Key result
Supervised group training boosts physical activity self-confidence more than demographic factors or partner support.
Why the study?
Factors influencing physical activity among elderly patients one year after acute myocardial infarction were not well described.
RCT (n=43)
Supervised training may foster self-confidence to sustain activity in elderly post-MI patients; leaves open effects on clinical outcomes in larger trials.
The aim of this study was to identify and describe the factors of importance for elderly (> or =65 years) patients in being physically active one year after acute myocardial infarction. Forty-three consecutive elderly patients with a recent myocardial infarction were randomized either to a supervised outpatient-group training programme, 50 min three times a week for 3 months, or to a control group. An independent observer interviewed the patients 12 months after randomization in order to elucidate the factors that motivated the patients into being physically active. Both groups were identical at the start. The patients in the training group stated that the programme had made them more self-confident regarding physical activities and this seems to be an important factor for continuing to be physically active. Body mass index, age, gender and support from a physically active partner were of minor importance compared to the training programme or earlier experience of regular physical activity.
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Agneta Ståhle (2000) conducted an RCT in acute myocardial infarction (n=43). supervised outpatient-group training programme vs. control group was evaluated on factors that motivated the patients into being physically active. A supervised outpatient-group training program increased self-confidence for physical activity, which was more important for continued activity than BMI, age, gender, or partner support.
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