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Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences
BACKGROUND: Adherence to recommendations for physical activity is low in both male and female patients with heart failure (HF). Men are more physically active than women. In order to successfully promote physical activity, it is therefore essential to explore how much and why HF patients are physica...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove Medical Press
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4646589/ https://www.ncbi.nlm.nih.gov/pubmed/26635469 http://dx.doi.org/10.2147/PPA.S90942 |
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author | Klompstra, Leonie Jaarsma, Tiny Strömberg, Anna |
author_facet | Klompstra, Leonie Jaarsma, Tiny Strömberg, Anna |
author_sort | Klompstra, Leonie |
collection | PubMed |
description | BACKGROUND: Adherence to recommendations for physical activity is low in both male and female patients with heart failure (HF). Men are more physically active than women. In order to successfully promote physical activity, it is therefore essential to explore how much and why HF patients are physically active and if this is related to sex. The aim of this study was therefore to evaluate physical activity in HF patients, to describe the factors related to physical activity, and to examine potential barriers and motivations to physical activity with special focus on sex differences. METHODS: The study had a cross-sectional survey design. HF patients living at home received a questionnaire during May–July 2014, with questions on physical activity (from the Short Form-International Physical Activity Questionnaire), and potential barriers and motivations to physical activity. RESULTS: A total of 154 HF patients, 27% women, with a mean age of 70±10 were included. In total, 23% of the patients reported a high level of physical activity, 46% a moderate level, and 34% a low level. Higher education, self-efficacy, and motivation were significantly associated with a higher amount of physical activity. Symptoms or severity of the disease were not related to physical activity. All the potential barriers to exercise were reported to be of importance. Psychological motivations were most frequently rated as being the most important motivation (41%) to be physically active. Physical motivations (33%) and social motivations were rated as the least important ones (22%). Women had significantly higher total motivation to be physically active. These differences were found in social, physical, and psychological motivations. DISCUSSION: One-third of the HF patients had a low level of physical activity in their daily life. Severity of the disease or symptoms were not related, whereas level of education, exercise self-efficacy, and motivation were important factors to take into account when advising a HF patient about physical activity. Women reported higher motivation to be physically active than men, but there was no difference in the reported level of physical activity. |
format | Online Article Text |
id | pubmed-4646589 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Dove Medical Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-46465892015-12-03 Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences Klompstra, Leonie Jaarsma, Tiny Strömberg, Anna Patient Prefer Adherence Original Research BACKGROUND: Adherence to recommendations for physical activity is low in both male and female patients with heart failure (HF). Men are more physically active than women. In order to successfully promote physical activity, it is therefore essential to explore how much and why HF patients are physically active and if this is related to sex. The aim of this study was therefore to evaluate physical activity in HF patients, to describe the factors related to physical activity, and to examine potential barriers and motivations to physical activity with special focus on sex differences. METHODS: The study had a cross-sectional survey design. HF patients living at home received a questionnaire during May–July 2014, with questions on physical activity (from the Short Form-International Physical Activity Questionnaire), and potential barriers and motivations to physical activity. RESULTS: A total of 154 HF patients, 27% women, with a mean age of 70±10 were included. In total, 23% of the patients reported a high level of physical activity, 46% a moderate level, and 34% a low level. Higher education, self-efficacy, and motivation were significantly associated with a higher amount of physical activity. Symptoms or severity of the disease were not related to physical activity. All the potential barriers to exercise were reported to be of importance. Psychological motivations were most frequently rated as being the most important motivation (41%) to be physically active. Physical motivations (33%) and social motivations were rated as the least important ones (22%). Women had significantly higher total motivation to be physically active. These differences were found in social, physical, and psychological motivations. DISCUSSION: One-third of the HF patients had a low level of physical activity in their daily life. Severity of the disease or symptoms were not related, whereas level of education, exercise self-efficacy, and motivation were important factors to take into account when advising a HF patient about physical activity. Women reported higher motivation to be physically active than men, but there was no difference in the reported level of physical activity. Dove Medical Press 2015-11-09 /pmc/articles/PMC4646589/ /pubmed/26635469 http://dx.doi.org/10.2147/PPA.S90942 Text en © 2015 Klompstra et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. |
spellingShingle | Original Research Klompstra, Leonie Jaarsma, Tiny Strömberg, Anna Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences |
title | Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences |
title_full | Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences |
title_fullStr | Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences |
title_full_unstemmed | Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences |
title_short | Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences |
title_sort | physical activity in patients with heart failure: barriers and motivations with special focus on sex differences |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4646589/ https://www.ncbi.nlm.nih.gov/pubmed/26635469 http://dx.doi.org/10.2147/PPA.S90942 |
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