Key result
Community-based exercise rehabilitation links to a ~823 MET-min drop in subsequent physical activity among cardiopulmonary patients.
Why the study?
Exercise rehabilitation programmes are important for cardiac and pulmonary diseases, but many patients struggle to maintain physical activity once rehabilitation ends.
How do physical activity behaviour and motivation change during and after a community-based exercise rehabilitation programme in patients with cardiac and pulmonary diseases?
Observational (n=31)
How do physical activity behaviour and motivation change during and after a community-based exercise rehabilitation programme in patients with cardiac and pulmonary diseases?
Physical activity levels decrease following community-based exercise rehabilitation despite increased self-determined motivation, highlighting the need to integrate approaches enhancing lifestyle physical activity beyond the clinic.
Post-rehab physical activity declines may limit sustained benefits; leaves open whether adjunctive strategies promote ongoing lifestyle activity in cardiac/pulmonary patients.
BACKGROUND: Exercise rehabilitation programmes are important for long-term health and wellbeing among people with cardiac and pulmonary diseases. Despite this, many people struggle to maintain their physical activity once rehabilitation ends. This repeated measures study tracked changes in physical activity behaviour and motivation during and after completing a community-based exercise rehabilitation programme. METHODS: = 31) completed six once-monthly measures of physical activity (MET·min), self-determined motivation, intention, and habit strength for rehabilitation exercise (within rehabilitation sessions) and lifestyle physical activity (outside of rehabilitation sessions). Linear regression and random effects models with estimated marginal means were used to test for associations between physical activity motivation and behaviour and change during and post-rehabilitation. RESULTS: Overall physical activity decreased after rehabilitation (823 MET·min) despite patients becoming more self-determined for lifestyle physical activity during rehabilitation. More self-determined motivation, stronger intentions, and stronger habits were associated with more lifestyle physical activity behaviour. However, none of these motivation variables were significantly associated with rehabilitation exercise behaviour. CONCLUSIONS: Among community-based cardiac and pulmonary rehabilitation patients, physical activity levels decreased following exercise rehabilitation programmes. The findings revealed clear distinctions in the motivation of rehabilitation exercise compared to lifestyle physical activity. Exercise rehabilitation programmes might improve the longevity of outcomes by integrating approaches to enhance lifestyle physical activity beyond the clinic.
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Alfrey et al. (2024) conducted an observational in Cardiac and pulmonary diseases (n=31). Community-based exercise rehabilitation programme was evaluated on Physical activity behaviour and motivation during and post-rehabilitation. Physical activity levels decreased by 823 MET·min following community-based exercise rehabilitation programmes among patients with cardiac and pulmonary diseases.
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