The Physical Activity Levels and Sitting Time of Adults Living With Atrial Fibrillation: The CHAMPLAIN-AF Study
Background: The primary goal of this study was to determine the time spent completing moderate-to-vigorous intensity physical activity (MVPA) among adults with atrial fibrillation (AF). Secondary aims examined MVPA and sitting time (ST) by AF subtypes (ie, paroxysmal, persistent, long-standing persi...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-05-01
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| Series: | CJC Open |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2589790X22000063 |
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| author | Kimberley L. Way, AEP, PhD David Birnie, MD, MBChB Christopher Blanchard, PhD George Wells, PhD Paul Dorian, MD, FRCPC, MSc Harald T. Jorstad, MD, PhD Ioana C. Daha, MD, PhD Neville Suskin, MD, MBChB, MSc Paul Oh, MD, FRCPC Ratika Parkash, MD, FRCPC, MSc Paul Poirier, MD, PhD Stephanie A. Prince, PhD Heather Tulloch, PhD Andrew L. Pipe, CM, MD Harleen Hans, RKin, MSc Janet Wilson Katelyn Comeau Sol Vidal-Almela, CEP, MSc Tasuku Terada, CEP, PhD Jennifer L. Reed, RKin, PhD |
| author_facet | Kimberley L. Way, AEP, PhD David Birnie, MD, MBChB Christopher Blanchard, PhD George Wells, PhD Paul Dorian, MD, FRCPC, MSc Harald T. Jorstad, MD, PhD Ioana C. Daha, MD, PhD Neville Suskin, MD, MBChB, MSc Paul Oh, MD, FRCPC Ratika Parkash, MD, FRCPC, MSc Paul Poirier, MD, PhD Stephanie A. Prince, PhD Heather Tulloch, PhD Andrew L. Pipe, CM, MD Harleen Hans, RKin, MSc Janet Wilson Katelyn Comeau Sol Vidal-Almela, CEP, MSc Tasuku Terada, CEP, PhD Jennifer L. Reed, RKin, PhD |
| author_sort | Kimberley L. Way, AEP, PhD |
| collection | DOAJ |
| description | Background: The primary goal of this study was to determine the time spent completing moderate-to-vigorous intensity physical activity (MVPA) among adults with atrial fibrillation (AF). Secondary aims examined MVPA and sitting time (ST) by AF subtypes (ie, paroxysmal, persistent, long-standing persistent, and permanent) and associations between MVPA or ST and knowledge, task self-efficacy, and outcome expectations. Methods: An observational study was conducted in the Champlain region of Ontario, Canada. AF patients completed a survey to determine MVPA and ST using the Short-Form International Physical Activity Questionnaire. Results: A total of 619 patients (66% male; median age 65 years [95% CI 64-67 years]) completed the survey. Median MVPA and ST were 100 (60-120) min/wk and 6 (5-6) h/d; 56% of patients were not meeting the Canadian 24H Movement Guidelines. Most patients (54%) did not know/were unsure of the MVPA recommendations, yet 72% thought physical activity should be part of AF management. Positive correlations were found between higher MVPA levels and the following: (i) speaking to a healthcare professional about engaging in physical activity for managing AF (ρ = 0.108, P = 0.017); (ii) greater confidence regarding ability to perform physical activity and muscle-strengthening exercise (ρ = 0.421, P < 0.01); and (iii) patient agreement that AF would be better managed if they were active (ρ = 0.205, P < 0.01). Conclusions: Many AF patients do not meet the MVPA recommendations, which may be due to lack of physical activity knowledge. Exercise professionals may help educate patients on the benefits of physical activity, improve task-self efficacy, and integrate MVPA into patient lifestyles. Résumé: Introduction: Le principal objectif de la présente étude était de déterminer le temps consacré à faire de l’activité physique modérée à vigoureuse (APMV) chez les adultes atteints de fibrillation auriculaire (FA). Les objectifs secondaires visaient à examiner l’APMV et le temps en position assise (TA) selon les sous-types de FA (c.