成人心血管疾病患者对体力活动指南的依从性趋势和可穿戴设备对依从性的影响：来自全国代表性样本的研究结果

IF 2.6 4区医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiovascular Nursing Pub Date : 2025-05-01 Epub Date: 2024-05-27 DOI:10.1097/JCN.0000000000001101

Ifeanyi Madujibeya, Adaeze C Aroh

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引用次数: 0

摘要

背景：身体活动（PA）对心血管疾病（cvd）的一级和二级预防至关重要；然而，遵守PA指南仍然具有挑战性。目的：我们研究了心血管疾病成人患者对PA指南的依从性趋势，以及使用可穿戴设备对依从性的影响。方法：采用2019年、2020年和2022年3个周期的健康信息全国趋势调查数据。18岁及以上且自述有心血管疾病史的成年人被纳入研究。对PA指南的依从性通过自我报告参与至少150分钟/周的中等强度有氧PA和至少2天/周的肌肉强化活动来衡量。对可穿戴设备的使用情况进行了评估，包括在过去12个月内使用可穿戴设备以及在过去一个月内使用的频率。采用加权多元逻辑回归来检验敬业度对PA指南依从性的影响。结果：样本包括1540名受访者。在2019年、2020年和2022年，坚持有氧PA指南的成人心血管疾病患者的估计比例分别为22.9%（95%可信区间[CI]， 16.8-27.8）、29.6% （95% CI, 21.8-35.4）和27.2% （95% CI, 21.8-30.0）。此外，在2019年、2020年和2022年，分别有24.0% （95% CI, 18.4-29.7）、25.6% （95% CI, 18.9-32.3）和26.8% （95% CI, 21.1-32.4）的人坚持了肌肉强化活动指南。两种有氧运动的依从性趋势均无显著变化(优势比[OR]， 1.12；P = .228)或肌肉强化(or, 1.07；P = .508)。可穿戴设备的使用与坚持有氧PA呈正相关(OR, 2.72；P = 0.023)和肌肉强化活动(OR, 2.85；P = .020)。结论：心血管疾病成人患者对PA指南的依从性一直很低。然而，使用可穿戴设备可能有利于提高依从性。

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Adherence Trends to Physical Activity Guidelines in Adults With Cardiovascular Diseases and the Impact of Wearables on Adherence: Findings From a National Representative Sample.

Background: Physical activity (PA) is crucial for primary and secondary prevention of cardiovascular diseases (CVDs); however, adherence to PA guidelines remains challenging.

Objectives: We examined adherence trends to PA guidelines among adults with CVD and the effects of engagement with wearables on adherence.

Methods: We used data from 3 cycles of the Health Information National Trends Survey collected in 2019, 2020, and 2022. Adults 18 years or older with a self-reported history of CVD were included in the study. Adherence to PA guidelines was measured as self-reported engagement in at least 150 min/wk of moderate-intensity aerobic PA and a minimum of 2 d/wk of muscle-strengthening activity. Engagement with wearables was assessed as the use of wearables within the past 12 months and the frequency of use in the past month. Weighted multivariate logistic regression was used to examine the effect of engagement on adherence to the PA guidelines.

Results: The sample comprised 1540 respondents. The estimated proportions of adults with CVD who adhered to aerobic PA guidelines were 22.9% (95% confidence interval [CI], 16.8-27.8), 29.6% (95% CI, 21.8-35.4), and 27.2% (95% CI, 21.8-30.0) in 2019, 2020, and 2022, respectively. In addition, 24.0% (95% CI, 18.4-29.7), 25.6% (95% CI, 18.9-32.3), and 26.8% (95% CI, 21.1-32.4) adhered to muscle-strengthening activity guidelines in 2019, 2020, and 2022, respectively. There were no significant changes in adherence trends for either aerobic (odds ratio [OR], 1.12; P = .228) or muscle-strengthening (OR, 1.07; P = .508) activities in the included years. The use of wearables was positively associated with adherence to aerobic PA (OR, 2.72; P = .023) and muscle-strengthening activity (OR, 2.85; P = .020) in the cumulative years.

Conclusions: Adherence to PA guidelines among adults with CVD remains consistently low. However, the use of wearables may be beneficial for promoting adherence.

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来源期刊

Journal of Cardiovascular Nursing 医学-护理

CiteScore

3.30

自引率

10.00%

发文量

154

审稿时长

>12 weeks

期刊介绍： Official journal of the Preventive Cardiovascular Nurses Association, Journal of Cardiovascular Nursing is one of the leading journals for advanced practice nurses in cardiovascular care, providing thorough coverage of timely topics and information that is extremely practical for daily, on-the-job use. Each issue addresses the physiologic, psychologic, and social needs of cardiovascular patients and their families in a variety of environments. Regular columns include By the Bedside, Progress in Prevention, Pharmacology, Dysrhythmias, and Outcomes Research.