Circulation. Cardiovascular Quality and Outcomes最新文献

筛选
英文 中文
Community Paramedic Home Care Program for Acute Decompensated Heart Failure: A Pilot Study. 社区护理人员对急性失代偿性心力衰竭的家庭护理计划:一项试点研究。
IF 6.9 2区 医学
Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-09-01 Epub Date: 2023-07-20 DOI: 10.1161/CIRCOUTCOMES.122.009142
Sara Severson, Angela Fink, Rozalina McCoy, Chad Liedl, Patti Bieber, Michael Juntunen, Horng Chen, Grace Lin
{"title":"Community Paramedic Home Care Program for Acute Decompensated Heart Failure: A Pilot Study.","authors":"Sara Severson, Angela Fink, Rozalina McCoy, Chad Liedl, Patti Bieber, Michael Juntunen, Horng Chen, Grace Lin","doi":"10.1161/CIRCOUTCOMES.122.009142","DOIUrl":"10.1161/CIRCOUTCOMES.122.009142","url":null,"abstract":"","PeriodicalId":10301,"journal":{"name":"Circulation. Cardiovascular Quality and Outcomes","volume":" ","pages":"e009142"},"PeriodicalIF":6.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9837445","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing Social Determinants of Health via Food as Medicine Interventions to Improve Cardiometabolic Health. 通过食品作为药物干预来解决健康的社会决定因素,以改善心脏代谢健康。
IF 6.9 2区 医学
Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-09-01 Epub Date: 2023-08-29 DOI: 10.1161/CIRCOUTCOMES.123.010319
Candice A Myers
{"title":"Addressing Social Determinants of Health via Food as Medicine Interventions to Improve Cardiometabolic Health.","authors":"Candice A Myers","doi":"10.1161/CIRCOUTCOMES.123.010319","DOIUrl":"10.1161/CIRCOUTCOMES.123.010319","url":null,"abstract":"","PeriodicalId":10301,"journal":{"name":"Circulation. Cardiovascular Quality and Outcomes","volume":" ","pages":"e010319"},"PeriodicalIF":6.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10112254","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Family Engagement in the Adult Cardiac Intensive Care Unit: A Survey of Family Engagement Practices in the Cardiac Critical Care Trials Network. 成人心脏重症监护室的家庭参与:心脏重症监护试验网络中的家庭参与实践调查。
IF 6.9 2区 医学
Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-09-01 Epub Date: 2023-08-04 DOI: 10.1161/CIRCOUTCOMES.123.010084
Michael Goldfarb, Carlos Alviar, David Berg, Jason Katz, Ran Lee, Shuangbo Liu, Theresa Maitz, Mitchell Padkins, Rajnish Prasad, Robert Roswell, Kevin Shah, Andrea Thompson, Sean van Diepen, Sammy Zakaria, David Morrow
{"title":"Family Engagement in the Adult Cardiac Intensive Care Unit: A Survey of Family Engagement Practices in the Cardiac Critical Care Trials Network.","authors":"Michael Goldfarb, Carlos Alviar, David Berg, Jason Katz, Ran Lee, Shuangbo Liu, Theresa Maitz, Mitchell Padkins, Rajnish Prasad, Robert Roswell, Kevin Shah, Andrea Thompson, Sean van Diepen, Sammy Zakaria, David Morrow","doi":"10.1161/CIRCOUTCOMES.123.010084","DOIUrl":"10.1161/CIRCOUTCOMES.123.010084","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular and critical care professional societies recommend incorporating family engagement practices into routine clinical care. However, little is known about current family engagement practices in contemporary cardiac intensive care units (CICUs).</p><p><strong>Methods: </strong>We implemented a validated 12-item family engagement practice survey among site investigators participating in the Critical Care Cardiology Trials Network, a collaborative network of CICUs in North America. The survey includes 9 items assessing specific engagement practices, 1 item about other family-centered care practices, and 2 open-ended questions on strategies and barriers concerning family engagement practice. We developed an engagement practice score by assigning 1 point for each family engagement practice partially or fully adopted at each site (max score 9). We assessed for relationships between the engagement practice score and CICU demographics.</p><p><strong>Results: </strong>All sites (N=39; 100%) completed the survey. The most common family engagement practices were open visitation (95%), information and support to families (85%), structured care conferences (n=82%), and family participation in rounds (77%). The median engagement practice score was 5 (interquartile range, 4). There were no differences in engagement practice scores by geographic region or CICU type. The most commonly used strategies to promote family engagement were family presence during rounds (41%), communication (28%), and family meetings (28%). The most common barriers to family engagement were COVID-related visitation policies (38%) and resource limitations (13%).