Acta Univ. Palacki. Olomuc., Gymn. 2010 40(4): 53-61

Adherence to physical activity in patients with coronary artery disease

Veronika Drbošalová1, Pavel Stejskal1, Jan Bajorek2, Eliška Sovová2, Miloslav Klugar1, Olga Hynková1, Václav Krejčíř1, Hana Cipryanová1
1 Faculty of Physical Culture, Palacky University, Olomouc
2 Faculty of Medicine and Dentistry, Palacky University, Olomouc

Objective: The aim of this study was to evaluate the adherence to a physical activity (PA) in an annual interventional programme of domiciliary rehabilitation designed for patients with coronary artery disease.

Methods: The final group consisted of 20 patients (4 women and 16 men) from the 1st Internal Department - University Hospital of Olomouc. The mean age of patients was 61.95 ± 11.02 years. They were split into three groups in accordance with the method of monitoring PA. Group 1 (G1) used a pedometer, group 2 (G2) used a heart rate monitor and group 3 (G3) used both types of equipment simultaneously. Patients recorded the number of steps, the duration of the exercise (G1 and G3) or the average heart rate (G2 and G3), entering this information into the archive system. The checking of monitored indicators took place after 3, 6 and 12 months.

Results: The adherence to the programme varied a lot (60-360 days). The results showed that the lowest one was in the case of patients from G1 and the highest one was in the third group of patients. Only 2 patients from group G3 managed to finish the programme (10% of the total number). We found no statistically significant difference between the groups in any of the quality indicators of a physical activity (number of steps, duration of the exercise, estimate of the weekly caloric output and total caloric output during exercise).

Conclusions: Using a pedometer has seemed to be an easy way to monitor the amount of a physical activity. Low adherence to the programme results from a fixation on a sedentary lifestyle, as well as from psychological and social causes.

