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September 16, 2022BMC Cardiovascular Disorders9 citationsOpen Access

Trends in adherence to recommended physical activity and its association with cardiovascular risk factors in US adults with cardiovascular disease: a cross-sectional study

YCYuhong ChengLMLin MouZLZhiliang Li

Key Result

Adherence to physical activity guidelines among US adults with a history of cardiovascular disease significantly increased from 41.5% in 2007-08 to 54.3% in 2017-18.

Study Design

Type

Cross-Sectional (n=3,638)

Structured PICO

Does adherence to physical activity guidelines improve cardiovascular risk factors in US adults with a history of cardiovascular disease?

P
Population
3,638 US adults with a history of cardiovascular disease from the National Health and Nutrition Examination Survey (NHANES) 2007-08 to 2017-18
I
Intervention
Adherence to physical activity guidelines (PAG) for aerobic activity
C
Comparator
Non-adherence to physical activity guidelines
O
Outcome
Trend in adherence to PAG and its association with cardiovascular risk factors (waist circumference, body mass index, hemoglobin A1c, and triglycerides)surrogate

Adherence to physical activity guidelines among US adults with cardiovascular disease has increased over a decade and is associated with improved cardiovascular risk profiles.

Main Result

Absolute Event Rate: 54.3% vs 41.5%

p-value: p=0.002

Limitations

  • History of CVD and physical activity were ascertained by self-report, which might be limited by misreporting and recall bias
  • Unable to evaluate the trends of muscle-strengthening activities
  • Cross-sectional study design prevents causal inference between adherence to the PAG and cardiovascular risk factors

Abstract

BACKGROUND: Being physically active is important for cardiovascular health. This study aimed to examine the trend in adherence to the physical activity guidelines (PAG) for aerobic activity among US adults with a history of cardiovascular disease (CVD) and evaluated its association with cardiovascular risk factors. METHODS: We studied participants from the national health and nutrition examination survey 2007-08 to 2017-18. Regression models were used to evaluate the significance of the trend and the association between adherence to the PAG with cardiovascular risk factors. RESULTS: A total of 3638 participants were reported to have a history of CVD. The proportion of adherence to PAG significantly increased from 41.5% in 2007-08 to 54.3% in 2017-18. Males had a higher proportion of adherence compared to the females, while the trend in adherence was only significant in females. Adherence to the PAG was significantly associated with decreased levels of waist circumference, body mass index, hemoglobin A1c, and triglycerides. CONCLUSIONS: There is a significant increase in the proportion of adherence to the PAG among US adults with a history of CVD from 2007-08 to 2017-18, and adherence to the PAG was associated with improvement in cardiovascular risk factors.

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Cite This Study

Cheng et al. (2022) conducted a cross-sectional in Cardiovascular disease (n=3,638). Adherence to physical activity guidelines vs. 2007-08 survey cycle was evaluated on Proportion of adherence to physical activity guidelines (2017-18 vs 2007-08) (p=0.002). Adherence to physical activity guidelines among US adults with a history of cardiovascular disease significantly increased from 41.5% in 2007-08 to 54.3% in 2017-18.

synapsesocial.com/papers/6a0ee0d706ecbe833447e9e8https://doi.org/10.1186/s12872-022-02854-9
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Physical Activity and Coronary Heart Disease in Men2000 · 634 citations
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  4. 4Trends in Adherence to the Physical Activity Guidelines for Americans for Aerobic Activity and Time Spent on Sedentary Behavior Among US Adults, 2007 to 20162019 · 391 citations
  5. 5Cardiovascular Health Promotion2018 · 63 citations