Objectively measured adherence to physical activity among patients with coronary artery disease: Comparison of the 2010 and 2020 World Health Organization guidelines and daily steps
BackgroundTailored recommendations for patients after percutaneous coronary interventions (PCI) need physical activity (PA) to be objectively measured and assessed for adherence to guidelines. The recent WHO guidelines removed the daily recommended bout duration, while the potential impact of this c...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-09-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.951042/full |
| _version_ | 1811158341580226560 |
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| author | Prisca Eser Nathalia Gonzalez-Jaramillo Nathalia Gonzalez-Jaramillo Nathalia Gonzalez-Jaramillo Selina Weber Selina Weber Jan Fritsche Jan Fritsche Riccardo Femiano Riccardo Femiano Charlotte Werner Flurina Casanova Arjola Bano Arjola Bano Oscar H. Franco Matthias Wilhelm |
| author_facet | Prisca Eser Nathalia Gonzalez-Jaramillo Nathalia Gonzalez-Jaramillo Nathalia Gonzalez-Jaramillo Selina Weber Selina Weber Jan Fritsche Jan Fritsche Riccardo Femiano Riccardo Femiano Charlotte Werner Flurina Casanova Arjola Bano Arjola Bano Oscar H. Franco Matthias Wilhelm |
| author_sort | Prisca Eser |
| collection | DOAJ |
| description | BackgroundTailored recommendations for patients after percutaneous coronary interventions (PCI) need physical activity (PA) to be objectively measured and assessed for adherence to guidelines. The recent WHO guidelines removed the daily recommended bout duration, while the potential impact of this change on patients after PCI remains unclear.AimWe evaluated prevalence estimates of adherence to PA recommendations among patients after PCI across the 2010 [≥30 min moderate- to vigorous-intensity PA (MVPA) at ≥ 10-min bout duration] and 2020 WHO guidelines (≥30 min of MVPA of any bout duration), as well as 7,500 and 10,000 steps.MethodsWe conducted an observational longitudinal single-center study with patients after PCI for chronic or acute coronary syndrome (ACS); maximal age 80 years. Wrist-worn accelerometers recorded participants’ PA data from the evening of hospital discharge over the next 18 days.ResultsWe analyzed data from 282 participants with sufficient minimum wear time (7 days of ≥12 h), including 45 (16%) women; and 249 (88%) with ACS. Median wear time was 18 (17, 18) days. Median participant age was 62 (55, 69) years. Fifty-two participants (18.4%) fulfilled 2010 WHO guidelines and 226 (80.1%) fulfilled the 2020 WHO guidelines. Further, 209 (74.1%) participants achieved ≥7,500 steps/day and 155 (55.0%) performed ≥10,000 steps/day.ConclusionAmong participants after PCI, most MVPA was accumulated in bouts <10 min, leading to a fourfold discrepancy between participants fulfilling the 2010 and 2020 WHO PA recommendations. The number of steps/day may be a valid proxy to recent WHO PA recommendations as it is not dependent on the bout-length definition.Clinical trial registration[ClinicalTrials.gov], identifier [NCT04663373]. |
| first_indexed | 2024-04-10T05:22:52Z |
| format | Article |
| id | doaj.art-cf60551f08804c99b26317cd98e418e3 |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-10T05:22:52Z |
| publishDate | 2022-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-cf60551f08804c99b26317cd98e418e32023-03-08T06:49:48ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-09-01910.3389/fcvm.2022.951042951042Objectively measured adherence to physical activity among patients with coronary artery disease: Comparison of the 2010 and 2020 World Health Organization guidelines and daily stepsPrisca Eser0Nathalia Gonzalez-Jaramillo1Nathalia Gonzalez-Jaramillo2Nathalia Gonzalez-Jaramillo3Selina Weber4Selina Weber5Jan Fritsche6Jan Fritsche7Riccardo Femiano8Riccardo Femiano9Charlotte Werner10Flurina Casanova11Arjola Bano12Arjola Bano13Oscar H. Franco14Matthias Wilhelm15Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandInstitute of Social and Preventive Medicine, University of Bern, Bern, SwitzerlandGraduate School for Health Sciences, University of Bern, Bern, SwitzerlandDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Health Sciences and Technology, ETH Zurich, Zürich, SwitzerlandDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Health Sciences and Technology, ETH Zurich, Zürich, SwitzerlandDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Health