Attitudes towards exercise in patients with chronic disease: the influence of comorbid factors on motivation and ability to exercise

Murphy, Catherine; Sheane, Barry J.; Cunnane, Gaye

doi:10.1136/pgmj.2010.105858

Cited by 19 publications

(11 citation statements)

References 17 publications

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“…The RRs in the total SpA cohort indicated a higher activity rate among females compared to males in reaching the WHO recommendations, even though CIs were overlapping. This finding is not in accordance with earlier findings in the arthritis and general populations, where men and subjects with lower age more often met the WHO recommendations (6, 31–33). A possible explanation for our findings might be that, traditionally, patients with AS have been encouraged to do regular exercise, and women may be more inclined to follow these recommendations (34).…”

Section: Discussioncontrasting

confidence: 99%

Differences in physical activity patterns in patients with spondylarthritis

Haglund¹,

Bergman²,

Petersson³

et al. 2012

Arthritis Care & Research

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Objective. To study patient-reported physical activity in patients with spondylarthritis (SpA) and possible differences in physical activity patterns between the SpA subtypes and sexes. Methods. In 2009, a questionnaire including inquiries concerning physical activity was sent to patients with a SpA diagnosis (n ‫؍‬ 3,711). The World Health Organization (WHO) global recommendations of physical activity for health requiring 150 minutes of moderate-intensity physical activity (MI-PA) or 75 minutes of vigorous-intensity physical activity (VI-PA) per week were used as recommended levels. Standardized risk ratios (RRs) were calculated by using physical activity data from the Swedish population. The association within the SpA group between sex, age, diseaserelated variables, anxiety, and depression and meeting recommended levels of MI-PA and VI-PA (dependent variables) was studied with multivariate analysis. Results. A total of 2,167 patients with SpA (48% men, mean ؎ SD age 55 ؎ 14 years) responded to the questionnaire. Sixty-eight percent of the patients met the WHO recommendations, more frequently in women than in men (70% versus 66%). The recommendations were more often met in the SpA group (RR 1.09, 95% confidence interval [95% CI] 1.04 -1.15) compared with the Swedish population. There was a tendency for young women to meet the WHO recommendations less often than the Swedish population (RR 0.94, 95% CI 0.63-1.25). Different factors were found to influence whether the patients were exercising with a moderate or vigorous intensity. Conclusion. Seven of 10 patients with SpA met the WHO recommendations of physical activity for health, but we found sex and disease subtype differences. This information can be useful in clinical practice when coaching patients to have a healthier lifestyle.

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Section: Discussioncontrasting

confidence: 99%

Differences in physical activity patterns in patients with spondylarthritis

Haglund¹,

Bergman²,

Petersson³

et al. 2012

Arthritis Care & Research

View full text Add to dashboard Cite

show abstract

“…Increasingly, modern life is associated with less physical activity, owing to an increase in sedentary occupations and hence greater time spent sitting. In addition, as people grow older, they lead an increasingly sedentary life (Murphy et al 2011). This lack of physical activity increases fluid accumulation in the legs during the day.…”

Section: Factors Influencing Overnight Rostral Fluid Shift and Sleep mentioning

confidence: 99%

Role of nocturnal rostral fluid shift in the pathogenesis of obstructive and central sleep apnoea

White

Bradley

2013

The Journal of Physiology

283

164

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Obstructive sleep apnoea (OSA) is common in the general population and increases the risk of motor vehicle accidents due to hypersomnolence from sleep disruption, and risk of cardiovascular diseases owing to repetitive hypoxia, sympathetic nervous system activation, and systemic inflammation. In contrast, central sleep apnoea (CSA) is rare in the general population. Although their pathogenesis is multifactorial, the prevalence of both OSA and CSA is increased in patients with fluid retaining states, especially heart failure, where they are associated with increased mortality risk. This observation suggests that fluid retention may contribute to the pathogenesis of both OSA and CSA. According to this hypothesis, during the day fluid accumulates in the intravascular and interstitial spaces of the legs due to gravity, and upon lying down at night redistributes rostrally, again owing to gravity. Some of this fluid may accumulate in the neck, increasing tissue pressure and causing the upper airway to narrow, thereby increasing its collapsibility and predisposing to OSA. In heart failure patients, with increased rostral fluid shift, fluid may additionally accumulate in the lungs, provoking hyperventilation and hypocapnia, driving P CO 2 below the apnoea threshold, leading to CSA. This review article will explore mechanisms by which overnight rostral fluid shift, and its prevention, can contribute to the pathogenesis and therapy of sleep apnoea.

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“…2 Further, people with CAD may underestimate the risk of disease progression if unhealthy lifestyle behaviors persist after sustaining an event such as coronary angioplasty. 3–5 For example, those with CAD who engage in physical activity can achieve significant and growing reductions in mortality and cardiovascular risk with maintenance of activity; a number of meta-analyses have established that people with CAD who participate in exercise-based cardiac rehabilitation have lower overall mortality (13%, 6 20% 7 and 26–47% 8,9,10 ) and decreased cardiac mortality (26%, 6 26% 7 and 30% 8,9,10 ) with program adherence at 12, 15 and 24 months, respectively. Despite these impressive reductions in outcomes, most people with CAD do not engage in sustained physical activity or other health behaviors consistently over time and rates of non-adherence are high.…”

Section: Introductionmentioning

confidence: 99%

Developing self-management education in coronary artery disease

et al. 2014

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We describe a three-step approach to develop and evaluate a novel coronary artery disease (CAD) self-management educational workbook. First, we conducted interviews using grounded theory methods with a diverse CAD cohort (n=61) to identify needs and perceptions. Second, we developed the workbook, incorporating themes that emerged from the qualitative interviews. Finally, 225 people with CAD used the workbook in a longitudinal study and we evaluated their use of and experience with the workbook at 12 months. 12-month evaluation data revealed that the workbook: provided practical health information; enhanced behavior-specific self-efficacy; and reinforced that healthy behaviors decrease risk. Participants who read the workbook had greater within-patient increases in physical activity at 12-months compared with non-readers (p=0.093) and among Black/Hispanic participants, workbook readers’ increases were significant (592 vs. −645, p=0.035). A self-management educational workbook developed using qualitative methods can provide relevant, disease-specific health information for patients with CAD.

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Attitudes towards exercise in patients with chronic disease: the influence of comorbid factors on motivation and ability to exercise

Abstract: Much greater awareness of the importance of exercise and its impact on health and longevity is needed. Healthcare providers have an important role in exercise education in patients with acute and chronic disease.

Cited by 19 publications

References 17 publications

Differences in physical activity patterns in patients with spondylarthritis

Differences in physical activity patterns in patients with spondylarthritis

Role of nocturnal rostral fluid shift in the pathogenesis of obstructive and central sleep apnoea

Developing self-management education in coronary artery disease

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