Cargando…

Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome

BACKGROUND: Acute coronary syndrome (ACS) is one of the main causes of morbidity and mortality in the modern world. A sedentary lifestyle, present in 85% of the Brazilian population, is considered a risk factor for the development of coronary artery disease. However, the correlation of a sedentary l...

Descripción completa

Detalles Bibliográficos
Autores principales: Jorge, Juliana de Goes, Santos, Marcos Antonio Almeida, Barreto Filho, José Augusto Soares, Oliveira, Joselina Luzia Menezes, de Melo, Enaldo Vieira, de Oliveira, Norma Alves, Faro, Gustavo Baptista de Almeida, Sousa, Antônio Carlos Sobral
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade Brasileira de Cardiologia - SBC 2016
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728593/
https://www.ncbi.nlm.nih.gov/pubmed/26690692
http://dx.doi.org/10.5935/abc.20160006
_version_ 1782412145075421184
author Jorge, Juliana de Goes
Santos, Marcos Antonio Almeida
Barreto Filho, José Augusto Soares
Oliveira, Joselina Luzia Menezes
de Melo, Enaldo Vieira
de Oliveira, Norma Alves
Faro, Gustavo Baptista de Almeida
Sousa, Antônio Carlos Sobral
author_facet Jorge, Juliana de Goes
Santos, Marcos Antonio Almeida
Barreto Filho, José Augusto Soares
Oliveira, Joselina Luzia Menezes
de Melo, Enaldo Vieira
de Oliveira, Norma Alves
Faro, Gustavo Baptista de Almeida
Sousa, Antônio Carlos Sobral
author_sort Jorge, Juliana de Goes
collection PubMed
description BACKGROUND: Acute coronary syndrome (ACS) is one of the main causes of morbidity and mortality in the modern world. A sedentary lifestyle, present in 85% of the Brazilian population, is considered a risk factor for the development of coronary artery disease. However, the correlation of a sedentary lifestyle with cardiovascular events (CVE) during hospitalization for ACS is not well established. OBJECTIVE: To evaluate the association between physical activity level, assessed with the International Physical Activity Questionnaire (IPAQ), with in-hospital prognosis in patients with ACS. METHODS: Observational, cross-sectional, and analytical study with 215 subjects with a diagnosis of ACS consecutively admitted to a referral hospital for cardiac patients between July 2009 and February 2011. All volunteers answered the short version of the IPAQ and were observed for the occurrence of CVE during hospitalization with a standardized assessment conducted by the researcher and corroborated by data from medical records. RESULTS: The patients were admitted with diagnoses of unstable angina (34.4%), acute myocardial infarction (AMI) without ST elevation (41.4%), and AMI with ST elevation (24.2%). According to the level of physical activity, the patients were classified as non-active (56.3%) and active (43.7%). A CVE occurred in 35.3% of the cohort. The occurrence of in-hospital complications was associated with the length of hospital stay (odds ratio [OR] = 1.15) and physical inactivity (OR = 2.54), and was independent of age, systolic blood pressure, and prior congestive heart failure. CONCLUSION: A physically active lifestyle reduces the risk of CVE during hospitalization in patients with ACS.
format Online
Article
Text
id pubmed-4728593
institution National Center for Biotechnology Information
language English
publishDate 2016
publisher Sociedade Brasileira de Cardiologia - SBC
record_format MEDLINE/PubMed
spelling pubmed-47285932016-01-29 Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome Jorge, Juliana de Goes Santos, Marcos Antonio Almeida Barreto Filho, José Augusto Soares Oliveira, Joselina Luzia Menezes de Melo, Enaldo Vieira de Oliveira, Norma Alves Faro, Gustavo Baptista de Almeida Sousa, Antônio Carlos Sobral Arq Bras Cardiol Original Articles BACKGROUND: Acute coronary syndrome (ACS) is one of the main causes of morbidity and mortality in the modern world. A sedentary lifestyle, present in 85% of the Brazilian population, is considered a risk factor for the development of coronary artery disease. However, the correlation of a sedentary lifestyle with cardiovascular events (CVE) during hospitalization for ACS is not well established. OBJECTIVE: To evaluate the association between physical activity level, assessed with the International Physical Activity Questionnaire (IPAQ), with in-hospital prognosis in patients with ACS. METHODS: Observational, cross-sectional, and analytical study with 215 subjects with a diagnosis of ACS consecutively admitted to a referral hospital for cardiac patients between July 2009 and February 2011. All volunteers answered the short version of the IPAQ and were observed for the occurrence of CVE during hospitalization with a standardized assessment conducted by the researcher and corroborated by data from medical records. RESULTS: The patients were admitted with diagnoses of unstable angina (34.4%), acute myocardial infarction (AMI) without ST elevation (41.4%), and AMI with ST elevation (24.2%). According to the level of physical activity, the patients were classified as non-active (56.3%) and active (43.7%). A CVE occurred in 35.3% of the cohort. The occurrence of in-hospital complications was associated with the length of hospital stay (odds ratio [OR] = 1.15) and physical inactivity (OR = 2.54), and was independent of age, systolic blood pressure, and prior congestive heart failure. CONCLUSION: A physically active lifestyle reduces the risk of CVE during hospitalization in patients with ACS. Sociedade Brasileira de Cardiologia - SBC 2016-01 /pmc/articles/PMC4728593/ /pubmed/26690692 http://dx.doi.org/10.5935/abc.20160006 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Jorge, Juliana de Goes
Santos, Marcos Antonio Almeida
Barreto Filho, José Augusto Soares
Oliveira, Joselina Luzia Menezes
de Melo, Enaldo Vieira
de Oliveira, Norma Alves
Faro, Gustavo Baptista de Almeida
Sousa, Antônio Carlos Sobral
Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome
title Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome
title_full Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome
title_fullStr Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome
title_full_unstemmed Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome
title_short Level of Physical Activity and In-Hospital Course of Patients with Acute Coronary Syndrome
title_sort level of physical activity and in-hospital course of patients with acute coronary syndrome
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4728593/
https://www.ncbi.nlm.nih.gov/pubmed/26690692
http://dx.doi.org/10.5935/abc.20160006
work_keys_str_mv AT jorgejulianadegoes levelofphysicalactivityandinhospitalcourseofpatientswithacutecoronarysyndrome
AT santosmarcosantonioalmeida levelofphysicalactivityandinhospitalcourseofpatientswithacutecoronarysyndrome
AT barretofilhojoseaugustosoares levelofphysicalactivityandinhospitalcourseofpatientswithacutecoronarysyndrome
AT oliveirajoselinaluziamenezes levelofphysicalactivityandinhospitalcourseofpatientswithacutecoronarysyndrome
AT demeloenaldovieira levelofphysicalactivityandinhospitalcourseofpatientswithacutecoronarysyndrome
AT deoliveiranormaalves levelofphysicalactivityandinhospitalcourseofpatientswithacutecoronarysyndrome
AT farogustavobaptistadealmeida levelofphysicalactivityandinhospitalcourseofpatientswithacutecoronarysyndrome
AT sousaantoniocarlossobral levelofphysicalactivityandinhospitalcourseofpatientswithacutecoronarysyndrome