Low Exercise Compliance Rates Following Cardiac Rehabilitation: Age and Gender Comparisons

2.50
Hdl Handle:
http://hdl.handle.net/10755/161303
Type:
Presentation
Title:
Low Exercise Compliance Rates Following Cardiac Rehabilitation: Age and Gender Comparisons
Abstract:
Low Exercise Compliance Rates Following Cardiac Rehabilitation: Age and Gender Comparisons
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2004
Author:Dolansky, Mary, PhD, RN, JAHF
P.I. Institution Name:Case Western Reserve University
Contact Address:SON, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA
Co-Authors:Shirley Moore, PhD, RN, Associate Dean for Research; Jacqueline Charvat, BS, Project Director
To maintain the benefits of a Phase II cardiac rehabilitation program (CRP), patients are advised to exercise in their target heart rate for a minimum of 3 days per week for at least 30 minutes following the completion of the program. The purposes of the study were to: (1) examine compliance with these exercise guidelines (frequency and amount); (2) compare age and gender differences; and (3) identify time points when falling below exercise guidelines are the greatest. One hundred and eighteen adults aged 35-85 (43 women; 75 men) used heart rate monitor wristwatches during exercise and recorded sessions in exercise logs for 24 weeks following a CRP. At six months after a CRP, 71% of individuals exercised less than three times per week and 75% exercised less than 120 minutes per week. Using survival analysis analytic techniques, there were no differences in the time to cessation of exercise frequency below 3 sessions per week or exercise amount below 120 minutes per week between those 64 and younger and those 65 and older. Gender differences were found. Women dropped below 3 sessions per week sooner than men (10.7 vs. 17.2 weeks; log Rank=8.5; p=.004). Women also stopped exercising less than 120 minutes per week sooner than men (X=9.0 vs. X=15.8 weeks; log rank=10.0; p=.002). Kaplan-Meier plots were examined to identify time points indicating vulnerable times of cessation of exercise frequency and amount for both men and women. Based on median survival times, these data suggest that women would benefit from booster interventions during the first 2 months and men during the 5th month following a CRP. Understanding the vulnerable time points in cessation of exercise will aid in targeting interventions to men and women to promote long-term exercise habits so that the benefits of CRP participation can be maintained.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleLow Exercise Compliance Rates Following Cardiac Rehabilitation: Age and Gender Comparisonsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161303-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Low Exercise Compliance Rates Following Cardiac Rehabilitation: Age and Gender Comparisons </td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dolansky, Mary, PhD, RN, JAHF</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Case Western Reserve University</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">SON, 10900 Euclid Avenue, Cleveland, OH, 44106-4904, USA</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Shirley Moore, PhD, RN, Associate Dean for Research; Jacqueline Charvat, BS, Project Director</td></tr><tr><td colspan="2" class="item-abstract">To maintain the benefits of a Phase II cardiac rehabilitation program (CRP), patients are advised to exercise in their target heart rate for a minimum of 3 days per week for at least 30 minutes following the completion of the program. The purposes of the study were to: (1) examine compliance with these exercise guidelines (frequency and amount); (2) compare age and gender differences; and (3) identify time points when falling below exercise guidelines are the greatest. One hundred and eighteen adults aged 35-85 (43 women; 75 men) used heart rate monitor wristwatches during exercise and recorded sessions in exercise logs for 24 weeks following a CRP. At six months after a CRP, 71% of individuals exercised less than three times per week and 75% exercised less than 120 minutes per week. Using survival analysis analytic techniques, there were no differences in the time to cessation of exercise frequency below 3 sessions per week or exercise amount below 120 minutes per week between those 64 and younger and those 65 and older. Gender differences were found. Women dropped below 3 sessions per week sooner than men (10.7 vs. 17.2 weeks; log Rank=8.5; p=.004). Women also stopped exercising less than 120 minutes per week sooner than men (X=9.0 vs. X=15.8 weeks; log rank=10.0; p=.002). Kaplan-Meier plots were examined to identify time points indicating vulnerable times of cessation of exercise frequency and amount for both men and women. Based on median survival times, these data suggest that women would benefit from booster interventions during the first 2 months and men during the 5th month following a CRP. Understanding the vulnerable time points in cessation of exercise will aid in targeting interventions to men and women to promote long-term exercise habits so that the benefits of CRP participation can be maintained.</td></tr></table>en_GB
dc.date.available2011-10-26T23:19:12Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:19:12Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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