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Geographical variation and predictors of physical activity level in adults with congenital heart disease
Umeå University, Heart Center and Department of Public Health and Clinical Medicine, Umeå, Sweden.
Umeå University, Heart Center and Department of Public Health and Clinical Medicine, Umeå, Sweden.
Umeå University, Heart Center and Department of Public Health and Clinical Medicine, Umeå, Sweden; Umeå University, Department of Community Medicine and Rehabilitation, Physiotherapy, Umeå, Sweden.
University of Leuven, Department of Public Health and Primary Care, KU Leuven, Leuven, Belgium.
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2019 (English)In: International Journal of Cardiology : Heart & Vasculature, ISSN 2352-9067, Vol. 22, p. 20-25Article in journal (Refereed) Published
Abstract [en]

Background

Physical activity is important to maintain and promote health. This is of particular interest in patients with congenital heart disease(CHD) where acquired heart disease should be prevented. The World Health Organization (WHO) recommends a minimum of 2.5 h/week of physical activity exceeding 3 metabolic equivalents (METS) to achieve positive health effects. It is unknown whether physical activity levels (PAL) in adult CHD patients differ by country of origin.

Methods

3896 adults with CHD recruited from 15 countries over 5 continents completed self-reported instruments, including the Health Behaviour Scale (HBS-CHD), within the APPROACH-IS project. For each patient, we calculated whether WHO recommendations were achieved or not. Associated factors were investigated using Generalized Linear Mixed Models.

Results

On average, 31% reached the WHO recommendations but with a great variation between geographical areas (India: 10%–Norway: 53%). Predictors for physical activity level in line with the WHO recommendations, with country of residence as random effect, were male sex (OR 1.78, 95%CI 1.52–2.08), NYHA-class I (OR 3.10, 95%CI 1.71–5.62) and less complex disease (OR 1.46, 95%CI 1.16–1.83). In contrast, older age (OR 0.97, 95%CI 0.96–0.98), lower educational level (OR 0.41, 95%CI 0.26–0.64) and being unemployed (OR 0.57, 95%CI 0.42–0.77) were negatively associated with reaching WHO recommendations.

Conclusions

A significant proportion of patients with CHD did not reach the WHO physical activity recommendations. There was a large variation in physical activity level by country of origin. Based on identified predictors, vulnerable patients may be identified and offered specific behavioral interventions.

Place, publisher, year, edition, pages
Elsevier, 2019. Vol. 22, p. 20-25
Keywords [en]
Adult congenital heart disease, Physical activity level, Patient-reported outcome, Health-behaviour scale, Physical activity recommendation, Metabolic equivalent
National Category
Nursing
Research subject
NURSING AND PUBLIC HEALTH SCIENCE, Nursing science
Identifiers
URN: urn:nbn:se:hv:diva-13176DOI: 10.1016/j.ijcha.2018.11.004PubMedID: 30511012Scopus ID: 2-s2.0-85056806669OAI: oai:DiVA.org:hv-13176DiVA, id: diva2:1267584
Funder
Swedish Heart Lung Foundation, 20130607Available from: 2018-12-03 Created: 2018-12-03 Last updated: 2019-02-18Bibliographically approved

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