Level of Physical Activity in Patients with Coronary Heart Disease After Phase 2 of the Cardiac Rehabilitation Program

Authors

  • Sara Isabel Antunes Serviço de Medicina Física e de Reabilitação,Hospital Garcia de Orta, Almada, Portugal
  • Margarida Mota Freitas Serviço de Medicina Física e de Reabilitação,Hospital Garcia de Orta, Almada, Portugal
  • Cristiana Martins Serviço de Medicina Física e de Reabilitação, Centro Hospitalar Universitário do Algarve, Faro, Portugal
  • Sofia Bento Serviço de Medicina Física e de Reabilitação,Hospital Garcia de Orta, Almada, Portugal
  • Ângela Pereira Serviço de Medicina Física e de Reabilitação,Hospital Garcia de Orta, Almada, Portugal
  • Sara Lorga Serviço de Medicina Física e de Reabilitação,Hospital Garcia de Orta, Almada, Portugal

DOI:

https://doi.org/10.25759/spmfr.366

Keywords:

Cardiac Rehabilitation, Coronary Disease/ rehabilitation, Motor Activity, Surveys and Questionnaires

Abstract

Introduction: Regular physical activity reduces the risk of mortality and morbidity in patients with coronary disease, regardless of other lifestyle modifications. Reassignment to effort and encouragement to practice regular physical activity are key components of cardiac rehabilitation programs (CRP). The goal of this study is to characterize the physical activity levels of patients with coronary disease after have completed the effort reconditioning program (ERP) of the CRP.

Material and Methods: Demographic data and clinical history were obtained of the SClinic computing platform. To assess the level of weekly physical activity of the patients, the International Physical Activity Questionnaire (IPAQ) was applied either in person or by phone. From the calculation of the METs made in different types of exercise throughout the week, it was possible to attribute to each patient a value called “total activity score” that allows the categorization of the sample into groups, sedentary, moderately active and active.

Results: Fifty-five patients (71% males, mean age 53 years) were included in the study. 62% of the patients surveyed maintained regular physical activity, with 26% being classified as active and 36% moderately active. It has been found that there is a statistically significant difference in the level of weekly physical activity practiced when comparing patients over 55 years of age and with less than 55 years of age (p<0.05), presenting these last higher levels of physical activity. Patients who have completed cardiac rehabilitation treatment longer ago (more than 1 year) appear to be more likely to be sedentary than patients who have recently completed the rehabilitation program.

Conclusion: PRE is an integral part of CRP, and it is expected that patients will acquire habits of exercise and/or physical activity through this intervention. It has been found that younger patients maintain a more sustained practice of physical activity.

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Author Biographies

Sara Isabel Antunes, Serviço de Medicina Física e de Reabilitação,Hospital Garcia de Orta, Almada, Portugal

Interna de Formação Especifica de MFR, iniciei o IFE em 2018 no Hospital Garcia de Orta

Margarida Mota Freitas, Serviço de Medicina Física e de Reabilitação,Hospital Garcia de Orta, Almada, Portugal

Interna de Formação Especifica de MFR

Cristiana Martins, Serviço de Medicina Física e de Reabilitação, Centro Hospitalar Universitário do Algarve, Faro, Portugal

Interna de Formação Especifica de MFR

Sofia Bento, Serviço de Medicina Física e de Reabilitação,Hospital Garcia de Orta, Almada, Portugal

Assistente Hospitalar de Medicina Física e de Reabilitação

Ângela Pereira, Serviço de Medicina Física e de Reabilitação,Hospital Garcia de Orta, Almada, Portugal

Fisioterapeuta do Serviço de Medicina Física e de Reabilitação 

Sara Lorga, Serviço de Medicina Física e de Reabilitação,Hospital Garcia de Orta, Almada, Portugal

Assistente Hospitalar de Medicina Física e de Reabilitação

References

- N Townsend, L Wilson, P Bhatnagar et al. Cardiovascular disease in Europe: epidemiological update 2016. European Heart Journal, Volume 37, Issue 42, 7 November 2016, Pages 3232–3245

- Ministério da Saúde, Direcção Geral da Saúde. Actualização do Programa Nacional de Prevenção e Controlo das Doenças cardiovasculares. Circular Normativa nº 3/DSPCS, de 06/02/06. Lisboa:DGS;2006.

-A. Abreu et al.Mandatory criteria for cardiac rehabilitation programs: 2018 guidelines from the Portuguese Society of Cardiology. Portuguese Journal of Cardiology 2018

-Reabilitação Cardíaca: Realidade nacional e recomendações clínicas. Coordenação Nacional para as doenças Cardiovasculares 2009

-Piepoli MF, Hoes AW, Agewall S, et al. 2016 European Guidelines on cardiovascular disease prevention in clinical practice: The Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts) Developed with the special contribution of the European Association for Cardiovascular Prevention & Rehabilitation (EACPR). Eur Heart J. 2016;37:2315-81.

- Mendes M. Reabilitação cardíaca em Portugal: a intervenção que falta! Saude Tecnol. 2009; 3:5-9.

- Bosch C, Myers J, Habersaat A, Ilarraza H, Kottman W, Dubach P. Maintenance of exercise capacity and physical activity patterns 2 years after cardiac rehabilitation. J Cardiopulm Rehabil. 2005;25:2-9.

- Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, et al. International physical activity questionnaire: 12- country reliability and validity. Med Sci Sports Exerc. 2003; 35:1381-95.

- Held C, Iqbal R, Lear SA, Rosengrens A, Islam Shofiqul, Mathew J, Yusuf S. Physical activity levels, ownership of goods promoting sedentary behaviour and risk of myocardial infarction: results of the INTERHEART study. Eur Heart J. 2012; 33(4):452-66.

-EC, Special Eurobarometer 472 - Sport and physical activity. EC, Directorate-General for Education, Youth, Sport and Culture and co-ordinated by the Directorate-General for Communication. December 2017

- Balady GJ, Williams MA, Ades PA, et al. Core Components of Cardiac Rehabilitation/Secondary Prevention Programs: 2007 Update. A Scientific Statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2007;115:2675-82.

- Lavie CJ, Thomas RJ, Squires RW, Allison TG, Milani RV. Exercise training and cardiac rehabilitation in primary and secondary prevention of coronary heart disease. Mayo Clin Proc. 2009;84:373- 83.

- Scrutinio D, Temporelli PL, Passantino A, Giannuzzi P. Long-term secondary prevention programs after cardiac rehabilitation for the reduction of future cardiovascular events: focus on regular physical activity.Future Cardiol. 2009 May;5(3):297-314

Published

2020-06-17

How to Cite

1.
Antunes SI, Freitas MM, Martins C, Bento S, Pereira Ângela, Lorga S. Level of Physical Activity in Patients with Coronary Heart Disease After Phase 2 of the Cardiac Rehabilitation Program. SPMFR [Internet]. 2020 Jun. 17 [cited 2024 Nov. 21];32(1):24-8. Available from: https://spmfrjournal.org/index.php/spmfr/article/view/366

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Original Article

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