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LIBRIS Formathandbok  (Information om MARC21)
FältnamnIndikatorerMetadata
00004143naa a2200493 4500
001oai:DiVA.org:uu-213071
003SwePub
008131218s2013 | |||||||||||000 ||eng|
024a https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-2130712 URI
024a https://doi.org/10.1093/eurheartj/eht2582 DOI
040 a (SwePub)uu
041 a engb eng
042 9 SwePub
072 7a ref2 swepub-contenttype
072 7a art2 swepub-publicationtype
100a Stewart, Ralph4 aut
2451 0a Physical activity in patients with stable coronary heart disease :b an international perspective
264 c 2013-09-06
264 1b Oxford University Press (OUP),c 2013
338 a print2 rdacarrier
520 a Aims Despite the known benefits of regular exercise, the reasons why many coronary heart disease (CHD) patients engage in little physical activity are not well understood. This study identifies factors associated with low activity levels in individuals with chronic CHD participating in the STABILITY study, a global clinical outcomes trial evaluating the lipoprotein phospholipaseA2 inhibitor darapladib.Methods and results Prior to randomization, 15 486 (97.8%) participants from 39 countries completed a lifestyle questionnaire. Total physical activity was estimated from individual subject self-reports of hours spend each week on mild, moderate, and vigorous exercise, corresponding approximately to 2, 4, and 8 METS, respectively. Multivariate logistic regression evaluated clinical and demographic variables for the lowest compared with higher overall exercise levels, and for individuals who decreased rather than maintained or increased activity since diagnosis of CHD. The least active 5280 subjects (34%) reported exercise of ≤24MET.h/week. A total of 7191 subjects (46%) reported less exercise compared with before diagnosis of CHD. The majority of participants were either ‘not limited’ or ‘limited a little’ walking 100 m (84%), climbing one flight of stairs (82%), or walking 1 km/½ mile (68%), and <10% were limited ‘a lot’ by dyspnoea or angina. Variables independently associated with both low physical activity and decreasing exercise after diagnosis of CHD included more co-morbid conditions, poorer general health, fewer years of education, race, and country (P < 0.001 for all).Conclusion In this international study, low physical activity was only partly explained by cardiovascular symptoms. Potentially modifiable societal and health system factors are important determinants of physical inactivity in patients with chronic CHD.
650 7a MEDICIN OCH HÄLSOVETENSKAPx Klinisk medicinx Kardiologi0 (SwePub)302062 hsv//swe
650 7a MEDICAL AND HEALTH SCIENCESx Clinical Medicinex Cardiac and Cardiovascular Systems0 (SwePub)302062 hsv//eng
653 a Physical activity
653 a Exercise
653 a Coronary artery disease
653 a Cardiac rehabilitation
700a Held, Claesu Uppsala universitet,Uppsala kliniska forskningscentrum (UCR)4 aut0 (Swepub:uu)clahe947
700a Brown, Rebekkah4 aut
700a Vedin, Olau Uppsala universitet,Uppsala kliniska forskningscentrum (UCR)4 aut0 (Swepub:uu)olved933
700a Hagström, Emilu Uppsala universitet,Uppsala kliniska forskningscentrum (UCR)4 aut0 (Swepub:uu)emhag677
700a Lonn, Eva4 aut
700a Armstrong, Paul4 aut
700a Granger, Christopher B.4 aut
700a Hochman, Judith4 aut
700a Davies, Richard4 aut
700a Soffer, Joseph4 aut
700a Wallentin, Larsu Uppsala universitet,Uppsala kliniska forskningscentrum (UCR)4 aut0 (Swepub:uu)larswall
700a White, Harvey4 aut
710a Uppsala universitetb Uppsala kliniska forskningscentrum (UCR)4 org
773t European Heart Journald : Oxford University Press (OUP)g 34:42, s. 3286-3293q 34:42<3286-3293x 0195-668Xx 1522-9645
856u https://academic.oup.com/eurheartj/article-pdf/34/42/3286/1391423/eht258.pdf
8564 8u https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-213071
8564 8u https://doi.org/10.1093/eurheartj/eht258

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