A systematic review and thematic synthesis exploring how a previous experience of physical activity influences engagement with cardiac rehabilitation

Background: Exercise-based cardiac rehabilitation is recognised internationally as an effective therapy to improve quality of life and reduce the risk of hospital readmission for individuals diagnosed with acute coronary syndrome. Despite this, half of eligible individuals choose not to engage and the main reason is lack of interest. Furthermore, prior to attending, 40% of eligible individuals report meeting physical activity guidelines. It is unclear whether this influences decisions about engagement. Aims: The aim of this review is to examine systematically qualitative evidence describing patients’ perceptions and experiences, and synthesise what is known about how a previous experience of physical activity in adults diagnosed with acute coronary syndrome influences engagement with physical activity during cardiac rehabilitation. Methods: A systematic review and thematic synthesis was conducted of primary qualitative studies to examine peer-reviewed literature published between1990 and 2017, accessed from database searches of MEDLINE, CINHAL, PsycINFO and Embase. Results: The initial search produced 486 studies, and of these 12 relevant studies were included in this review. Studies included 388 participants from six countries. For previously active individuals, communication factors, self-perceptions of an exercise identity and experience of cardiac rehabilitation influence engagement in physical activity during cardiac rehabilitation. Conclusion: In adults diagnosed with acute coronary syndrome, communication post event and during cardiac rehabilitation is a source of self-appraisal and creates expectations of cardiac rehabilitation. In addition, perceptions of an exercise identity and experience of exercise-based cardiac rehabilitation influence decisions about engagement. To improve uptake and adherence, health professionals should consider previous physical activity levels and tailor information to optimise physical activity post event.

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Walking Cadence to Exercise at Moderate Intensity for Adults: A Systematic Review

Journal of Sports Medicine ◽

10.1155/2017/4641203 ◽

2017 ◽

Vol 2017 ◽

pp. 1-12 ◽

Cited By ~ 9

Author(s):

J. Slaght ◽

M. Sénéchal ◽

T. J. Hrubeniuk ◽

A. Mayo ◽

D. R. Bouchard

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Older Adults ◽

Leisure Activity ◽

Moderate Intensity ◽

Activity Levels ◽

Physical Activity Guidelines ◽

Aerobic Activity ◽

Physical Activity Levels

Background. Most adults choose walking as a leisure activity. However, many do not reach the international physical activity guidelines for adults, which recommend moderate intensity aerobic activity for at least 150 minutes/week in bouts of 10 minutes. Purpose. This systematic review provides an update on the walking cadence required to reach moderate intensity in adults and older adults, identifies variables associated with reaching moderate intensity, and evaluates how walking cadence intensity should be measured, but the main purpose is to report the interventions that have been attempted to prescribe walking cadence to increase time spent at moderate intensity or other outcomes for adults and older adults. Methods. SportDISCUS, Scopus, and PubMed databases were searched. We identified 3,917 articles and 31 were retained for this systematic review. Only articles written in English were included. Results. In general, 100 steps/minute is prescribed for adults to achieve moderate intensity, but older adults may require a higher cadence. Currently, few studies have explored using walking cadence prescription as an intervention to increase physical activity levels. Conclusion. Prescribing walking cadence as a way to increase physical activity levels has potential as a practical and useful strategy, but more evidence is required to assess its ability to increase physical activity levels at moderate intensity.

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Prevalence of Depression in Patients With Post-Acute Coronary Syndrome and the Role of Cardiac Rehabilitation in Reducing the Risk of Depression: A Systematic Review

Cureus ◽

10.7759/cureus.20851 ◽

2021 ◽

Author(s):

Zahid Khan ◽

Khalid Musa ◽

Mohammed Abumedian ◽

Mildred Ibekwe

Keyword(s):

Systematic Review ◽

Acute Coronary Syndrome ◽

Cardiac Rehabilitation ◽

Coronary Syndrome ◽

Prevalence Of Depression

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Trajectories of physical activity and sedentary behaviour during and after cardiac rehabilitation in patients with acute coronary syndrome

European Journal of Preventive Cardiology ◽

10.1093/eurjpc/zwab061.099 ◽

2021 ◽

Vol 28 (Supplement_1) ◽

Author(s):

M Limpens ◽

HJG Van Den Berg - Emons ◽

I Den Uijl ◽

M Sunamura ◽

T Voortman ◽

...