</p><p><strong>Conclusions: </strong>Family engagement practices are routinely performed in many CICUs; however, considerable variability exists. There is a need for strategies to address the variability of family engagement practices in CICUs.</p>","PeriodicalId":10301,"journal":{"name":"Circulation. Cardiovascular Quality and Outcomes","volume":" ","pages":"e010084"},"PeriodicalIF":6.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10530193/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9934567","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Impact of Produce Prescriptions on Diet, Food Security, and Cardiometabolic Health Outcomes: A Multisite Evaluation of 9 Produce Prescription Programs in the United States. 农产品处方对饮食、食品安全和心脏代谢健康结果的影响:对美国9个农产品处方项目的多站点评估。
IF 6.9 2区 医学
Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-09-01 Epub Date: 2023-08-29 DOI: 10.1161/CIRCOUTCOMES.122.009520
Kurt Hager, Mengxi Du, Zhongyu Li, Dariush Mozaffarian, Kenneth Chui, Peilin Shi, Brent Ling, Sean B Cash, Sara C Folta, Fang Fang Zhang
{"title":"Impact of Produce Prescriptions on Diet, Food Security, and Cardiometabolic Health Outcomes: A Multisite Evaluation of 9 Produce Prescription Programs in the United States.","authors":"Kurt Hager, Mengxi Du, Zhongyu Li, Dariush Mozaffarian, Kenneth Chui, Peilin Shi, Brent Ling, Sean B Cash, Sara C Folta, Fang Fang Zhang","doi":"10.1161/CIRCOUTCOMES.122.009520","DOIUrl":"10.1161/CIRCOUTCOMES.122.009520","url":null,"abstract":"<p><strong>Background: </strong>Produce prescriptions may improve cardiometabolic health by increasing fruit and vegetable (F&V) consumption and food insecurity yet impacts on clinical outcomes and health status have not been evaluated in large, multisite evaluations.</p><p><strong>Methods: </strong>This multisite, pre- and post-evaluation used individual-level data from 22 produce prescription locations in 12 US states from 2014 to 2020. No programs were previously evaluated. The study included 3881 individuals (2064 adults aged 18+ years and 1817 children aged 2-17 years) with, or at risk for, poor cardiometabolic health recruited from clinics serving low-income neighborhoods. Programs provided financial incentives to purchase F&V at grocery stores or farmers markets (median, $63/months; duration, 4-10 months). Surveys assessed F&V intake, food security, and self-reported health; glycated hemoglobin, blood pressure, body mass index (BMI), and BMI <i>z</i>-score were measured at clinics. Adjusted, multilevel mixed models accounted for clustering by program.</p><p><strong>Results: </strong>After a median participation of 6.0 months, F&V intake increased by 0.85 (95% CI, 0.68-1.02) and 0.26 (95% CI, 0.06-0.45) cups per day among adults and children, respectively. The odds of being food insecure dropped by one-third (odds ratio, 0.63 [0.52-0.76]) and odds of improving 1 level in self-reported health status increased for adults (odds ratio, 1.62 [1.30-2.02]) and children (odds ratio, 2.37 [1.70-3.31]). Among adults with glycated hemoglobin ≥6.5%, glycated hemoglobin declined by -0.29% age points (-0.42 to -0.16); among adults with hypertension, systolic and diastolic blood pressures declined by -8.38 mm Hg (-10.13 to -6.62) and -4.94 mm Hg (-5.96 to -3.92); and among adults with overweight or obesity, BMI decreased by -0.36 kg/m<sup>2</sup> (-0.64 to -0.09). Child BMI <i>z</i>-score did not change -0.01 (-0.06 to 0.04).</p><p><strong>Conclusions: </strong>In this large, multisite evaluation, produce prescriptions were associated with significant improvements in F&V intake, food security, and health status for adults and children, and clinically relevant improvements in glycated hemoglobin, blood pressure, and BMI for adults with poor cardiometabolic health.</p>","PeriodicalId":10301,"journal":{"name":"Circulation. Cardiovascular Quality and Outcomes","volume":" ","pages":"e009520"},"PeriodicalIF":6.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10529680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10114205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Africa on the Global Stage: Analyzing 30 Years of African-Led Clinical Trials in Cardiovascular Medicine. 全球舞台上的非洲:分析30年来非洲主导的心血管医学临床试验。
