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A Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitation

Cardiac patients who engage in ≥150 min of moderate- to vigorous-intensity physical activity (MVPA)/week have lower mortality, yet MVPA declines even following cardiac rehabilitation (CR), and is lower in women. A randomized trial of nine socioecological theory-based exercise facilitation contacts o...

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Autores principales: Moghei, Mahshid, Reid, Robert D., Wooding, Evyanne, Melo Ghisi, Gabriela, Pipe, Andrew, Chessex, Caroline, Prince, Stephanie A., Blanchard, Chris, Oh, Paul, Grace, Sherry L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406811/
https://www.ncbi.nlm.nih.gov/pubmed/30781469
http://dx.doi.org/10.3390/jcm8020250
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author Moghei, Mahshid
Reid, Robert D.
Wooding, Evyanne
Melo Ghisi, Gabriela
Pipe, Andrew
Chessex, Caroline
Prince, Stephanie A.
Blanchard, Chris
Oh, Paul
Grace, Sherry L.
author_facet Moghei, Mahshid
Reid, Robert D.
Wooding, Evyanne
Melo Ghisi, Gabriela
Pipe, Andrew
Chessex, Caroline
Prince, Stephanie A.
Blanchard, Chris
Oh, Paul
Grace, Sherry L.
author_sort Moghei, Mahshid
collection PubMed
description Cardiac patients who engage in ≥150 min of moderate- to vigorous-intensity physical activity (MVPA)/week have lower mortality, yet MVPA declines even following cardiac rehabilitation (CR), and is lower in women. A randomized trial of nine socioecological theory-based exercise facilitation contacts over 50 weeks versus usual care (1:1 parallel arms) was undertaken (NCT01658683). The tertiary objective, as presented in this paper, was to test whether the intervention impacted socioecological elements, and in turn their association with MVPA. The 449 participants wore an accelerometer and completed questionnaires post-CR, and 26, 52 and 78 weeks later. At 52 weeks, exercise task self-efficacy was significantly greater in the intervention arm (p = 0.01), but no other differences were observed except more encouragement from other cardiac patients at 26 weeks (favoring controls). Among women adherent to the intervention, the group in whom the intervention was proven effective, physical activity (PA) intentions at 26 weeks were significantly greater in the intervention arm (p = 0.04), with no other differences. There were some differences in socioecological elements associated with MVPA by arm. There were also some differences by sex, with MVPA more often associated with exercise benefits/barriers in men, versus with working and the physical environment in women.
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spelling pubmed-64068112019-03-22 A Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitation Moghei, Mahshid Reid, Robert D. Wooding, Evyanne Melo Ghisi, Gabriela Pipe, Andrew Chessex, Caroline Prince, Stephanie A. Blanchard, Chris Oh, Paul Grace, Sherry L. J Clin Med Article Cardiac patients who engage in ≥150 min of moderate- to vigorous-intensity physical activity (MVPA)/week have lower mortality, yet MVPA declines even following cardiac rehabilitation (CR), and is lower in women. A randomized trial of nine socioecological theory-based exercise facilitation contacts over 50 weeks versus usual care (1:1 parallel arms) was undertaken (NCT01658683). The tertiary objective, as presented in this paper, was to test whether the intervention impacted socioecological elements, and in turn their association with MVPA. The 449 participants wore an accelerometer and completed questionnaires post-CR, and 26, 52 and 78 weeks later. At 52 weeks, exercise task self-efficacy was significantly greater in the intervention arm (p = 0.01), but no other differences were observed except more encouragement from other cardiac patients at 26 weeks (favoring controls). Among women adherent to the intervention, the group in whom the intervention was proven effective, physical activity (PA) intentions at 26 weeks were significantly greater in the intervention arm (p = 0.04), with no other differences. There were some differences in socioecological elements associated with MVPA by arm. There were also some differences by sex, with MVPA more often associated with exercise benefits/barriers in men, versus with working and the physical environment in women. MDPI 2019-02-16 /pmc/articles/PMC6406811/ /pubmed/30781469 http://dx.doi.org/10.3390/jcm8020250 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Moghei, Mahshid
Reid, Robert D.
Wooding, Evyanne
Melo Ghisi, Gabriela
Pipe, Andrew
Chessex, Caroline
Prince, Stephanie A.
Blanchard, Chris
Oh, Paul
Grace, Sherry L.
A Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitation
title A Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitation
title_full A Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitation
title_fullStr A Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitation
title_full_unstemmed A Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitation
title_short A Longitudinal Examination of the Social-Ecological Correlates of Exercise in Men and Women Following Cardiac Rehabilitation
title_sort longitudinal examination of the social-ecological correlates of exercise in men and women following cardiac rehabilitation
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6406811/
https://www.ncbi.nlm.nih.gov/pubmed/30781469
http://dx.doi.org/10.3390/jcm8020250
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