge; Prospective Studies; Hospitals; Female; Male; Non-ST Elevated Myocardial Infarction; ST Elevation Myocardial Infarction; Sedentary Behavior; cardiac rehabilitation; coronary artery disease; hospitalization; myocardial infarction; physical activity; recovery; sedentary lifestyle; Male; Humans; Female; Sedentary Behavior; Patient Discharge; Prospective Studies; Exercise; ST Elevation Myocardial Infarction; Non-ST Elevated Myocardial Infarction; Hospitals; 1102 Cardiorespiratory Medicine and Haematology |
| Subjects: | R Medicine > RC Internal medicine > RC1200 Sports Medicine |
| Divisions: | Sport & Exercise Sciences |
| Publisher: | Ovid Technologies (Wolters Kluwer Health) |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 04 Jul 2023 10:02 |
| Last Modified: | 04 Jul 2023 10:15 |
| DOI or ID number: | 10.1161/JAHA.122.028700 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/20210 |
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