IF 6.9 2区 医学
Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-09-01 Epub Date: 2023-08-09 DOI: 10.1161/CIRCOUTCOMES.122.009895
Abdelrahman I Abushouk, Ahmed Sayed, Esraa Ghanem, Ahmed Hassanin, Amgad Mentias, Ahmed Bendary, Joanna Ghobrial, Samir Kapadia
{"title":"Africa on the Global Stage: Analyzing 30 Years of African-Led Clinical Trials in Cardiovascular Medicine.","authors":"Abdelrahman I Abushouk,&nbsp;Ahmed Sayed,&nbsp;Esraa Ghanem,&nbsp;Ahmed Hassanin,&nbsp;Amgad Mentias,&nbsp;Ahmed Bendary,&nbsp;Joanna Ghobrial,&nbsp;Samir Kapadia","doi":"10.1161/CIRCOUTCOMES.122.009895","DOIUrl":"10.1161/CIRCOUTCOMES.122.009895","url":null,"abstract":"","PeriodicalId":10301,"journal":{"name":"Circulation. Cardiovascular Quality and Outcomes","volume":" ","pages":"e009895"},"PeriodicalIF":6.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9951547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Implementation of an Atrial Fibrillation Decision Aid Care Pathway in the Emergency Department Reduces Atrial Fibrillation Hospitalizations. 急诊科实施心房颤动决策辅助护理途径可减少心房颤动住院。
IF 6.9 2区 医学
Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-09-01 Epub Date: 2023-07-26 DOI: 10.1161/CIRCOUTCOMES.122.009808
Anil K Gehi, Tiffany Armbruster, Jennifer Walker, Lindsey Rosman, Jeffrey Laux, Ari Becker, Oludamilola Aladesanmi, Anthony J Mazzella, Zachariah Deyo, Kevin Biese
{"title":"Implementation of an Atrial Fibrillation Decision Aid Care Pathway in the Emergency Department Reduces Atrial Fibrillation Hospitalizations.","authors":"Anil K Gehi,&nbsp;Tiffany Armbruster,&nbsp;Jennifer Walker,&nbsp;Lindsey Rosman,&nbsp;Jeffrey Laux,&nbsp;Ari Becker,&nbsp;Oludamilola Aladesanmi,&nbsp;Anthony J Mazzella,&nbsp;Zachariah Deyo,&nbsp;Kevin Biese","doi":"10.1161/CIRCOUTCOMES.122.009808","DOIUrl":"10.1161/CIRCOUTCOMES.122.009808","url":null,"abstract":"<p><strong>Background: </strong>A straightforward decision aid to guide disposition of atrial fibrillation (AF) patients in the emergency department (ED) was developed for use by ED providers. The implementation of this decision aid in the ED has not been studied.</p><p><strong>Methods: </strong>A pragmatic stepped-wedge cluster approach for analysis of retrospectively collected electronic health record data was used in which 5 hospitals were selected to commence the intervention at periodic intervals following an initial 1-year baseline assessment with 5 additional hospitals included in the comparison group (all in North Carolina). The primary end point of analysis was hospitalization rate. Hierarchical multivariable logistic regression analyses for admission as a function of the intervention while controlling for prespecified patient and hospital predictors were performed with clustering done at the hospital level.</p><p><strong>Results: </strong>Between October 2017 and May 2020, a total of 11 458 patients (mean age, 71.4; 50.5% female) presented to 1 of the 10 hospitals with a primary diagnosis of AF. Absolute admission rate was reduced from 60.5% to 48.3% following the intervention (odds ratio, 0.83 [95% CI, 0.71-0.97]; <i>P</i>=0.016). After adjusting for covariates, the intervention was associated with a small increased rate of return to the ED for AF within 30 days of the initial presentation (1.6% to 2.7%; hazard ratio, 1.70 [95% CI, 1.26-2.31]; <i>P</i><0.001).</p><p><strong>Conclusions: </strong>We demonstrate that implementation of a novel decision aid to guide disposition of patients primary diagnosis of AF presenting to the ED was associated with a reduced admission rate independent of patient and hospital factors. Use of the protocol was associated with a small but significant increase in rate of repeat presentations for AF at 30-day follow-up. Use of a decision aid such as the one described here represents an important tool to reduce unnecessary AF hospitalizations.</p>","PeriodicalId":10301,"journal":{"name":"Circulation. Cardiovascular Quality and Outcomes","volume":" ","pages":"e009808"},"PeriodicalIF":6.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9871358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Planning Ahead: Can Diagnosing Congenital Heart Disease Earlier Improve Outcomes? 提前计划:早期诊断先天性心脏病能改善预后吗?