Keywords: aerobic exercise, pedometer, heart rate monitor, motivation

Prepublished online: May 10, 2011; Published: September 1, 2010  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
Drbošalová, V., Stejskal, P., Bajorek, J., Sovová, E., Klugar, M., Hynková, O., Krejčíř, V., & Cipryanová, H. (2010). Adherence to physical activity in patients with coronary artery disease. Acta Universitatis Palackianae Olomucensis. Gymnica, 40(4), 53-61
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. American College of Sports Medicine. (1980). Exercise testing and exercise prescription (2nd ed.). Philadelphia: Lea & Febiger.
    2. American College of Sports Medicine. (1995). Guidelines for exercise testing and prescription (5th ed.). Baltimore: Williams & Wilkins.
    3. American Association of Cardiovascular and Pulmonary Rehabilitation. (2004). Guidelines for cardiac rehabilitation and secondary prevention programs. Champaign, IL: Human Kinetics.
    4. Annesi, J. J. (2004). Relationship of perceived health and appearance improvement, and self motivation, with adherence to exercise in previously sedentary women. European Journal of Sport Science, 4(2), 1-13. Go to original source...
    5. Araiza, P., Hewes, H., Gashetewa, C., Vella, C. A., & Burge, M. R. (2006). Efficacy of a pedometer based physical activity program on parameters of diabetes control in type 2 diabetes mellitus [Abstract]. Metabolism, 55(10), 1382-1387. Go to original source... Go to PubMed...
    6. Astrand, P. O., & Rodahl, K. (1977). Textbook of work physiology. New York: Mc Graw-Hill Book Company.
    7. Butler, L., Furber, S., Phongsavan, P., Mark, A., & Bauman, A. (2009). Effects of a pedometer based intervention on physical activity levels after cardiac rehabilitation: A randomized controlled trial. Journal of Cardiopulmonary Rehabilitation and Prevention, 29(2), 105-14. Go to original source... Go to PubMed...
    8. Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.
    9. Elia, M. (2001). Obesity in the elderly. Obesity Research, 9(4), 244-248. Go to original source...
    10. Daďová, K., Hyťhová, P., Pelíšková, P., Slabý, K., & Hošková, B. (2007). Adherence k pohybovým aktivitám. Medicina Sportiva Bohemica et Slovaca, 16(4), 170-177.
    11. Dishman, R. K. (1984). Motivation and exercise adherence. Psychological Foundations of Sport, 111, 420-434.
    12. Dunn, A. L., Marcus, B. H., Kampert, J. B., Melisa, E., Garcia, M. P. H., Kohl, H. W., & Blair, S. N. (1997). Reduction in cardiovascular disease risk factors: 6 months results from project active. Preventive Medicine, 26, 883-892. Go to original source... Go to PubMed...
    13. European Heart Failure Training Group. (1998). Experience from controlled trials of physical training in chronic heart failure. Protocol and patients factors in effectiveness in the improvement in exercise tolerance. European Heart Journal, 19, 466-475. Go to original source... Go to PubMed...
    14. EUROASPIRE II Study Group. (2001). EUROA- SPIRE II.: Lifestyle and risk factor management and use of drug therapies in coronary patients from 15 countries. European Heart Journal, 22, 554-572. Go to original source... Go to PubMed...
    15. Fletcher, G. F., Balady, G., Amsterdam, E. A., Chaitman, B., Eckel, R., Fleg, J., Froelicher, V. F., Leon, A. S., Pina, I. L., Rodney, R., Simons-Morton, D. A., Williams, M. A., & Bazzarre, T. (2001). Exercise standards for testing and training: A statement for healthcare professionals from the American Heart Association. Circulation, 104, 1694-1740. Go to original source... Go to PubMed...
    16. Giannuzzi, P., Saner, H., Björnstad, H., Fioretti, P., Mendes, M., et al. (2003). Secondary prevention through cardiac rehabilitation. European Heart Journal, 24(13), 1273-1278. Go to original source... Go to PubMed...
    17. Haskell, W. L., Lee, I. M., Pate, R. R., Powell, K. E., Blair, S. N., Franklin, B. A., Macera, C. A., Heath, G. W., Thompson, P. D., & Bauman, A. (2007). Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Medicine and Science in Sports and Exercise, 39(8), 1423-1434. Go to original source... Go to PubMed...
    18. Hatano, Y. (1993). Use of the pedometer for promoting daily walking exercise. International council for Health, Physical Education, and Recreation, 29, 4-8.
    19. Chaloupka, V. (2004). Rehabilitace nemocných po infarktu myokardu. Medicína pro praxi. 2, 65-68.
    20. Chaloupka, V., & Elbl, L. (2005). Rehabilitace po infarktu myokardu (II): způsoby zátěže. Kardiol. Rev., 7(2),73-76.
    21. Karvonen, M. J., Kentala, E., & Mustala, O. (1957). The effects of training on heart rate: A longitudinal study. Ann. Med. Exp. Biol. Fenn., 35, 307-315. Go to PubMed...
    22. King, D. E., Mainous, A. G., Carnemolla, M., & Everett, C. J. (2009). Adherence to healthy lifestyle habits in US adults, 1988-2006. The American Journal of Medicine, 122(6), 528-534. Go to original source... Go to PubMed...
    23. Leon, A. S. (2000). Exercise following myocardial infarction: current recommendations. Sports Med., 29, 301-311. Go to original source... Go to PubMed...
    24. Leon, A. S., Franklin, B. A., Costa, F., Balady, G. J., Berra, K. A., Stewart, K. J., Thompson, P. D., Williams, M. A., & Lauer, M. S. (2005). Cardiac rehabilitation and secondary prevention of coronary heart disease. Circulation, 111, 369-376. Go to original source... Go to PubMed...
