Physical Activity Readiness in Patients with Heart Failure

Autores de IIS La Fe

• Luis Almenar Bonet

  Autor

• Raquel López Vilella

  Autor

Participantes ajenos a IIS La Fe

• Marques-Sule E.
• Deka P.
• Pathak D.
• Klompstra L.

Grupos

• Grupo de Investigación Clínica y Traslacional en Cardiología

Abstract

The aim of this study was to explore the readiness for physical activity (PA) and its related factors in patients with heart failure. This cross-sectional study included 163 patients with heart failure (mean age 66 ± 16, 50% female). The ability to safely engage in PA was assessed with the PA Readiness Questionnaire (PAR-Q). Psychological readiness was measured using two questionnaires, namely: Exercise Self-efficacy Scale and the Motivation for PA and Exercise/Working Out. A multivariate analysis of covariance was conducted to test the effect of background variables on readiness for PA. 64% (n = 105) of patients reported not being able to safely engage in PA, 80% (n = 129) reported low self-efficacy, and 45% (n = 74) were extrinsically motivated indicating external factors drove their motivation. Factors that positively influenced the PA readiness included lower age (p < 0.01), being male (p < 0.01), being married (p < 0.01), having higher education (p < 0.01), being in NYHA-class I compared with II (p < 0.01), less time since diagnosis (p < 0.01), lower BMI (p = 0.02), and not suffering from COPD (p = 0.02). Prior to recommending exercise, assessment of safety to engage in PA along with self-efficacy and motivation in patients with heart failure is essential. © 2022 by the authors.

Keywords

• Aged; Aged, 80 and over; Cross-Sectional Studies; Exercise; Female; Heart Failure; Humans; Male; Middle Aged; Motivation; Self Efficacy; Surveys and Questionnaires; cardiovascular disease; higher education; multivariate analysis; physical activity; questionnaire survey; age; aged; Article; attitude to health; body mass; chronic obstructive lung disease; controlled study; cross-sectional study; daily life activity; educational status; exercise; Exercise Self efficacy Scale; extrinsic motivation; female; fitness; general health status assessment; health risk assessment; heart failure; human; intrinsic motivation; major clinical study; male; marriage; Motivation for Physical Activity and Exercise Working Out questionnaire; multivariate analysis of covariance; New York Heart Association class; patient safety; physical activity; Physical Activity Readiness Questionnaire; psychologic assessment; psychological aspect; self concept; self report; sex difference; tertiary education; exercise; he