IF 6.9 2区 医学
Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-09-01 Epub Date: 2023-08-04 DOI: 10.1161/CIRCOUTCOMES.123.010263
David Youssef, Katherine Kearney
{"title":"Planning Ahead: Can Diagnosing Congenital Heart Disease Earlier Improve Outcomes?","authors":"David Youssef,&nbsp;Katherine Kearney","doi":"10.1161/CIRCOUTCOMES.123.010263","DOIUrl":"10.1161/CIRCOUTCOMES.123.010263","url":null,"abstract":"","PeriodicalId":10301,"journal":{"name":"Circulation. Cardiovascular Quality and Outcomes","volume":" ","pages":"e010263"},"PeriodicalIF":6.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9934568","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Nate's Love Affair With Food. 内特对食物的爱。
IF 6.9 2区 医学
Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-09-01 Epub Date: 2023-08-29 DOI: 10.1161/CIRCOUTCOMES.123.010295
Nathaniel Kuhn
{"title":"Nate's Love Affair With Food.","authors":"Nathaniel Kuhn","doi":"10.1161/CIRCOUTCOMES.123.010295","DOIUrl":"10.1161/CIRCOUTCOMES.123.010295","url":null,"abstract":"","PeriodicalId":10301,"journal":{"name":"Circulation. Cardiovascular Quality and Outcomes","volume":" ","pages":"e010295"},"PeriodicalIF":6.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10112255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Toward a Roadmap for Best Practices in Pediatric Preventive Cardiology: A Science Advisory From the American Heart Association. 走向儿科预防心脏病学最佳实践路线图:美国心脏协会的科学咨询。
IF 6.9 2区 医学
Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-09-01 Epub Date: 2023-08-07 DOI: 10.1161/HCQ.0000000000000120
Amanda M Perak, Carissa Baker-Smith, Laura L Hayman, Michael Khoury, Amy L Peterson, Adam L Ware, Justin P Zachariah, Geetha Raghuveer
{"title":"Toward a Roadmap for Best Practices in Pediatric Preventive Cardiology: A Science Advisory From the American Heart Association.","authors":"Amanda M Perak, Carissa Baker-Smith, Laura L Hayman, Michael Khoury, Amy L Peterson, Adam L Ware, Justin P Zachariah, Geetha Raghuveer","doi":"10.1161/HCQ.0000000000000120","DOIUrl":"10.1161/HCQ.0000000000000120","url":null,"abstract":"<p><p>Cardiovascular disease risk factors are highly prevalent among youth in the United States and Canada. Pediatric preventive cardiology programs have independently developed and proliferated to address cardiovascular risk factors in youth, but there is a general lack of clarity on best practices to optimize and sustain desired outcomes. We conducted surveys of pediatric cardiology division directors and pediatric preventive cardiology clinicians across the United States and Canada to describe the current landscape and perspectives on future directions for the field. We summarize the data and conclude with a call to action for various audiences who seek to improve cardiovascular health in youth, reduce the burden of premature cardiovascular disease, and increase healthy longevity. We call on heart centers, hospitals, payers, and policymakers to invest resources in the important work of pediatric preventive cardiology programs. We urge professional societies to advocate for pediatric preventive cardiology and provide opportunities for training and cross-pollination across programs. We encourage researchers to close evidence gaps. Last, we invite pediatric preventive cardiology clinicians to collaborate and innovate to advance the practice of pediatric preventive cardiology.</p>","PeriodicalId":10301,"journal":{"name":"Circulation. Cardiovascular Quality and Outcomes","volume":" ","pages":"e000120"},"PeriodicalIF":6.9,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9937938","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Longitudinal Pathways Between Physical Activity, Depression, and Perceived Stress in Peripheral Artery Disease. 外周动脉疾病中体力活动、抑郁和感知压力之间的纵向通路。