    25. Macchi, C., Polcaro, P., Cecch, F., Zipoli, R., Sofi, F., Romanelli, A., Pepi, L., Sibilio, M., Lipoma, M., Petrilli, M., & Molino-Lova, R. (2009). One year adherence to exercise in elderly patients receiving postacute inpatient rehabilitation after cardiac surgery. American Journal of Physical Medicine & Rehabilitation/Association of Academic Physiatrists Links, 88(9), 727-734. Go to original source...
    26. Matouš, M., Radvanský, J., Zajacová, R., & Mocková, K. (2000). Výsledky intervenčního programu u pacientů s projevy nebo rizikem ischemické choroby srdeční (ICHS). Medicina Sportiva Bohemica et Slovaca, 9(2), 69-73.
    27. Myers, J. (2003). Exercise and cardiovascular health. Circulation, 107(1), 20-26. Go to original source...
    28. Oldridge, N. B. (1982). Compliance and exercise in primary and secondary prevention of coronary heart disease: A review. Preventing Medicine, 11, 56-70. Go to original source...
    29. Oldridge, N. B., Guyatt, G. H., Fischer, M. E., & Rimm, A. A. (1988). Cardiac rehabilitation after myocardial infarction. Combined experience of randomized clinical trials. Journal of the American Medical Association, 260(7), 945-950. Go to original source... Go to PubMed...
    30. Perri, M. G., Anton, S. D, Durning, P. E., Ketterson, T. U., Sydeman, S. J., Berlant, N. E., Kanasky, W. F., Newton, R. L., Limacher, M. C., & Martin, A. D. (2002). Adherence to exercise prescriptions: Effects of prescribing moderate versus higher levels of intensity and frequency. Health Psychology, 21(5), 452-458. Go to original source... Go to PubMed...
    31. Pollock, M. L., Wilmore, J. H., & Fox, S. M. (1984). Exercise in health and disease. Philadelphia: W. B. Saundres Company.
    32. Roberts, G. C. (2001). Advances in motivation in sport and exercise. Champaign, IL: Human Kinetics.
    33. Rockhill, B., Willet, W. C., & Manson, J. E. (2001). Physical activity and mortality: A prospective study among women. American Journal of Public Health, 91(4), 578-583. Go to original source... Go to PubMed...
    34. Rose, E., & Parfitt, G. G. W. (2005). Exercise causality orientations, behavioral regulation for exercise and stage of change for exercise: exploring their relationships. Psychology Sport Exercise, 6, 399-414. Go to original source...
    35. Ryan, R. M., & Deci, E. L. (2000). Self determination theory and the facilitation of intrinsic motivation, social development, and well-being. American Psychologist, 55(1), 68-78. Go to original source... Go to PubMed...
    36. Schneider, P. L., Crouter, S. E., & Bassett, D. R. (2004). Pedometer measurements of free living physical activity: Comparison of 13 models. Med. Sci. Sports Exercise, 36(2), 331-335. Go to original source...
    37. Schober, T., & Knollmann, B. (2007). Exercise after myocardial infarction improves contractility and decreases myofilament Ca 2+ sensitivity. Circulation, 100(7), 937-939. Go to original source...
    38. Sharkey, B. J. (1991). Next dimensions in aerobic fitness. Champaign, IL: Human Kinetics.
    39. Shepard, R. J., & Balady, G. J. (1999). Exercise as cardiovascular therapy. Circulation, 99, 963-972. Go to original source... Go to PubMed...
    40. Song, R., & Lee, H. (2001). Effects of a 12 week cardiac rehabilitation exercise program on motivation and health promoting lifestyle. Heart and Lung, 3(3), 200-209. Go to original source...
    41. Stejskal, P. (1993). Preskripce trvání tréninku, jeho energetického výdeje a týdenní frekvence v rámci aerobní části programu tělesné aktivity. Medicina Sportiva Bohemica et Slovaca, 2, 93-98. Go to original source...
    42. Stejskal, P. (2004). Proč a jak se zdravě hýbat. Břeclav: Presstempus.
    43. Stejskal, P., Jakubec, A., Kováčová, L., Elfmark, M., Řehová, I., Petr, M., & Cipryan, L. (2007). Vliv rozdílné adherence k půlročnímu programu aerobiku na aerobní zdatnost. Medicina Sportiva Bohemica et Slovaca, 16(1), 14-25.
    44. Štěrbová, D., Hrubá, R., Harvanová, J., Elfmark, M., & Otipková, D. (2008). Faktory adherence k pohybové aktivitě žen ve věku 40-65 let. Československá psychologie, 52(4), 378-387.
    45. Teixeira, P. J., Going, S. B., Houtkooper, L. B., Cussler, E. C., Metcalfe, L. L., Blew, R. M., Sardinha, L. B., & Lohman, T. G. (2006). Exercise motivation, eating, and body image variables as predictors of weight control. Medicine and Science in Sports and Exercise, 38, 179-188. Go to original source... Go to PubMed...
    46. Thompson, P. D., Buchner, D., Piña, I. L., Balady, G. J., Williams, M. A., et al. (2003). Exercise and physical activity in the prevention and treatment of atherosclerotic cardiovascular disease. Circulation, 107, 3109-3116. Go to original source... Go to PubMed...
    47. Tudor-Locke, C., & Bassett, D. R. Jr. (2004). How many steps/day are enough? Preliminary pedometer indices for public health. Sports Medicine, 34(1), 1-8. Go to original source... Go to PubMed...
    48. WHO. (2007). Prevention of cardiovascular disease: Guideline for assessment and management of cardiovascular risk. Retrieved 2. 11. 2010 from the World Wide Web: http://www.who.int/cardiovascular_diseases/guidelines/Full%20text.pdf

    This is an open access article distributed under the terms of the Creative Commons Attribution 4.0 International License (CC BY 4.0), which permits use, distribution, and reproduction in any medium, provided the original publication is properly cited. No use, distribution or reproduction is permitted which does not comply with these terms.


    Return to the content