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Medical and Psychos...
Medical and Psychosocial Factors Associated With Low Physical Activity and Increasing Exercise Level After a Coronary Event
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- Peersen, Kari (author)
- Vestfold Hosp Trust, Norway;Univ Oslo, Norway
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- Otterstad, Jan Erik (author)
- Vestfold Hosp Trust, Norway
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- Sverre, Elise (author)
- Vestre Viken Trust, Norway;Univ Oslo, Norway
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- Perk, Joep, 1945- (author)
- Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV)
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- Gullestad, Lars (author)
- Univ Oslo, Norway;Oslo Univ Hosp, Norway
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- Moum, Torbjorn (author)
- Univ Oslo, Norway
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- Dammen, Toril (author)
- Univ Oslo, Norway
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- Munkhaugen, John (author)
- Vestre Viken Trust, Norway;Univ Oslo, Norway
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(creator_code:org_t)
- Lippincott Williams & Wilkins, 2020
- 2020
- English.
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In: Journal of Cardiopulmanory Rehabilitation and Prevention (JCRP). - : Lippincott Williams & Wilkins. - 1932-7501 .- 1932-751X. ; 40:1, s. 35-40
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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Abstract
Subject headings
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- Purpose: The reasons why many coronary patients are inactive or have a low level of physical activity (PA) are not completely understood. We identified medical and psychosocial factors associated with PA status and increasing exercise level after a coronary event. Methods: A cross-sectional study investigated the factors associated with PA in 1101 patients hospitalized with myocardial infarction (MI) and/or a revascularization procedure. Data were collected from hospital records, a self-report questionnaire, and a clinical examination. PA was categorized as inactivity, low activity, and adequate activity (>= moderate intensity of 30 min >= 2-3 times/wk), an overall summary PA-index was measured as a continuous variable, and self-reported PA increase since the index event was measured on a 0- to 10-point Likert Scale. Results: In all, 18% reported inactivity, 42% low, and 40% adequate activity at follow-up after median 16 mo. In multiadjusted linear regression analyses, low PA-index was significantly associated with smoking, obesity, unhealthy diet, depression, female, low education, MI as index diagnosis, and >= 1 previous coronary event. Motivation, risk and illness perceptions, and low reported need of help to increase PA were significantly associated with self-reported increasing PA level in adjusted continuous analyses. Conclusions: Daily smoking, obesity, unhealthy diet, and depression were the major potentially modifiable factors associated with insufficient PA, whereas high motivation and risk and illness perceptions were associated with increasing PA level. Further research on the effect of interventions tailored to the reported significant factors of failure is needed to improve PA level in CHD patients.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Keyword
- adherence
- cardiac rehabilitation
- coronary heart disease
- exercise increase
- exercise training
- physical activity
- psychosocial factors
- secondary prevention
- Health and Caring Sciences
- Hälsovetenskap
Publication and Content Type
- ref (subject category)
- art (subject category)
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