IF 6.9 2区 医学
Circulation. Cardiovascular Quality and Outcomes Pub Date : 2023-08-01 Epub Date: 2023-07-20 DOI: 10.1161/CIRCOUTCOMES.122.009840
Idil Yazgan, Victoria Bartlett, Gaëlle Romain, Jacob Cleman, Pamela Petersen-Crair, John A Spertus, Madeleine Hardt, Carlos Mena-Hurtado, Kim G Smolderen
{"title":"Longitudinal Pathways Between Physical Activity, Depression, and Perceived Stress in Peripheral Artery Disease.","authors":"Idil Yazgan, Victoria Bartlett, Gaëlle Romain, Jacob Cleman, Pamela Petersen-Crair, John A Spertus, Madeleine Hardt, Carlos Mena-Hurtado, Kim G Smolderen","doi":"10.1161/CIRCOUTCOMES.122.009840","DOIUrl":"10.1161/CIRCOUTCOMES.122.009840","url":null,"abstract":"<p><strong>Background: </strong>One-fifth of the patients with peripheral artery disease (PAD) experience depression and stress. Depression and stress may impact patients' abilities to be physically active, a key recommendation for supporting overall PAD management to improve symptoms and reduce the risk of cardiovascular events. We aimed to study interrelationships between 1-year longitudinal trajectories of depression, stress, and physical activity following a PAD diagnosis.</p><p><strong>Methods: </strong>Patients with new or worsening PAD symptoms enrolled at 10 US PORTRAIT study (Patient-Centered Outcomes Related to Treatment Practices in Peripheral Arterial Disease: Investigating Trajectories) vascular specialty clinics (CT, LA, MI, MO, NC, OH, and RI) were assessed at baseline, 3, 6, and 12 months between June 2, 2011 and December 3, 2015. Depressive symptoms were measured with the 8-item Patient Health Questionnaire, perceived stress with the 4-item Perceived Stress Scale and physical activity with items from the INTERHEART study. Path analysis was used to examine the longitudinal relationship between depression and physical activity and perceived stress and physical activity.</p><p><strong>Results: </strong>A total of 766 patients were included (mean age of 68.2 [±9.4] years; 57.7% male). Overall, 17.8% reported significant depressive symptoms, 36.0% experienced increased perceived stress, and 44.1% were sedentary upon PAD diagnosis. A decrease in physical activity preceded a rise in subsequent depressive symptoms (β ranges -0.45 [95% CI, -0.80 to -0.09]; -0.81 [95% CI, -1.19 to 0.42]) over the course of 1 year. Low physical activity scores at the initial presentation were followed by high perceived stress at 3 months (β=-0.44 [95% CI, -0.80 to -0.07]).</p><p><strong>Conclusions: </strong>In symptomatic PAD, a decrease in physical activity was followed by an increased risk of depressive symptoms and perceived stress at subsequent intervals over the course of 1 year following PAD diagnosis and treatment. Integrated behavioral health approaches for PAD, addressing physical activity and managing depression or distress, are indicated as collective PAD treatment goals.</p>","PeriodicalId":10301,"journal":{"name":"Circulation. Cardiovascular Quality and Outcomes","volume":"16 8","pages":"544-553"},"PeriodicalIF":6.9,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10561081/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10205051","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
相关产品
×
本文献相关产品
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信