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Physical activity levels and sedentary behaviour patterns in patients attending a phase III cardiac rehabilitation program: are there differences between men and women?
Session:
Sessão de Posters 34 - Medicina Cardiovascular: Para além dos cardiologistas
Speaker:
Gonçalo De Sá
Congress:
CPC 2024
Topic:
P. Other
Theme:
37. Miscellanea
Subtheme:
28.12 Physical Inactivity and Exercise
Session Type:
Cartazes
FP Number:
---
Authors:
Gonçalo De Sá; Mariana Borges; Madalena Lemos Pires; Ana Abrantes; Pedro Alves da Silva; Daniel Cazeiro; Nelson Cunha; Inês Ricardo; Fausto Pinto; Ana Abreu; Rita Pinto
Abstract
<p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="font-family:"Times New Roman",serif">Introduction: </span></strong><span style="font-family:"Times New Roman",serif">Higher levels of moderate to vigorous physical activity (MVPA) are associated with lower cardiovascular risk and mortality levels, especially in people with cardiovascular disease (CVD). Contrarily, sedentary behaviour (SB) is an important cardiovascular risk factor with a negative health impact. </span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">According to the World Health Organization recommendations, at least 150 minutes of MVPA should be performed per week (21.4 min/day) and </span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">SB</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black"> should be reduced.</span></span></span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="font-family:"Times New Roman",serif">Purpose: </span></strong><span style="font-family:"Times New Roman",serif">to analyse SB, light physical activity (PA) and MVPA levels and patterns in CVD patients attending a phase III CR program on non-exercise session days, exercise session days, and to compare those levels between women and men.</span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="font-family:"Times New Roman",serif">Methods</span></strong><span style="font-family:"Times New Roman",serif">: <span style="background-color:white"><span style="color:black">CVD patients were assessed when entering the CR phase III program. CR exercise sessions were conducted 2 or 3 times per week, 60 minutes/session. PA and SB were assessed through accelerometery during seven consecutive days. Comparisons were made between men and women on CR and non-CR days. Demographic and clinical outcomes were retrieved. Independent-samples T-test and Mann-Whitney U test were used.</span></span></span></span></span></span></p> <p style="text-align:justify"><span style="font-size:11pt"><span style="font-family:Calibri,sans-serif"><span style="color:#000000"><strong><span style="font-family:"Times New Roman",serif">Results: </span></strong><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">Two hundred and thirteen CVD patients completed all the assessments, where 44 were women [62</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">9 years-old, 87% coronary artery disease (CAD), 12.4 % heart failure (HF)] and 169 were men (61</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">10 years-old, 72.7% CAD, 13.6% HF). Regarding MVPA levels both women and men had more minutes spent in MVPA on CR session days when compared to non-exercise CR session days (31</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">22 min/day vs 52</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">31 min/day, p</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black"><</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">0.001; 41</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">29 min/day vs 62</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">30 min/day, p</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black"><</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">0.001). However, regarding light PA and SB, only men spent more minutes in light PA (161</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">46 min/day vs 172</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">49 min/day, p=0.022) on CR session days and had significantly higher SB on non-exercise CR session days (77</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">7 %/day vs 74</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">7 %/day, p</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black"><</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">0.001). When comparing weekly PA levels between sex, MVPA was superior in men (276</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">163 min/week vs 345</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black">±</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">188 min/week, p</span></span></span><span style="background-color:white"><span style="font-family:Symbol"><span style="color:black"><</span></span></span><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">0.045) but SB was the same. </span></span></span></span></span></span></p> <p><strong><span style="font-size:11pt"><span style="font-family:"Times New Roman",serif">Conclusion: </span></span></strong><span style="font-size:11pt"><span style="color:#000000"><span style="font-family:"Times New Roman",serif">These findings demonstrate that despite men spending more minutes in MVPA, both men and women achieve weekly MVPA recommendations. However, SB remains high. Patients should be strongly encouraged to maintain their PA levels and reduce SB on non-session days. </span></span></span><span style="font-size:11pt"><span style="background-color:white"><span style="font-family:"Times New Roman",serif"><span style="color:black">An individualized PA counselling consult in CR programs, by specialized exercise professionals, might be a good strategy to improve PA and sedentary behavior in CVD patients.</span></span></span></span></p>
Slides
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