-à-d. paroxystique, persistante, persistante de longue durée et permanente) et les associations entre l’APMV ou le TA et les connaissances, le sentiment d’auto-efficacité et les attentes de résultats. Méthodes: Nous avons réalisé une étude observationnelle dans la région de Champlain, en Ontario, au Canada. Les patients atteints de FA ont rempli une enquête pour déterminer l’APMV et le TA à l’aide du questionnaire court International Physical Activity Questionnaire (IPAQ). Résultats: Un total de 619 patients (66 % d’hommes; âge médian de 65 ans [IC à 95 % 64-67 ans]) a rempli l’enquête. L’APMV et le TPA médians étaient de 100 (60-120) min/sem et de 6 (5-6) h/j; 56 % des patients ne répondaient pas aux Directives canadiennes en matière de mouvement sur 24 heures. La plupart des patients (54 %) ne connaissaient pas les recommandations d’APMV ou n’étaient pas certains de les connaître, mais 72 % pensaient que l’activité physique devrait faire partie de la prise en charge de la FA. Nous avons observé des corrélations positives entre les degrés plus élevés d’APMV et ce qui suit : (i) le fait de parler à un professionnel de la santé de la pratique de l’activité physique pour prendre en charge la FA (ρ = 0,108, P = 0,017); (ii) la confiance accrue quant à la capacité de faire de l’activité physique et les exercices de renforcement musculaire (ρ = 0,421, P < 0,01); (iii) l’accord du patient sur le fait que la pratique de l’activité physique contribuerait à une meilleure prise en charge de la FA (ρ = 0,205, P < 0,01). Conclusions: Plusieurs patients atteints de FA ne répondaient pas aux recommandations d’APMV, possiblement en raison du manque de connaissances concernant l’activité physique. Les professionnels de l’activité physique peuvent contribuer à l’éducation des patients afin de leur faire connaître les avantages de l’activité physique, améliorer leur auto-efficacité et intégrer l’APMV à leur mode de vie. |
| first_indexed | 2024-04-12T17:21:34Z |
| format | Article |
| id | doaj.art-4a9f912e4bce4de19fbc28be6bad7068 |
| institution | Directory Open Access Journal |
| issn | 2589-790X |
| language | English |
| last_indexed | 2024-04-12T17:21:34Z |
| publishDate | 2022-05-01 |
| publisher | Elsevier |
| record_format | Article |
| series | CJC Open |
| spelling | doaj.art-4a9f912e4bce4de19fbc28be6bad70682022-12-22T03:23:27ZengElsevierCJC Open2589-790X2022-05-0145449465The Physical Activity Levels and Sitting Time of Adults Living With Atrial Fibrillation: The CHAMPLAIN-AF StudyKimberley L. Way, AEP, PhD0David Birnie, MD, MBChB1Christopher Blanchard, PhD2George Wells, PhD3Paul Dorian, MD, FRCPC, MSc4Harald T. Jorstad, MD, PhD5Ioana C. Daha, MD, PhD6Neville Suskin, MD, MBChB, MSc7Paul Oh, MD, FRCPC8Ratika Parkash, MD, FRCPC, MSc9Paul Poirier, MD, PhD10Stephanie A. Prince, PhD11Heather Tulloch, PhD12Andrew L. Pipe, CM, MD13Harleen Hans, RKin, MSc14Janet Wilson15Katelyn Comeau16Sol Vidal-Almela, CEP, MSc17Tasuku Terada, CEP, PhD18Jennifer L. Reed, RKin, PhD19Exercise Physiology and Cardiovascular Health Lab, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, Canada; Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, Victoria, AustraliaArrhythmia Service, Division of Cardiology, Faculty of Medicine, Department of Medicine, University of Ottawa Heart Institute, Ottawa, Ontario, CanadaFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaSchool of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, CanadaDepartment of Medicine, University of Toronto, Toronto, Ontario, CanadaHeart Centre, Department of Cardiology, Amsterdam University Medical Centre, Amsterdam, The NetherlandsDepartment of Cardiology, Colentina Clinical Hospital, Carol Davila University of Medicine and Pharmacy, Bucharest, RomaniaLawson Heath Research Institute, Department of Medicine, Division of Cardiology, Department of Epidemiology and Biostatistics, Western University, London, Ontario, CanadaUniversity