Sciences and Technology, ETH Zurich, Zürich, SwitzerlandDepartment of Health Sciences and Technology, ETH Zurich, Zürich, SwitzerlandDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandInstitute of Social and Preventive Medicine, University of Bern, Bern, SwitzerlandInstitute of Social and Preventive Medicine, University of Bern, Bern, SwitzerlandDepartment of Cardiology, Inselspital, Bern University Hospital, University of Bern, Bern, SwitzerlandBackgroundTailored recommendations for patients after percutaneous coronary interventions (PCI) need physical activity (PA) to be objectively measured and assessed for adherence to guidelines. The recent WHO guidelines removed the daily recommended bout duration, while the potential impact of this change on patients after PCI remains unclear.AimWe evaluated prevalence estimates of adherence to PA recommendations among patients after PCI across the 2010 [≥30 min moderate- to vigorous-intensity PA (MVPA) at ≥ 10-min bout duration] and 2020 WHO guidelines (≥30 min of MVPA of any bout duration), as well as 7,500 and 10,000 steps.MethodsWe conducted an observational longitudinal single-center study with patients after PCI for chronic or acute coronary syndrome (ACS); maximal age 80 years. Wrist-worn accelerometers recorded participants’ PA data from the evening of hospital discharge over the next 18 days.ResultsWe analyzed data from 282 participants with sufficient minimum wear time (7 days of ≥12 h), including 45 (16%) women; and 249 (88%) with ACS. Median wear time was 18 (17, 18) days. Median participant age was 62 (55, 69) years. Fifty-two participants (18.4%) fulfilled 2010 WHO guidelines and 226 (80.1%) fulfilled the 2020 WHO guidelines. Further, 209 (74.1%) participants achieved ≥7,500 steps/day and 155 (55.0%) performed ≥10,000 steps/day.ConclusionAmong participants after PCI, most MVPA was accumulated in bouts <10 min, leading to a fourfold discrepancy between participants fulfilling the 2010 and 2020 WHO PA recommendations. The number of steps/day may be a valid proxy to recent WHO PA recommendations as it is not dependent on the bout-length definition.Clinical trial registration[ClinicalTrials.gov], identifier [NCT04663373].https://www.frontiersin.org/articles/10.3389/fcvm.2022.951042/fullphysical activityguidelinesaccelerometerpercutaneous coronary interventionstep counting |
| spellingShingle | Prisca Eser Nathalia Gonzalez-Jaramillo Nathalia Gonzalez-Jaramillo Nathalia Gonzalez-Jaramillo Selina Weber Selina Weber Jan Fritsche Jan Fritsche Riccardo Femiano Riccardo Femiano Charlotte Werner Flurina Casanova Arjola Bano Arjola Bano Oscar H. Franco Matthias Wilhelm Objectively measured adherence to physical activity among patients with coronary artery disease: Comparison of the 2010 and 2020 World Health Organization guidelines and daily steps Frontiers in Cardiovascular Medicine physical activity guidelines accelerometer percutaneous coronary intervention step counting |
| title | Objectively measured adherence to physical activity among patients with coronary artery disease: Comparison of the 2010 and 2020 World Health Organization guidelines and daily steps |
| title_full | Objectively measured adherence to physical activity among patients with coronary artery disease: Comparison of the 2010 and 2020 World Health Organization guidelines and daily steps |
| title_fullStr | Objectively measured adherence to physical activity among patients with coronary artery disease: Comparison of the 2010 and 2020 World Health Organization guidelines and daily steps |
| title_full_unstemmed | Objectively measured adherence to physical activity among patients with coronary artery disease: Comparison of the 2010 and 2020 World Health Organization guidelines and daily steps |
| title_short | Objectively measured adherence to physical activity among patients with coronary artery disease: Comparison of the 2010 and 2020 World Health Organization guidelines and daily steps |
| title_sort | objectively measured adherence to physical activity among patients with coronary artery disease comparison of the 2010 and 2020 world health organization guidelines and daily steps |
| topic | physical activity guidelines accelerometer percutaneous coronary intervention step counting |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.951042/full |
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