Treatise
Analysis of the current status and influencing factors of physical activity, sedentary behavior in middle-aged and elderly patients with stable coronary heart disease
Yao Shuang, Wang Jiping, Xu Jianhua, Xu Jiahui, Yang Xin
Published 2023-06-21
Cite as Chin J Prac Nurs, 2023, 39(18): 1402-1409. DOI: 10.3760/cma.j.cn211501-20220720-02292
Abstract
ObjectiveTo explore the status and influencing factors of physical activity, sedentary behavior in middle-aged and elderly patients with stable coronary heart disease, and to provide reference for clinical medical staff to formulate targeted intervention measures.
MethodsThis was a cross-sectional survey. From March to June 2022, a convenience sampling was used to select 378 middle-aged and elderly patients with stable coronary heart disease in the ward and clinic of Department of Cardiology, Jinshan Hospital, Fudan University. The general information questionnaire, the International Physical Activity Questionnaire, the Adult Sedentary Behavior Questionnaire, the Tampa Scale for Kinesiophobia Heart, the Self-efficacy for Chronic Disease Scale and the Social Support Rating Scale were used for investigation.
ResultsThe total metabolic equivalent of physical activity and sedentary time in middle-aged and elderly patients with stable coronary heart disease were 31.40 (21.73, 49.67) MET-h/w and 8(7, 9) h/d respectively. The 39.7% (150/378) patients reached physical activity guidelines recommendations and 61.4% (232/378) patients had a sedentary time ≥ 8 h/d. The 19.0% (72/378) patients were identified as physically active/low sedentary group, 20.6% (78/378) patients were identified as physically active/high sedentary group, 19.6% (74/378) patients were in physically inactive/low sedentary group and 40.7% (154/378) patients were in physically inactive/high sedentary group. The stepwise multiple regression analysis showed that sedentary behavior, working status, kinesiophobia, objective support and disease duration had significant impacts on physical activity (t values were -9.81-2.67, all P<0.05). The influencing factors of sedentary behavior were physical activity, objective support, support utilization, gender, educational level and kinesiophobia (t values were -10.77-4.63, all P<0.05).
ConclusionsThe status of physical activity, sedentary behavior in middle-aged and elderly patients with stable coronary heart disease is not good. Medical staff should intervene corresponding influencing factors to reduce the risk of physical inactivity and high sedentary behavior in this group.
Key words:
Physical exertion; Social support; Coronary heart disease; Sedentary behavior; Kinesiophobia
Contributor Information
Yao Shuang
Department of Preventive Health, Jinshan Hospital, Fudan University, Shanghai 201508, China
Department of Preventive Health, Jinshan Hospital, Fudan University, Shanghai 201508, China
Wang Jiping
Department of Preventive Health, Jinshan Hospital, Fudan University, Shanghai 201508, China
Xu Jianhua
Department of Cardiovascular Medicine, Jinshan Hospital, Fudan University, Shanghai 201508, China
Xu Jiahui
School of Nursing, Fudan University, Shanghai 200032, China
Yang Xin
School of Nursing, Fudan University, Shanghai 200032, China