Health Network, Toronto Rehabilitation Institute, Toronto, Ontario, CanadaFaculty of Medicine, Dalhousie University, Halifax, Nova Scotia, CanadaFaculty of Pharmacy, Université Laval, Institut Universitaire de Cardiologie et de Pneumologie de Québec, Quebec City, Quebec, CanadaCentre for Surveillance and Applied Research, Public Health Agency of Canada, Ottawa, Ontario, Canada; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, CanadaDivision of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, Canada; Faculty of Medicine, University of Ottawa, Ottawa, Ontario, CanadaDivision of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, Canada; Faculty of Medicine, University of Ottawa, Ottawa, Ontario, CanadaExercise Physiology and Cardiovascular Health Lab, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, CanadaExercise Physiology and Cardiovascular Health Lab, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, Canada; Faculty of Medicine, University of Ottawa, Ottawa, Ontario, CanadaExercise Physiology and Cardiovascular Health Lab, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, Canada; School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, CanadaExercise Physiology and Cardiovascular Health Lab, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, Canada; School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada; Institut du Savoir Montfort, Hôpital Montfort, Ottawa, Ontario, CanadaExercise Physiology and Cardiovascular Health Lab, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, CanadaExercise Physiology and Cardiovascular Health Lab, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, Ottawa, Ontario, Canada; School of Epidemiology and Public Health, Faculty of Medicine, University of Ottawa, Ottawa, Ontario, Canada; School of Human Kinetics, Faculty of Health Sciences, University of Ottawa, Ottawa, Ontario, Canada; Corresponding author: Dr Jennifer L. Reed, Exercise Physiology and Cardiovascular Health Lab, Division of Cardiac Prevention and Rehabilitation, University of Ottawa Heart Institute, 40 Ruskin St, Ottawa, Ontario, K1Y 4W7, Canada. Tel.: +1-613-696-7392Background: The primary goal of this study was to determine the time spent completing moderate-to-vigorous intensity physical activity (MVPA) among adults with atrial fibrillation (AF). Secondary aims examined MVPA and sitting time (ST) by AF subtypes (ie, paroxysmal, persistent, long-standing persistent, and permanent) and associations between MVPA or ST and knowledge, task self-efficacy, and outcome expectations. Methods: An observational study was conducted in the Champlain region of Ontario, Canada. AF patients completed a survey to determine MVPA and ST using the Short-Form International Physical Activity Questionnaire. Results: A total of 619 patients (66% male; median age 65 years [95% CI 64-67 years]) completed the survey. Median MVPA and ST were 100 (60-120) min/wk and 6 (5-6) h/d; 56% of patients were not meeting the Canadian 24H Movement Guidelines. Most patients (54%) did not know/were unsure of the MVPA recommendations, yet 72% thought physical activity should be part of AF management. Positive correlations were found between higher MVPA levels and the following: (i) speaking to a healthcare professional about engaging in physical activity for managing AF (ρ = 0.108, P = 0.017); (ii) greater confidence regarding ability to perform physical activity and muscle-strengthening exercise (ρ = 0.421, P < 0.01); and (iii) patient agreement that AF would be better managed if they were active (ρ = 0.205, P < 0.01). Conclusions: Many AF patients do not meet the MVPA recommendations, which may be due to lack of physical activity knowledge. Exercise professionals may help educate patients on the benefits of physical activity, improve task-self efficacy, and integrate MVPA into patient lifestyles. Résumé: Introduction: Le principal objectif de la présente étude était de déterminer le temps consacré à faire de l’activité physique modérée à vigoureuse (APMV) chez les adultes atteints de fibrillation auriculaire (FA). Les objectifs secondaires visaient à examiner l’APMV et le temps en position assise (TA) selon les sous-types de FA (c.