Predictors of Exercise Training and Physical Activity Adherence in People Recently Hospitalized with Heart Failure: A BRIEF REPORT

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Adsett, Julie A
Morris, Norman R
Mudge, Alison M
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2019
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Abstract

Purpose: For individuals with heart failure (HF), frequent attendance at exercise training programs and meeting physical activity (PA) guidelines are significantly associated with improvements in 6-min walk distance. Despite the evidence, adherence to exercise interventions remains poor. The aim of this study was to identify predictors of these 2 variables in patients recently hospitalized with HF. Methods: In this substudy of the Exercise Joins Education: Combined Therapy to Improve Outcomes in Newly-discharged Heart Failure (EJECTION-HF) trial, all participants were enrolled in a HF disease management program, including weekly review of a home exercise program for 12 wk. Intervention group participants additionally undertook twice weekly supervised exercise training. Primary outcomes were frequent exercise training program attendance (≥12 sessions) and attainment of PA guidelines (150 min/wk of moderate intensity exercise) at 12 wk. Participant and clinical characteristics were analyzed using a logistic regression model to identify significant predictors of each outcome. Results: A total of 278 participants provided PA data and 140 contributed attendance data. New diagnosis of HF was a significant predictor of frequent program attendance (OR = 2.3; 95% CI, 1.1-4.7; P = .03). Predictors of meeting PA guidelines at follow-up included new HF diagnosis (OR = 2.4; 95% CI, 1.2-4.8, P = .013), and being physically active at baseline (OR = 2.7; 95% CI, 1.3-5.6; P = .007). Gender, symptom severity, multimorbidity, and disability were not significantly associated with either outcome in multivariate analysis. Conclusion: To improve adherence, specific strategies may be required for patients with decompensated HF and those physically inactive at time of referral.

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Journal of Cardiopulmonary Rehabilitation and Prevention

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39

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3

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Cardiovascular medicine and haematology

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Adsett, JA; Morris, NR; Mudge, AM, Predictors of Exercise Training and Physical Activity Adherence in People Recently Hospitalized with Heart Failure: A BRIEF REPORT, Journal of Cardiopulmonary Rehabilitation and Prevention, 2019, 39 (3), pp. E12-E16

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