Meeting physical activity guidelines was independently associated with significantly higher overall quality of life scores compared to being inactive (β = 6.0, p = 0.001).
Cross-Sectional (n=400)
No
Does meeting physical activity guidelines improve quality of life in adult cardiology outpatients with CVD or major cardiovascular risk factors?
Meeting physical activity guidelines is independently associated with better overall, physical, and psychological quality of life in cardiology outpatients.
Effect estimate: β = 6.0
p-value: p=0.001
Abstract Background/Objectives Physical activity (PA) is a cornerstone of cardiovascular disease (CVD) prevention and is positively linked to health-related quality of life (QoL). In Central and Eastern Europe, including Romania, adherence to PA guidelines remains low, and few studies have explored its patient-reported benefits. This study aimed to examine associations between habitual PA and QoL in a Romanian cardiology outpatient population, quantify guideline adherence, and identify predictors of achieving recommended PA levels. Methods In this cross-sectional study, 400 adult patients with CVD or major cardiovascular risk factors completed the WHOQOL-BREF and a structured self-report PA instrument at a cardiology clinic in Timişoara, Romania. Participants were categorized into three PA groups: inactive (G1), insufficiently active (G2), and active (G3; meeting ESC guideline of ≥150 min/week or having a physically demanding occupation). Quality of life scores across domains were compared using regression models adjusted for age, sex, education, and BMI. Predictors of meeting the PA guideline were assessed using logistic regression. Results Only 24.8% of patients met the ESC PA guideline. Compared to G1, active patients (G3) had significantly higher adjusted QoL scores in the overall (β = 6.0, p = 0.001), physical (β = 10.3, p 0.001), and psychological (β = 6.0, p = 0.003) domains. Older age, obesity, and heart failure were associated with lower odds of guideline adherence. Childhood sport participation showed a borderline positive association. Conclusions In Romanian cardiology outpatients, meeting PA recommendations was independently associated with better overall and domain-specific QoL. Targeted interventions are needed to address modifiable barriers and promote sustained physical activity.For image description, please refer to the figure legend and surrounding text. For image description, please refer to the figure legend and surrounding text.
Dumitrescu et al. (Mon,) conducted a cross-sectional in Cardiovascular disease or major cardiovascular risk factors (n=400). Habitual physical activity vs. Inactive was evaluated on Overall quality of life score (β = 6.0, p=0.001). Meeting physical activity guidelines was independently associated with significantly higher overall quality of life scores compared to being inactive (β = 6.0, p = 0.001).
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