Sex differences in atrial fibrillation: patient-reported outcomes and the persistent toll on women

Silva, Raisa Lomanto; Guhl, Emily; Althouse, Andrew D.; Herbert, Brandon M.; Sharbaugh, Michael S.; Essien, Utibe R.; Hausmann, Leslie R. M.; Magnani, Jared W.

doi:10.1016/j.ajpc.2021.100252

Cited by 7 publications

(7 citation statements)

References 27 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Potential target interventions to increase PA levels and reduce sitting time in women and men with AF need to consider sex differences in patient characteristics and sociodemographic factors. 45 Consistent with previous studies, men reported more comorbidities such as heart failure and sleep apnea than women. 4,46 We did not observe higher levels of anxiety in women as previously described in the literature.…”

Section: Discussionsupporting

confidence: 90%

“…6,46 Our findings also show that more women with AF are widowed and have a lower level of education, income, and employment rates than men. 45,47 A higher socioeconomic status is known to be associated with more leisure-time PA. 17 In addition, when investigating the determinants of less activity such as self-identified race (ie, Black vs White vs other race), marital status (eg, married), and country of residence (eg, Spain vs United States vs Australia), women with coronary artery disease had 1.37 times (95% CI, 1.21-1.55) the odds to perform less PA than men over time. 48 Factors such as being a woman, having no educational degrees, living in deprived areas, and worse employment conditions have been shown to be associated with a reduced likelihood of meeting the WHO guidelines for PA. 49 Our results are consistent with prior literature demonstrating that women with AF have limited social support (eg, living alone) 6 and financial resources (eg, lower income) than men, 45 which may impact PA levels.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Sex Differences in Physical Activity Levels and Sitting Time in Patients With Atrial Fibrillation

Marçal,

Vidal-Almela,

Blanchard

et al. 2024

Journal of Cardiopulmonary Rehabilitation and Prevention

View full text Add to dashboard Cite

Purpose: While research demonstrates low levels of physical activity (PA) among adults living with atrial fibrillation (AF), there is limited evidence investigating sex differences in moderate to vigorous intensity physical activity (MVPA) and sedentary time in this population. The primary aim was to examine sex differences in MVPA levels and sitting time between women and men with AF. Secondary aims explored sex differences in sociodemographic factors, outcome expectations, and task self-efficacy toward PA levels. Methods: This was a subanalysis of the CHAMPLAIN-AF cohort study. Women and men with AF completed a survey, including the Short-Form International Physical Activity Questionnaire. Results: A total of 210 women (median = 66.0 yr: 95% CI, 63.5-68.0) and 409 men (median = 66.0 yr: 95% CI, 64.0-67.0) were included. No sex differences were observed in median weekly MVPA (60 min/wk: 95% CI, 0-120 in women vs 120 min/wk: 95% CI, 85-150 in men) and daily sitting time (5.5 hr/d: 95% CI, 5.0-6.0 in women vs 6.0 hr/d: 95% CI, 5.0-6.0 in men). Women engaged in significantly less vigorous-intensity PA than men (P = .03) and demonstrated significantly lower task self-efficacy (P < .01). Significant positive correlations in PA levels with outcome expectations (mostly weak) and task self-efficacy (mostly strong) were observed in both sexes. Conclusion: Most women and men with AF did not meet the global MVPA guidelines but met the sitting time recommendation. Women presented with lower vigorous-intensity physical activity levels and confidence than men. Strategies to increase physical activity behavior, considering sociodemographic factors and task self-efficacy, are needed and may differ between sexes.

show abstract

Section: Discussionsupporting

confidence: 90%

Section: Discussionmentioning

confidence: 99%

Sex Differences in Physical Activity Levels and Sitting Time in Patients With Atrial Fibrillation

Marçal,

Vidal-Almela,

Blanchard

et al. 2024

Journal of Cardiopulmonary Rehabilitation and Prevention

View full text Add to dashboard Cite

show abstract

“…237 A smaller, single-center study (N=339) identified that females with AF reported worse physical and social function than males with the condition. 238…”

