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Subjective reports of physical activity levels and sedentary time prior to hospital admission can predict utilization of hospital care and all-cause mortality among patients with cardiovascular disease.
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology. Karolinska University Hospital, Sweden.ORCID iD: 0000-0001-9833-8306
Swedish School of Sport and Health Sciences, GIH, Department of Sport and Health Sciences, Åstrand Laboratory of Work Physiology. Uppsala University, Sweden.ORCID iD: 0000-0002-3185-9702
Danderyd Hospital, Sweden ; Karolinska Institutet, Sweden.
Sahlgrenska Academy & Sahlgrenska University Hospital/Ostra, Sweden ; University of Gothenburg, Sweden.
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2020 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, article id 1474515120921986Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: In prevention, sedentary behaviour and physical activity have been associated with risk of cardiovascular disease and mortality. Less is known about associations with utilization of hospital care.

AIM: To investigate whether physical activity level and sedentary behaviour prior to cardiac ward admission can predict utilization of hospital care and mortality among patients with cardiovascular disease.

METHODS: Longitudinal observational study including 1148 patients admitted and treated in cardiac wards in two hospitals. Subjective reports of physical activity levels and sedentary time prior to admission were collected during inpatient care and categorized as low, medium or high. The associations between physical activity level and sedentary time with hospital stay, readmission and mortality were analysed using linear, logistic and Cox regressions.

RESULTS: Median hospital stay was 2.1 days. One higher step in the physical activity level, or lower sedentary time, was related to an approximately 0.9 days shorter hospital stay. Sixty per cent of patients were readmitted to hospital. The risk of being readmitted was lower for individuals reporting high physical activity and low sedentary time (odds ratios ranging between 0.44 and 0.91). A total of 200 deaths occurred during the study. Mortality was lower among those with high and medium physical activity levels and low sedentary time (hazard ratios ranging between 0.36 and 0.90).

CONCLUSION: Both physical activity level and sedentary time during the period preceding hospitalization for cardiac events were predictors of hospital utilization and mortality. This highlights the prognostic value of assessing patients' physical activity and sedentary behaviour.

Place, publisher, year, edition, pages
Sage Publications, 2020. article id 1474515120921986
Keywords [en]
Hospitalization, physical exercise, sedentary behaviour, survival
National Category
Nursing
Research subject
Medicine/Technology
Identifiers
URN: urn:nbn:se:gih:diva-6191DOI: 10.1177/1474515120921986ISI: 000532948900001PubMedID: 32370681OAI: oai:DiVA.org:gih-6191DiVA, id: diva2:1430532
Available from: 2020-05-15 Created: 2020-05-15 Last updated: 2020-05-29

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Ek, AmandaKallings, LenaEkblom, Örjan

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