Key result
Heart failure patients with arthritis exhibited highly prevalent sedentary behavior, averaging 21.0 hours per day, which was significantly reduced among those who were employed or had better self-care.
Why the study?
Few studies have examined sedentary behavior in heart failure patients with arthritis, and little is known about the factors influencing it.
Observational (n=101)
No
Heart failure patients with comorbid arthritis exhibit extremely high levels of sedentary behavior, which is strongly influenced by employment status and self-care behavior.
HF patients with arthritis show extreme sedentary time; this cohort study leaves open whether employment or self-care interventions can mitigate it.
BACKGROUND: Arthritis is one of the most common comorbidities in heart failure (HF) patients, and is associated with decreased activity levels. Few studies have examined sedentary behavior (SB) in HF patients with arthritis, and little is known about the factors that may influence SB in this population. METHODS: This is a retrospective, secondary analysis using data collected from a randomized control trial. SB was measured by the daily sedentary time collected by accelerometers. Structural equation modeling was performed to examine relationships between key concepts based on social cognitive theory, and elucidate the potential pathways by which demographic, clinical and sociobehavioral factors that influence SB. RESULTS: A total of 101 participants' data were used for this analysis. Participants were mainly female (n = 64, 63%) with a mean age of 70 years (standard deviation (SD) = 12.2) and an average of 13 years of education (SD = 2.3). SB was highly prevalent at baseline (mean value: 21.0 h/day), 3 months (mean value: 20.6 h/day) and 6 months (mean value: 20.8 h/day) in study participants. Factors with statistically significant positive association with sedentary time include age and retirement, while significant negative association was found with current employment. HF self-care efficacy and behavior were also significantly associated with SB. CONCLUSIONS: Most HF patients with arthritis in this study lived a sedentary lifestyle. Additional studies are needed to identify feasible and effective exercise programs for HF participants with arthritis.
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Zhang et al. (2020) conducted an observational in Heart failure with arthritis (n=101). Heart failure patients with arthritis exhibited highly prevalent sedentary behavior, averaging 21.0 hours per day, which was significantly reduced among those who were employed or had better self-care.
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