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A Prospective Examination of Patterns and Correlates of Exercise Maintenance in Coronary Artery Disease Patients

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Abstract

This longitudinal study examined exercise behavior patterns (i.e., maintainers, irregular, and inactive) in cardiac patients, and investigated the sociodemographic, clinical, psychosocial, and environmental correlates of exercise patterns. A total of 661 cardiac in-patients from three hospitals consented to participate (75% response rate) and were re-assessed 9 and 18 (81% retention) months post-discharge. Exercise patterns were assessed via the Health-Promoting Lifestyle Profile II subscale using a median split. Of 417 participants (mean age 63.1 ± 10.2) with complete data, 42.2% were classified as Exercise Maintainers, 21.3% as Irregular Exercisers, and 26.1% as Inactive. Multinomial logistic regression revealed that Exercise Maintainers were more likely to be male, have exercised prior to their diagnosis, attend cardiac rehabilitation, perceive fewer exercise barriers, and were less likely to be current-smokers, past-smokers, or attribute the cause of their disease to their own behavior. Patients more likely to maintain exercise have positive perceptions and utilize cardiac rehabilitation.

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Acknowledgements

This research was funded by Canadian Health Services Research Foundation (CHSRF) and Ontario Ministry of Health and Long-term Care (OMHLTC), and administered by the Canadian Institutes of Health Research. Ms. Leung is supported by GENESIS Gender and Sex Determinants of Circulatory and Respiratory Diseases: Interdisciplinary Enhancement Teams Grant Program, Canadian Institutes of Health Research and the Heart and Stroke Foundation of Canada, and Dr. Grace is supported by the OMHLTC. Special thanks to Suzan Krepostman and Laura Ewart for recruitment activities.

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Authors and Affiliations

  1. Kinesiology and Health Science, 222A Bethune College, York University, 4700 Keele Street, Toronto, ON, M3J1P3, Canada

    Yvonne W. Leung & Sherry L. Grace

  2. University of Toronto, Toronto, ON, Canada

    Natalie Ceccato, Donna E. Stewart & Sherry L. Grace

  3. University Health Network, Toronto, ON, Canada

    Donna E. Stewart & Sherry L. Grace

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  1. Yvonne W. Leung
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  2. Natalie Ceccato
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Correspondence to Yvonne W. Leung.

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Leung, Y.W., Ceccato, N., Stewart, D.E. et al. A Prospective Examination of Patterns and Correlates of Exercise Maintenance in Coronary Artery Disease Patients. J Behav Med 30, 411–421 (2007). https://doi.org/10.1007/s10865-007-9117-4

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