Academic Journal
Promotion and maintenance of physically active lifestyle in older outpatients 2 years after acute coronary syndrome
| العنوان: | Promotion and maintenance of physically active lifestyle in older outpatients 2 years after acute coronary syndrome |
|---|---|
| المؤلفون: | Mazzoni G, Raisi A, Myers J, Arena R, Kaminsky L, Zerbini V, Lordi R, Chiaranda G, Mandini S, Sella G, Tonet E, Campo G, Grazzi G |
| المساهمون: | Mazzoni, G, Raisi, A, Myers, J, Arena, R, Kaminsky, L, Zerbini, V, Lordi, R, Chiaranda, G, Mandini, S, Sella, G, Tonet, E, Campo, G, Grazzi, G |
| سنة النشر: | 2022 |
| المجموعة: | Università degli Studi di Ferrara: CINECA IRIS |
| مصطلحات موضوعية: | Acute coronary syndrome, Cardiorespiratory fitne, Cardiovascular disease, Exercise, Short physical performance battery, Walking speed |
| الوصف: | Aims: To examine long-term changes in lifestyle and exercise capacity of older patients hospitalized for acute coronary syndrome (ACS) involved in an innovative centre- and home-based exercise-based secondary prevention program. Methods: A sample of 118 patients with ACS (age 76 [72-80] years) was analysed. Long-term changes in self-reported weekly leisure-time physical activity (wLTPA), walking speed (WS), and estimated cardiorespiratory fitness (eCRF, VO2peak, mL/kg/min) were the outcome variables. The program consisted of seven individual on-site sessions including motivational interviewing to reach exercise goals. Exercise prescription was based on the results of a standardized moderate and perceptually regulated treadmill walk to estimate VO2peak. wLTPA, WS, and eCRF were assessed at 1 (baseline), 2, 3, 4, 6, 12, and 24 months after discharge. Results: 87, 76, and 70 patients completed follow-up at 6, 12, and 24 months, respectively. wLTPA significantly increased during the follow-up period (median METs/H/week 2.5, 11.2, 12.0, and 13.4 at baseline, 6, 12, and 24 months, respectively; P < 0.0001). At baseline, 18% of the sample met the current international guidelines for physical activity, while 75%, 70%, and 76% of them met the recommended values at 6-, 12-, and 24-month follow-up sessions, respectively. These results were associated with increasing median WS (2.9 ± 1.0, 4.3 ± 1.2, 4.5 ± 1.1, 4.5 ± 1.2 km/h, respectively, P < 0.0001), and VO2peak (16.5, 21.4, 21.1, 21.3 mL/kg/min, respectively, P < 0.0001). Conclusions: This early, individualized exercise intervention improved long-term adherence to a physically active lifestyle, walking capacity, and eCRF in older patients after ACS. Larger studies are needed to confirm short- and long-term clinical benefits of this intervention. |
| نوع الوثيقة: | article in journal/newspaper |
| وصف الملف: | STAMPA |
| اللغة: | English |
| Relation: | info:eu-repo/semantics/altIdentifier/pmid/34997543; info:eu-repo/semantics/altIdentifier/wos/WOS:000740168200002; volume:34; issue:5; firstpage:1065; lastpage:1072; numberofpages:8; journal:AGING CLINICAL AND EXPERIMENTAL RESEARCH; https://hdl.handle.net/11392/2472076; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85122495522; https://link.springer.com/article/10.1007/s40520-021-02044-1 |
| DOI: | 10.1007/s40520-021-02044-1 |
| الاتاحة: | https://hdl.handle.net/11392/2472076 https://doi.org/10.1007/s40520-021-02044-1 https://link.springer.com/article/10.1007/s40520-021-02044-1 |
| Rights: | info:eu-repo/semantics/closedAccess |
| رقم الانضمام: | edsbas.98977050 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1007/s40520-021-02044-1 |
|---|