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Physical activity in patients with heart failure: barriers and motivations with special focus on sex differences

机译:心力衰竭患者的体育锻炼:特别关注性别差异的障碍和动机

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Background: Adherence to recommendations for physical activity is low in both male and female patients with heart failure (HF). Men are more physically active than women. In order to successfully promote physical activity, it is therefore essential to explore how much and why HF patients are physically active and if this is related to sex. The aim of this study was therefore to evaluate physical activity in HF patients, to describe the factors related to physical activity, and to examine potential barriers and motivations to physical activity with special focus on sex differences. Methods: The study had a cross-sectional survey design. HF patients living at home received a questionnaire during May–July 2014, with questions on physical activity (from the Short Form-International Physical Activity Questionnaire), and potential barriers and motivations to physical activity. Results: A total of 154 HF patients, 27% women, with a mean age of 70±10 were included. In total, 23% of the patients reported a high level of physical activity, 46% a moderate level, and 34% a low level. Higher education, self-efficacy, and motivation were significantly associated with a higher amount of physical activity. Symptoms or severity of the disease were not related to physical activity. All the potential barriers to exercise were reported to be of importance. Psychological motivations were most frequently rated as being the most important motivation (41%) to be physically active. Physical motivations (33%) and social motivations were rated as the least important ones (22%). Women had significantly higher total motivation to be physically active. These differences were found in social, physical, and psychological motivations. Discussion: One-third of the HF patients had a low level of physical activity in their daily life. Severity of the disease or symptoms were not related, whereas level of education, exercise self-efficacy, and motivation were important factors to take into account when advising a HF patient about physical activity. Women reported higher motivation to be physically active than men, but there was no difference in the reported level of physical activity.
机译:背景:患有心力衰竭(HF)的男性和女性患者对体育锻炼建议的遵守率都很低。男性比女性更活跃。为了成功地促进体育锻炼,因此有必要探讨HF患者进行体育锻炼的程度和原因,以及这是否与性有关。因此,本研究的目的是评估HF患者的体育活动,描述与体育活动有关的因素,并特别关注性别差异,研究体育活动的潜在障碍和动机。方法:该研究采用横断面调查设计。在家中心衰患者在2014年5月至7月间接受了问卷调查,内容涉及体育活动(摘自《国际体育活动简短调查表》),以及从事体育活动的潜在障碍和动机。结果:总共包括154名HF患者,其中27%为女性,平均年龄为70±10。总体而言,有23%的患者报告了较高的体力活动水平,其中46%为中度水平,34%为低水平。高等教育,自我效能感和动机与大量的体育活动显着相关。疾病的症状或严重程度与体育锻炼无关。据报告,所有潜在的锻炼障碍都很重要。心理动机最常被认为是身体活跃的最重要动机(41%)。身体动机(33%)和社会动机被认为是最不重要的动机(22%)。妇女从事体育锻炼的总动机明显更高。在社会,身体和心理动机上发现了这些差异。讨论:三分之一的HF患者日常生活中的体育锻炼水平较低。疾病的严重程度或症状无关,而教育水平,锻炼自我效能和动机是向HF患者提供体育锻炼建议时要考虑的重要因素。女性报告称其从事体育锻炼的动机高于男性,但所报告的体育锻炼水平没有差异。

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