Sedentary Time in Older Adults With Acute Cardiovascular Disease

Munir, Haroon; Goldfarb, Michael

doi:10.1016/j.cjco.2021.10.008

Cited by 3 publications

(1 citation statement)

References 22 publications

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“…[24][25][26] Up to one-half of patients with coronary artery disease have depressive symptoms and one-fifth meet the criteria for major depression, a rate that is threefold higher than the general population. [27] Patients with cardiovascular disease also have worse health-related quality of life 1-month post-hospitalization. [28] Thus, improving sleep duration and quality may be particularly beneficial for cardiovascular patients.…”

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Sleep quality and characteristics of older adults with acute cardiovascular disease

Munir,

Goldfarb

2024

Journal of Geriatric Cardiology

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leep plays a vital role in restoring the physical and mental health of people with cardiovascular disease. However, the hospital setting is not a conducive environment for sleep. Sleep interruptions by members of the care team, including vital sign checks, medication delivery, and blood draws for laboratory investigations, are routinely done in many hospitals. Frequent interruptions by staff and noise by other patients have been cited as barriers to restorative sleep in the hospital. [1] As a result of these sleep disturbances, nearly half of inpatients self-report poor-sleep quality while in hospital. [2] Poor sleep quality has been shown to worsen depressive symptoms of cardiovascular inpatients. A cross-sectional study of over 90 cardiac inpatients found a significant correlation between an increase in depressive symptoms and subjective sleep quality. [3] There is also evidence that sleep problems may persist in nearly half of patients following hospital discharge, which could result in longerterm adverse health consequences. [2] Prior studies have primarily relied upon subjective sleep surveys in detailing the sleep quality and characteristics of admitted inpatients. [3] Few studies have objectively gathered data on the sleep duration and quality using validated techniques. The gold standard for objective sleep measurement is polysomnography, which captures physiological changes during sleep in measuring brain activity through electroencephalography, skeletal muscle activity through electromyography, and eye movements through electrooculography. [4] However, the use of polysomnography can be burdensome, costly, and invasive. It involves the use of a minimum of 22 wire at-

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Sleep quality and characteristics of older adults with acute cardiovascular disease

Munir,

Goldfarb

2024

Journal of Geriatric Cardiology

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Interventions to reduce sedentary behavior in adults with cardiovascular disease: A scoping review

Peng,

Yang,

Deng

2023

Preprint

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Background Individuals with cardiovascular disease spend much time being sedentary, while sedentary behavior is associated with increased cardiovascular risk as an independent, modifiable factor. However, there is no synthesis of evidence on sedentary behavior interventions for adult cardiac patients. This scoping review aimed to identify interventions to reduce sedentary behavior in adults with cardiovascular disease. Methods Arksey and O'malley's scoping review methodological framework guided the implementation of the review. Seven databases were searched from inception to January 23, 2022 with manually searched reference lists. We included 11 eligible studies involving interventions for sedentary behavior in adults with cardiovascular disease. Data were extracted regarding intervention characteristics, types, delivery formats, and outcome measurements. Results Multiple intervention types and delivery modes were applied, but few were theory-based. Of all the studies, seven interventions were delivered through mobile or internet technologies. Self-monitoring of behavior is the most common behavior change technique used in interventions. Most studies significantly reduced sedentary behavior after the interventions, but the long-term follow-up effects remain uncertain. Conclusions Sedentary behavior in adults with cardiovascular disease holds promise for reduction after interventions, but its long-term adherence needs to be explored. Additionally, future interventions are recommended to use multiple behavior change techniques to reduce sedentary behavior and clarify specific patterns of sedentary behavior reduction.

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First iteration of a User-Centered Design process to develop an in-bed leg press

Cerrito,

Fang,

Schertenleib

et al. 2024

THC

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BACKGROUND: Physical inactivity is prevalent among hospitalized patients and the daytime spent lying should be utilised for exercise. However, implementing new interventions in hospitals’ complex daily routines is difficult and requires a participatory approach. OBJECTIVE: Exploring clinical settings and clinicians’ perspectives regarding exercise in hospitalized patients to gauge the potential of further development of an in-bed training device and to formulate development goals. METHODS: A User-Centered Design approach was employed, consisting of work shadowing and focus groups with physiotherapists and nurses. Content and network analyses of the focus group data were performed. Personas were then developed and used to create clinical scenarios. RESULTS: Some clinicians perceived in-bed exercise counterproductive, while others recognized potential for unsupervised training. The most important design characteristics appeared to be a small size, low weight and simplicity of use to facilitate storage, transportation, and administration, respectively. The scenarios revealed that the device’s use could increase the physical activity time by 1.4%, although it would also increase the working time of clinicians. CONCLUSION: The study highlighted the difficulties in developing a usable training device but encouraged the authors to pursue their efforts under the strict condition of following the formulated development goals.

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Sedentary Time in Older Adults With Acute Cardiovascular Disease

Cited by 3 publications

References 22 publications

Sleep quality and characteristics of older adults with acute cardiovascular disease

Sleep quality and characteristics of older adults with acute cardiovascular disease

Interventions to reduce sedentary behavior in adults with cardiovascular disease: A scoping review

First iteration of a User-Centered Design process to develop an in-bed leg press

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