Physical inactivity and sedentary behavior profiles in individuals with heart failure: comparison with healthy subjects and determinant factors.
Objective: Quantify the extent of inactivity and sedentarism in HF in comparison with matched controls; and explore the determinants of variables of inactivity and sedentarism in these individuals. Method: Individuals with HF and matched controls had their physical activity (PA) in daily life cross-...
| Publicado en: | Health Sciences Journal / Revista Ciências em Saúde Vol. 15; pp. 1 - 9 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Hospital de Clinicas de Itajuba - Associacao de Integracao Social de Itajuba
2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=193338693&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 193338693 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 22363785 MZNQ jtl: Health Sciences Journal / Revista Ciências em Saúde issn: 22363785 maglogo: N pubinfo: dt: 2025 vid: 15 pid: 69581 pub: Hospital de Clinicas de Itajuba - Associacao de Integracao Social de Itajuba artinfo: ui: 193338693 193338693 193338693 10.21876/hsjhci.v15.e1583 193338693 ppf: 1 ppct: 8 formats: tig: atl: Physical inactivity and sedentary behavior profiles in individuals with heart failure: comparison with healthy subjects and determinant factors. aug: au: Dias, Karina Lourenço Belo, Leticia Fernandes Pitta, Fabio Hernandes, Nidia Aparecida affil: Laboratório de Pesquisa em Fisioterapia Respiratória, Departamento de Fisioterapia, Universidade Estadual de Londrina, PR, Brasil sug: subj: Sedentary Behavior Heart Failure Risk Factors Physical Activity Risk Assessment Human Male Female Middle Age Aged Brazil Convenience Sample Academic Medical Centers Age Factors Sex Factors Social Media Body Mass Index Cross Sectional Studies Nonexperimental Studies Actigraphy Mann-Whitney U Test T-Tests Pearson's Correlation Coefficient Spearman's Rank Correlation Coefficient Multiple Linear Regression Data Analysis Software Post Hoc Analysis Socioeconomic Factors Functional Status Health Status Funding Source Clinical Assessment Tools Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Objective: Quantify the extent of inactivity and sedentarism in HF in comparison with matched controls; and explore the determinants of variables of inactivity and sedentarism in these individuals. Method: Individuals with HF and matched controls had their physical activity (PA) in daily life cross-sectionally monitored for one week using an activity monitor. Steps/day, sedentary time/day (ST/day) and time spent/day in light PA and moderate-tovigorous PA (MVPA) were recorded. Functional capacity, symptoms, quality of life and anthropometric data were evaluated as potential determinant factors of PA in daily life in HF. Result: Individuals with HF (n=44) presented lower time/day in MVPA and steps/day than controls (n=30) (60% and 33% lower, respectively). Further, individuals with HF were even more inactive on weekends than weekdays (MVPA: (6[3-12] vs. 9[4-21]min/day, P=0.005; step count: 4055±2228 vs. 4550±2366 steps/day, P=0.02). Regression models indicated functional capacity as the sole determinant of time spent/day in MVPA (r2=0.23) and one of the determinants of steps/day together with age and body mass index (r2=0.52). Depression symptoms and exertional dyspnea were determinants of ST/day (r2=0.32) and time spent/day in light PA (r2=0.21). Conclusion: Individuals with HF are 60% less active than healthy individuals, and even more markedly on weekends. Functional capacity was the main determinant of variation in steps/day and time spent/day in MVPA, whereas exertional dyspnea and depression symptoms helped explaining variation in ST/day and time spent/day in light PA. Objetivo: Quantificar a extensão da inatividade e do comportamento sedentário em indivíduos com IC em comparação com controles pareados; e explorar os determinantes das variáveis de inatividade e comportamento sedentário nesses indivíduos. Método: Indivíduos com IC e controles pareados tiveram sua atividade física (AF) na vida diária monitorada transversalmente durante uma semana por meio de um monitor de atividade. Foram registrados os passos/dia, tempo sedentário/dia (TS/dia) e o tempo gasto/dia em AF leve e AF moderada a vigorosa (AFMV). Capacidade funcional, sintomas, qualidade de vida e dados antropométricos foram avaliados como potenciais fatores determinantes da AF na vida diária em indivíduos com IC. Resultado: Indivíduos com IC (n=44) apresentaram menor tempo/dia em AFMV e passos/dia em comparação com os controles (n=30) (60% e 33% a menos, respectivamente). Além disso, os indivíduos com IC foram ainda mais inativos nos fins de semana em comparação com os dias úteis (AFMV: 6[3-12] vs. 9[4-21]min/dia, P=0,005; contagem de passos: 4055±2228 vs. 4550±2366 passos/dia, P=0,02). Modelos de regressão indicaram a capacidade funcional como o único determinante do tempo gasto/dia em AFMV (r2=0,23) e um dos determinantes dos passos/dia junto com a idade e o índice de massa corporal (r2=0,52). Os sintomas de depressão e a dispneia ao esforço foram determinantes do TS/dia (r2=0,32) e do tempo gasto/dia em AF leve (r2=0,21). Conclusão: Indivíduos com IC são 60% menos ativos que indivíduos saudáveis, sendo ainda mais inativos nos fins de semana. A capacidade funcional foi o principal determinante da variação nos passos/dia e no tempo gasto/dia em AFMV, enquanto a dispneia ao esforço e os sintomas de depressão explicaram a variação no TS/dia e no tempo gasto/dia em AF leve. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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