The effect of percutaneous coronary intervention on habitual physical activity in older patients

SJ Charman, Vincent T. van Hees, L Quinn, JR Dunford, B Bawamia, M Veerasamy, MI Trenell, DG Jakovljevic, V Kunadian

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Abstract

BackgroundGiven the ongoing burden of cardiovascular disease and an ageing population, physical activity in patients with coronary artery disease needs to be emphasized. This study assessed whether sedentary behaviour and physical activity levels differed among older patients (≥75 years) following percutaneous coronary intervention (PCI) for acute coronary syndrome (ACS) consisting of ST-segment elevation myocardial infarction (STEMI) and non STEMI (NSTEMI) versus an elective admission control group of stable angina patients.MethodsSedentary behaviour and physical activity were assessed over a 7-day period using wrist-worn triaxial accelerometers (GENEActiv, Activinsights Ltd, UK) in 58 patients following PCI for, STEMI (n = 20) NSTEMI (n = 18) and stable angina (n = 20) upon discharge from a tertiary centre. Mean ± Standard deviation age was 79 ± 4 years (31% female).ResultsSTEMI and NSTEMI patients spent more time in the low acceleration category (0–40 mg) reflecting sedentary time versus stable angina patients (1298 ± 59 and 1305 ± 66 vs. 1240 ± 92 min/day, p < 0.05). STEMI and NSTEMI patients spent less time in the 40–80 mg acceleration category reflecting low physical activity versus stable angina patients (95 ± 35 and 94 ± 41 vs. 132 ± 50 min/day, p < 0.05). Stable angina patients spent more time in the higher acceleration categories (80–120 and 120–160 mg) and moderate-to-vigorous physical activity (defined as 1 and 5 min/day bouts) versus NSTEMI patients (p < 0.05). For acceleration categories ≥160 mg, no differences were observed.ConclusionsPatients presenting with ACS and undergoing PCI spent more time in sedentary behaviour compared with stable angina patients.
Original languageEnglish
Article number248
Number of pages8
JournalBMC Cardiovascular Disorders
Volume16
DOIs
Publication statusPublished - 3 Dec 2016
Externally publishedYes

Bibliographical note

Open Access This article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

Keywords

  • Physical Activity
  • Percutaneous Coronary Intervention
  • Acute Coronary Syndrome
  • Sedentary Behaviour
  • Stable Angina

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    Charman, SJ., van Hees, V. T., Quinn, L., Dunford, JR., Bawamia, B., Veerasamy, M., ... Kunadian, V. (2016). The effect of percutaneous coronary intervention on habitual physical activity in older patients. BMC Cardiovascular Disorders, 16, [248]. https://doi.org/10.1186/s12872-016-0428-7