Daily physical activity in stable heart failure patients

Manon L. Dontje, Martje van der Wal, Ronald P. Stolk, Johan Brügemann, Tiny Jaarsma, Petra Wijtvliet, Cees van der Schans, Mathieu de Greef

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

BACKGROUND:: Physical activity is the only nonpharmacological therapy that is proven to be effective in heart failure (HF) patients in reducing morbidity. To date, little is known about the levels of daily physical activity in HF patients and about related factors. OBJECTIVE:: The objectives of this study were to (a) describe performance-based daily physical activity in HF patients, (b) compare it with physical activity guidelines, and (c) identify related factors of daily physical activity. METHODS:: The daily physical activity of 68 HF patients was measured using an accelerometer (SenseWear) for 48 hours. Psychological characteristics (self-efficacy, motivation, and depression) were measured using questionnaires. To have an indication how to interpret daily physical activity levels of the study sample, time spent on moderate- to vigorous-intensity physical activities was compared with the 30-minute activity guideline. Steps per day was compared with the criteria for healthy adults, in the absence of HF-specific criteria. Linear regression analyses were used to identify related factors of daily physical activity. RESULTS:: Forty-four percent were active for less than 30 min/d, whereas 56% were active for more than 30 min/d. Fifty percent took fewer than 5000 steps per day, 35% took 5000 to 10 000 steps per day, and 15% took more than 10 000 steps per day. Linear regression models showed that New York Heart Association classification and self-efficacy were the most important factors explaining variance in daily physical activity. CONCLUSIONS:: The variance in daily physical activity in HF patients is considerable. Approximately half of the patients had a sedentary lifestyle. Higher New York Heart Association classification and lower self-efficacy are associated with less daily physical activity. These findings contribute to the understanding of daily physical activity behavior of HF patients and can help healthcare providers to promote daily physical activity in sedentary HF patients.
PMID:23416939
DOI: 10.1097/JCN.0b013e318283ba14
Original languageEnglish
JournalThe Journal of cardiovascular nursing
Publication statusPublished - 2013

Keywords

  • daily physical activity
  • stable heart failure patients

Cite this

Dontje, M. L., van der Wal, M., Stolk, R. P., Brügemann, J., Jaarsma, T., Wijtvliet, P., ... de Greef, M. (2013). Daily physical activity in stable heart failure patients. The Journal of cardiovascular nursing.
Dontje, Manon L. ; van der Wal, Martje ; Stolk, Ronald P. ; Brügemann, Johan ; Jaarsma, Tiny ; Wijtvliet, Petra ; van der Schans, Cees ; de Greef, Mathieu. / Daily physical activity in stable heart failure patients. In: The Journal of cardiovascular nursing. 2013.
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title = "Daily physical activity in stable heart failure patients",
abstract = "BACKGROUND:: Physical activity is the only nonpharmacological therapy that is proven to be effective in heart failure (HF) patients in reducing morbidity. To date, little is known about the levels of daily physical activity in HF patients and about related factors. OBJECTIVE:: The objectives of this study were to (a) describe performance-based daily physical activity in HF patients, (b) compare it with physical activity guidelines, and (c) identify related factors of daily physical activity. METHODS:: The daily physical activity of 68 HF patients was measured using an accelerometer (SenseWear) for 48 hours. Psychological characteristics (self-efficacy, motivation, and depression) were measured using questionnaires. To have an indication how to interpret daily physical activity levels of the study sample, time spent on moderate- to vigorous-intensity physical activities was compared with the 30-minute activity guideline. Steps per day was compared with the criteria for healthy adults, in the absence of HF-specific criteria. Linear regression analyses were used to identify related factors of daily physical activity. RESULTS:: Forty-four percent were active for less than 30 min/d, whereas 56{\%} were active for more than 30 min/d. Fifty percent took fewer than 5000 steps per day, 35{\%} took 5000 to 10 000 steps per day, and 15{\%} took more than 10 000 steps per day. Linear regression models showed that New York Heart Association classification and self-efficacy were the most important factors explaining variance in daily physical activity. CONCLUSIONS:: The variance in daily physical activity in HF patients is considerable. Approximately half of the patients had a sedentary lifestyle. Higher New York Heart Association classification and lower self-efficacy are associated with less daily physical activity. These findings contribute to the understanding of daily physical activity behavior of HF patients and can help healthcare providers to promote daily physical activity in sedentary HF patients.PMID:23416939DOI: 10.1097/JCN.0b013e318283ba14",
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Dontje, ML, van der Wal, M, Stolk, RP, Brügemann, J, Jaarsma, T, Wijtvliet, P, van der Schans, C & de Greef, M 2013, 'Daily physical activity in stable heart failure patients' The Journal of cardiovascular nursing.

