Gymnastik- och idrottshögskolan, GIH

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Decrease in accelerometer assessed physical activity during the first-year post-myocardial infarction: a prospective cohort study.
Swedish School of Sport and Health Sciences, GIH, Department of Physical Activity and Health. Women´s Health and Allied Health Professionals Theme Medical Unit Occupational therapy and Physiotherapy, Karolinska University Hospital, Stockholm, Sweden.ORCID iD: 0000-0001-9833-8306
Swedish School of Sport and Health Sciences, GIH, Department of Physical Activity and Health. Department of Neurobiology, Care Sciences and Society, Division of Nursing, Karolinska Institute, Solna, Sweden.. (Fysisk aktivitet och hjärnhälsa)ORCID iD: 0000-0001-6058-4982
Swedish School of Sport and Health Sciences, GIH, Department of Physical Activity and Health. Unit of Family Medicine, Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.. (Fysisk aktivitet och hjärnhälsa)ORCID iD: 0000-0002-3185-9702
Center for lifestyle intervention, Department of Molecular and Clinical Medicine, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden. ; Department of MGAÖ, Sahlgrenska University Hospital, Gothenburg, Sweden..
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2024 (English)In: Scandinavian Cardiovascular Journal, ISSN 1401-7431, E-ISSN 1651-2006, Vol. 58, no 1, article id 2397442Article in journal (Refereed) Published
Abstract [en]

OBJECTIVES: To elucidate physical activity in the first year after myocardial infarction (MI), and to explore differences in various subgroups, delineated by age, participation in exercise-based cardiac rehabilitation (exCR), or restrictions due to the covid-19 pandemic. Secondly, to explore associations between changes in physical activity variables with blood pressure and lipid levels.

METHODS: A longitudinal study in 2017-2023. Physical activity variables were assessed via accelerometers at two- and twelve months post-MI. The intensity was divided into, sedentary, light, moderate, and vigorous-intensity physical activity, according to established cut-offs. Blood pressure and lipids were measured by standardized procedures at the same time points.

RESULTS: There were 178 patients included at baseline, 81% male, mean age of 64 (9 SD) years. Patients spent 72% of their time sedentary, followed by light (19%), moderate (8%), and vigorous physical activity (1%). Patients included during covid-19 restrictions and younger patients had a higher level of moderate-intensity physical activity compared to patients included during non-pandemic restrictions and older patients. At 12-month follow-up, patients overall increased time (1%) in sedentary behavior (p = 0.03) and decreased time (0.6%) in moderate-intensity physical activity (p = 0.04), regardless of participation in exCR or age. There was a positive association between the change in mean physical activity intensity and HDL-cholesterol (p = 0.047).

CONCLUSIONS: Participants had a low fraction of time in moderate-to-vigorous-intensity physical activity two months post-MI, which deteriorated during the first year. This emphasizes the need for improved implementation of evidence-based interventions to support and motivate patients to perform regular physical activity.

Place, publisher, year, edition, pages
Taylor & Francis, 2024. Vol. 58, no 1, article id 2397442
Keywords [en]
Sedentary behaviour, cardiovascular disease, cardiovascular risk, device-measured, physical activity variables, brain health
Keywords [sv]
epabs, e-pabs, hjärnhälsa
National Category
Cardiology and Cardiovascular Disease Sport and Fitness Sciences
Research subject
Medicine/Technology; Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-8330DOI: 10.1080/14017431.2024.2397442ISI: 001303669900001PubMedID: 39193855Scopus ID: 2-s2.0-85202786724OAI: oai:DiVA.org:gih-8330DiVA, id: diva2:1898380
Part of project
E-PABS - a centre of Excellence in Physical Activity, healthy Brain functions and Sustainability, Knowledge Foundation
Funder
Swedish Heart Lung Foundation, 20200838Available from: 2024-09-17 Created: 2024-09-17 Last updated: 2025-02-11

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Lönn, AmandaEkblom, ÖrjanKallings, Lena

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