Section: Disorders Of Heart Rhythmmentioning

confidence: 99%

2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association

Martin,

Aday,

Almarzooq

et al. 2024

Circulation

Self Cite

476

View full text Add to dashboard Cite

BACKGROUND: The American Heart Association (AHA), in conjunction with the National Institutes of Health, annually reports the most up-to-date statistics related to heart disease, stroke, and cardiovascular risk factors, including core health behaviors (smoking, physical activity, nutrition, sleep, and obesity) and health factors (cholesterol, blood pressure, glucose control, and metabolic syndrome) that contribute to cardiovascular health. The AHA Heart Disease and Stroke Statistical Update presents the latest data on a range of major clinical heart and circulatory disease conditions (including stroke, brain health, complications of pregnancy, kidney disease, congenital heart disease, rhythm disorders, sudden cardiac arrest, subclinical atherosclerosis, coronary heart disease, cardiomyopathy, heart failure, valvular disease, venous thromboembolism, and peripheral artery disease) and the associated outcomes (including quality of care, procedures, and economic costs). METHODS: The AHA, through its Epidemiology and Prevention Statistics Committee, continuously monitors and evaluates sources of data on heart disease and stroke in the United States and globally to provide the most current information available in the annual Statistical Update with review of published literature through the year before writing. The 2024 AHA Statistical Update is the product of a full year’s worth of effort in 2023 by dedicated volunteer clinicians and scientists, committed government professionals, and AHA staff members. The AHA strives to further understand and help heal health problems inflicted by structural racism, a public health crisis that can significantly damage physical and mental health and perpetuate disparities in access to health care, education, income, housing, and several other factors vital to healthy lives. This year’s edition includes additional global data, as well as data on the monitoring and benefits of cardiovascular health in the population, with an enhanced focus on health equity across several key domains. RESULTS: Each of the chapters in the Statistical Update focuses on a different topic related to heart disease and stroke statistics. CONCLUSIONS: The Statistical Update represents a critical resource for the lay public, policymakers, media professionals, clinicians, health care administrators, researchers, health advocates, and others seeking the best available data on these factors and conditions.

show abstract

“…Researchers indicate that women with AF have a larger left atrial diameter, which affects their mortality (34), prolonged hospitalization time compared to men after ablation (35), and a higher risk of AF recurrence after radiofrequency catheter ablation (35). Women with AF also report poorer overall quality of life (36). Although in our study, BMI results were not a factor in the length of hospitalization, it should be noted that many authors show a positive association between the occurrence of AF and obesity, overweight and underweight (37)(38)(39).…”

Section: Discussionmentioning

confidence: 99%

Sex-related differences in the impact of nutritional status on length of hospital stay in atrial fibrillation: a retrospective cohort study

Kwaśny,

Łokieć,

Uchmanowicz

et al. 2023

Front. Public Health

View full text Add to dashboard Cite

BackgroundNutritional status is related to the length of hospitalization of patients with atrial fibrillation (AF). The aim of this study is to assess the prognostic impact of nutritional status and body mass index on length of hospital stay (LOHS) among patients with AF relative to their sex.MethodsA retrospective analysis of the medical records of 1,342 patients admitted urgently with a diagnosis of AF (ICD10: I48) to the Cardiology Department (University Hospital in Wroclaw, Poland) between January 2017 and June 2021.ResultsIn the study group, women were significantly older than men (72.94 ± 9.56 vs. 65.11 ± 12.68, p < 0.001). In an unadjusted linear regression model, malnutrition risk was a significant independent predictor of prolonged hospitalization in men (B = 1.95, p = 0.003) but not in women. In the age-adjusted linear regression model, malnutrition risk was a significant independent predictor of prolonged hospitalization in men (B = 1.843, p = 0.005) but not in women. In the model adjusted for age and comorbidities, malnutrition risk was a significant independent predictor of prolonged hospitalization in men only (B = 1.285, p = 0.043). In none of the models was BMI score a predictor of LOHS in either sex.ConclusionThe risk of malnutrition directly predicts the length of hospital stays in men but not women. The study did not find a relationship between body mass index and length of hospital stay in both women and men.

show abstract

Sex differences in atrial fibrillation: patient-reported outcomes and the persistent toll on women

Cited by 7 publications

References 27 publications

Sex Differences in Physical Activity Levels and Sitting Time in Patients With Atrial Fibrillation

Sex Differences in Physical Activity Levels and Sitting Time in Patients With Atrial Fibrillation

2024 Heart Disease and Stroke Statistics: A Report of US and Global Data From the American Heart Association

Sex-related differences in the impact of nutritional status on length of hospital stay in atrial fibrillation: a retrospective cohort study

Contact Info

Product

Resources

About