Keyword(s):

Physical Activity ◽

Acute Coronary Syndrome ◽

Cardiac Rehabilitation ◽

Sedentary Behaviour ◽

Latent Class ◽

Multinomial Logistic Regression ◽

Regression To The Mean ◽

Horizon 2020 ◽

Physical Behaviour ◽

Coronary Syndrome

Abstract Funding Acknowledgements Type of funding sources: Public grant(s) – EU funding. Main funding source(s): Big Medilytics - Horizon 2020 Background Physical behaviour is a multidimensional construct comprising physical activity (PA) and sedentary behaviour. PA adherence, during and after cardiac rehabilitation (CR), is problematic with less than 55% of the patients meeting recommended levels. Furthermore, CR only results in limited improvements in sedentary behaviour. To optimize CR programs, more information is needed on which patients could benefit from additional physical behaviour counselling. Purpose To explore trajectories (improvement, stabilization, or worsening) of moderate-to-vigorous PA (MVPA) and sedentary behaviour during and after CR, and to identify predictors for trajectory membership in patients with acute coronary syndrome (ACS). Methods The study was performed among 533 patients (mean age 57.9 ± 8.9years; 18.2% women) who participated in a 12-week multi-dimensional CR program that started (median) 35 days after hospitalization for ACS. Physical behaviour was measured using accelerometry at CR start, CR completion and 12 and 18 months follow-up. Latent class trajectory modelling was applied to explore trajectories for MVPA and sedentary behaviour. Separate trajectories were determined for the CR period and post-CR period. Using multinomial logistic regression, potential demographic, psychological, and cardiovascular predictors for each of the trajectories were explored. Results Using trajectory analyses, three classes of patients were identified for MVPA and sedentary behaviour both during and after CR: an increasing group, a declining group, and a steady group with only minor changes (see figure 1). Baseline physical behaviour level was the main predictor for declining trajectories, where, interestingly, patients with a higher starting level of the specific physical behaviour were more likely to be in the declining group as compared to the steady group (odds ratio (OR) for MVPA and sedentary behaviour during and post-CR ranging from 1.06-1.45, all p < 0.05). During CR, smokers were less likely to be in the declining group for sedentary behaviour (OR 0.29 (0.09-0.96)) as compared to the steady group. Post-CR, participants with a higher age were less likely to be in the increasing group for MVPA and more likely to be in the increasing group for sedentary behaviour (OR respectively 0.96 (0.93-1.00), 1.04 (1.01-1.07)). Furthermore, participants with a higher BMI were also less likely to be in the increasing group for MVPA post-CR (0.91 (0.84-1.00)). Conclusion: Distinct trajectories for MVPA and sedentary behaviour exist for CR patients, which are mainly distinguished by baseline physical behaviour level, where patients with a higher starting level of the specific physical behaviour were more likely to be in the declining class. We did not see this for the increasing group, suggesting that this phenomenon was not only explained by regression to the mean. Abstract Figure.

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Impact of Physical Activity on Coronary Plaque Volume and Components in Acute Coronary Syndrome Patients After Early Phase II Cardiac Rehabilitation

Circulation Journal ◽

10.1253/circj.cj-18-0738 ◽

2018 ◽

Vol 83 (1) ◽

pp. 101-109 ◽

Cited By ~ 6

Author(s):

Miho Nishitani-Yokoyama ◽

Katsumi Miyauchi ◽

Kazunori Shimada ◽

Takayuki Yokoyama ◽

Shohei Ouchi ◽

...

Keyword(s):

Physical Activity ◽

Acute Coronary Syndrome ◽

Cardiac Rehabilitation ◽

Phase Ii ◽

Early Phase ◽

Coronary Plaque ◽

Plaque Volume ◽

Coronary Syndrome ◽

Coronary Plaque Volume

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Defining and Measuring Active Play Among Young Children: A Systematic Review

Journal of Physical Activity and Health ◽

10.1123/jpah.2016-0195 ◽

2017 ◽

Vol 14 (2) ◽

pp. 155-166 ◽

Cited By ~ 17

Author(s):

Stephanie Truelove ◽

Leigh M. Vanderloo ◽

Patricia Tucker

Keyword(s):

Physical Activity ◽

Systematic Review ◽

Young Children ◽

English Language ◽

Original Research ◽

Activity Levels ◽

Active Play ◽

Physical Activity Guidelines ◽

Motor Movement ◽

Online Databases

Background:Many young children are not meeting the Canadian physical activity guidelines. In an effort to change this, the term active play has been used to promote increased physical activity levels. Among young children, physical activity is typically achieved in the form of active play behavior. The current study aimed to review and synthesize the literature to identify key concepts used to define and describe active play among young children. A secondary objective was to explore the various methods adopted for measuring active play.Methods:A systematic review was conducted by searching seven online databases for English-language, original research or reports, and were eligible for inclusion if they defined or measured active play among young children (ie, 2 to 6 years).Results:Nine studies provided a definition or description of active play, six measured active play, and 13 included both outcomes. While variability in active play definitions did exist, common themes included: increased energy exerted, rough and tumble, gross motor movement, unstructured, freely chosen, and fun. Alternatively, many researchers described active play as physical activity (n = 13) and the majority of studies used a questionnaire (n = 16) to assess active play among young children.Conclusion:Much variability in the types of active play, methods of assessing active play, and locations where active play can transpire were noted in this review. As such, an accepted and consistent definition is necessary, which we provide herein.

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