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Sitting patterns in cardiovascular disease patients compared with healthy controls and impact of cardiac rehabilitation
Author(s) -
ten Broeke Pam,
van Bakel Bram M. A.,
Bakker Esmée A.,
Beckers Debby G. J.,
Geurts Sabine A. E.,
Thijssen Dick H. J.,
Eijsvogels Thijs M. H.,
Bijleveld Erik
Publication year - 2022
Publication title -
scandinavian journal of medicine and science in sports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.575
H-Index - 115
eISSN - 1600-0838
pISSN - 0905-7188
DOI - 10.1111/sms.14202
Subject(s) - sitting , medicine , rehabilitation , physical activity , physical therapy , sedentary behavior , cardiology , disease , pathology
Purpose To identify how and when to intervene in cardiovascular disease (CVD) patients' sedentary behavior, we moved beyond studying total volume of sitting and examined sitting patterns. By analyzing the timing of stand‐to‐sit and sit‐to‐stand transitions, we compared sitting patterns (a) between CVD patients and healthy controls, and (b) before and after cardiac rehabilitation (CR). Methods One hundered twenty nine CVD patients and 117 age‐matched healthy controls continuously wore a tri‐axial thigh‐worn accelerometer for 8 days (>120 000 posture transitions). CVD patients additionally wore the accelerometer directly and 2 months after CR. Results With later time of the day, both CVD patients and healthy controls sat down sooner (i.e., shorter standing episode before sitting down; HR = 1.01, 95% CI [1.011, 1.015]) and remained seated longer (HR = 0.97, CI [0.966, 0.970]). After more previous physical activity, both groups sat down later (HR = 0.97, CI [0.959, 0.977]), and patients remained seated longer (HR = 0.96; CI [0.950, 0.974]). Immediately and 2‐months following CR, patients sat down later (HR post‐CR = 0.96, CI [0.945, 0.974]; HR follow‐up = 0.96, CI [0.948, 0.977]) and stood up sooner (HR post‐CR = 1.04, CI [1.020, 1.051]; HR follow‐up = 1.03, CI [1.018, 1.050]). These effects were less pronounced with older age, higher BMI, lower sedentary behavior levels, and/or higher physical activity levels at baseline. Conclusion Cardiac rehabilitation programs could be optimized by targeting CVD patients' sit‐to‐stand transitions, by focusing on high‐risk moments for prolonged sitting (i.e., in evenings and after higher‐than‐usual physical activity) and attending to the needs of specific patient subgroups.