Daily physical activity in stable heart failure patients. / Dontje, Manon L.; van der Wal, Martje; Stolk, Ronald P.; Brügemann, Johan; Jaarsma, Tiny; Wijtvliet, Petra; van der Schans, Cees; de Greef, Mathieu.

In: The Journal of cardiovascular nursing, 2013.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Daily physical activity in stable heart failure patients

AU - Dontje, Manon L.

AU - van der Wal, Martje

AU - Stolk, Ronald P.

AU - Brügemann, Johan

AU - Jaarsma, Tiny

AU - Wijtvliet, Petra

AU - van der Schans, Cees

AU - de Greef, Mathieu

PY - 2013

Y1 - 2013

N2 - BACKGROUND:: Physical activity is the only nonpharmacological therapy that is proven to be effective in heart failure (HF) patients in reducing morbidity. To date, little is known about the levels of daily physical activity in HF patients and about related factors. OBJECTIVE:: The objectives of this study were to (a) describe performance-based daily physical activity in HF patients, (b) compare it with physical activity guidelines, and (c) identify related factors of daily physical activity. METHODS:: The daily physical activity of 68 HF patients was measured using an accelerometer (SenseWear) for 48 hours. Psychological characteristics (self-efficacy, motivation, and depression) were measured using questionnaires. To have an indication how to interpret daily physical activity levels of the study sample, time spent on moderate- to vigorous-intensity physical activities was compared with the 30-minute activity guideline. Steps per day was compared with the criteria for healthy adults, in the absence of HF-specific criteria. Linear regression analyses were used to identify related factors of daily physical activity. RESULTS:: Forty-four percent were active for less than 30 min/d, whereas 56% were active for more than 30 min/d. Fifty percent took fewer than 5000 steps per day, 35% took 5000 to 10 000 steps per day, and 15% took more than 10 000 steps per day. Linear regression models showed that New York Heart Association classification and self-efficacy were the most important factors explaining variance in daily physical activity. CONCLUSIONS:: The variance in daily physical activity in HF patients is considerable. Approximately half of the patients had a sedentary lifestyle. Higher New York Heart Association classification and lower self-efficacy are associated with less daily physical activity. These findings contribute to the understanding of daily physical activity behavior of HF patients and can help healthcare providers to promote daily physical activity in sedentary HF patients.PMID:23416939DOI: 10.1097/JCN.0b013e318283ba14

AB - BACKGROUND:: Physical activity is the only nonpharmacological therapy that is proven to be effective in heart failure (HF) patients in reducing morbidity. To date, little is known about the levels of daily physical activity in HF patients and about related factors. OBJECTIVE:: The objectives of this study were to (a) describe performance-based daily physical activity in HF patients, (b) compare it with physical activity guidelines, and (c) identify related factors of daily physical activity. METHODS:: The daily physical activity of 68 HF patients was measured using an accelerometer (SenseWear) for 48 hours. Psychological characteristics (self-efficacy, motivation, and depression) were measured using questionnaires. To have an indication how to interpret daily physical activity levels of the study sample, time spent on moderate- to vigorous-intensity physical activities was compared with the 30-minute activity guideline. Steps per day was compared with the criteria for healthy adults, in the absence of HF-specific criteria. Linear regression analyses were used to identify related factors of daily physical activity. RESULTS:: Forty-four percent were active for less than 30 min/d, whereas 56% were active for more than 30 min/d. Fifty percent took fewer than 5000 steps per day, 35% took 5000 to 10 000 steps per day, and 15% took more than 10 000 steps per day. Linear regression models showed that New York Heart Association classification and self-efficacy were the most important factors explaining variance in daily physical activity. CONCLUSIONS:: The variance in daily physical activity in HF patients is considerable. Approximately half of the patients had a sedentary lifestyle. Higher New York Heart Association classification and lower self-efficacy are associated with less daily physical activity. These findings contribute to the understanding of daily physical activity behavior of HF patients and can help healthcare providers to promote daily physical activity in sedentary HF patients.PMID:23416939DOI: 10.1097/JCN.0b013e318283ba14

KW - daily physical activity

KW - stable heart failure patients

M3 - Article

JO - The Journal of cardiovascular nursing

JF - The Journal of cardiovascular nursing

SN - 0889-4655

ER -

Dontje ML, van der Wal M, Stolk RP, Brügemann J, Jaarsma T, Wijtvliet P et al. Daily physical activity in stable heart failure patients. The Journal of cardiovascular nursing. 2013.