Key result
On days with higher adjustment disorder symptoms than usual during cardiac rehabilitation, patients engaged in 21% less moderate-to-vigorous physical activity (IRR 0.79).
Why the study?
Physical activity is crucial in cardiac disease treatment, but high rates of stress-response and affective disorders among cardiac patients may negatively affect their physical activity.
Do daily symptoms of adjustment disorder, depression, and anxiety reduce physical activity and increase sedentary behavior in cardiac rehabilitation patients?
Observational (n=129)
Yes
Do daily symptoms of adjustment disorder, depression, and anxiety reduce physical activity and increase sedentary behavior in cardiac rehabilitation patients?
Daily symptoms of adjustment disorder and depression are associated with reduced physical activity and increased sedentary behavior in cardiac rehabilitation patients, highlighting the need for psychological screening and treatment.
Supports screening for adjustment disorder symptoms in cardiac rehab; leaves open whether treatment increases activity.
Background Physical activity (PA) is crucial in the treatment of cardiac disease. There is a high prevalence of stress-response and affective disorders among cardiac patients, which might be negatively associated with their PA. This study aimed at investigating daily differential associations of International Classification of Diseases (ICD)-11 adjustment disorder, depression and anxiety symptoms with PA and sedentary behaviour (SB) during and right after inpatient cardiac rehabilitation. Methods The sample included N = 129 inpatients in cardiac rehabilitation, M age = 62.2, s.d. age = 11.3, 84.5% male, n = 2845 days. Adjustment disorder, depression and anxiety symptoms were measured daily during the last 7 days of rehabilitation and for 3 weeks after discharge. Moderate-to-vigorous PA (MVPA), light PA (LPA) and SB were measured with an accelerometer. Bayesian lagged multilevel regressions including all three symptoms to obtain their unique effects were conducted. Results On days with higher adjustment disorder symptoms than usual, patients engaged in less MVPA, and more SB. Patients with overall higher depression symptoms engaged in less MVPA, less LPA and more SB. On days with higher depression symptoms than usual, there was less MVPA and LPA, and more SB. Patients with higher anxiety symptoms engaged in more LPA and less SB. Conclusions Results highlight the necessity to screen for and treat adjustment disorder and depression symptoms during cardiac rehabilitation.
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Bermudez et al. (2022) conducted an observational in Cardiac disease (n=129). Daily adjustment disorder, depression, and anxiety symptoms vs. Usual or lower symptom days was evaluated on Daily moderate-to-vigorous physical activity (MVPA) (IRR 0.79). On days with higher adjustment disorder symptoms than usual during cardiac rehabilitation, patients engaged in 21% less moderate-to-vigorous physical activity (IRR 0.79).
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