-à-d. paroxystique, persistante, persistante de longue durée et permanente) et les associations entre l’APMV ou le TA et les connaissances, le sentiment d’auto-efficacité et les attentes de résultats. Méthodes: Nous avons réalisé une étude observationnelle dans la région de Champlain, en Ontario, au Canada. Les patients atteints de FA ont rempli une enquête pour déterminer l’APMV et le TA à l’aide du questionnaire court International Physical Activity Questionnaire (IPAQ). Résultats: Un total de 619 patients (66 % d’hommes; âge médian de 65 ans [IC à 95 % 64-67 ans]) a rempli l’enquête. L’APMV et le TPA médians étaient de 100 (60-120) min/sem et de 6 (5-6) h/j; 56 % des patients ne répondaient pas aux Directives canadiennes en matière de mouvement sur 24 heures. La plupart des patients (54 %) ne connaissaient pas les recommandations d’APMV ou n’étaient pas certains de les connaître, mais 72 % pensaient que l’activité physique devrait faire partie de la prise en charge de la FA. Nous avons observé des corrélations positives entre les degrés plus élevés d’APMV et ce qui suit : (i) le fait de parler à un professionnel de la santé de la pratique de l’activité physique pour prendre en charge la FA (ρ = 0,108, P = 0,017); (ii) la confiance accrue quant à la capacité de faire de l’activité physique et les exercices de renforcement musculaire (ρ = 0,421, P < 0,01); (iii) l’accord du patient sur le fait que la pratique de l’activité physique contribuerait à une meilleure prise en charge de la FA (ρ = 0,205, P < 0,01). Conclusions: Plusieurs patients atteints de FA ne répondaient pas aux recommandations d’APMV, possiblement en raison du manque de connaissances concernant l’activité physique. Les professionnels de l’activité physique peuvent contribuer à l’éducation des patients afin de leur faire connaître les avantages de l’activité physique, améliorer leur auto-efficacité et intégrer l’APMV à leur mode de vie.http://www.sciencedirect.com/science/article/pii/S2589790X22000063 |
| spellingShingle | Kimberley L. Way, AEP, PhD David Birnie, MD, MBChB Christopher Blanchard, PhD George Wells, PhD Paul Dorian, MD, FRCPC, MSc Harald T. Jorstad, MD, PhD Ioana C. Daha, MD, PhD Neville Suskin, MD, MBChB, MSc Paul Oh, MD, FRCPC Ratika Parkash, MD, FRCPC, MSc Paul Poirier, MD, PhD Stephanie A. Prince, PhD Heather Tulloch, PhD Andrew L. Pipe, CM, MD Harleen Hans, RKin, MSc Janet Wilson Katelyn Comeau Sol Vidal-Almela, CEP, MSc Tasuku Terada, CEP, PhD Jennifer L. Reed, RKin, PhD The Physical Activity Levels and Sitting Time of Adults Living With Atrial Fibrillation: The CHAMPLAIN-AF Study CJC Open |
| title | The Physical Activity Levels and Sitting Time of Adults Living With Atrial Fibrillation: The CHAMPLAIN-AF Study |
| title_full | The Physical Activity Levels and Sitting Time of Adults Living With Atrial Fibrillation: The CHAMPLAIN-AF Study |
| title_fullStr | The Physical Activity Levels and Sitting Time of Adults Living With Atrial Fibrillation: The CHAMPLAIN-AF Study |
| title_full_unstemmed | The Physical Activity Levels and Sitting Time of Adults Living With Atrial Fibrillation: The CHAMPLAIN-AF Study |
| title_short | The Physical Activity Levels and Sitting Time of Adults Living With Atrial Fibrillation: The CHAMPLAIN-AF Study |
| title_sort | physical activity levels and sitting time of adults living with atrial fibrillation the champlain af study |
| url | http://www.sciencedirect.com/science/article/pii/S2589790X22000063 |
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