| Titre : | Physical Activity in Primary Versus Secondary Prevention Indication Implantable Cardioverter Defibrillator Recipients 6–12 Months After Implantation – A Cross-Sectional Study With Register Follow Up (2015) |
| Auteurs : | Selina Kikkenborg Berg ; Lau Caspar Thygesen ; Jesper Hastrup Svendsen |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/3, 2015) |
| Article en page(s) : | p. 426-431 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Exercice physique ; Mortalité ; Rééducation et réadaptation |
| Mots-clés: | Exercise ; Defibrillators ; Implantable ; Défibrillateurs implantables ; Mortality |
| Résumé : |
Objectives To describe physical activity status among patients with implantable cardioverter defibrillators (ICDs) according to the indication for ICD implant compared with international guidelines and compared with a matched healthy reference population to detect potential for improved physical outcomes; to describe patients' beliefs regarding participation in physical exercise by ICD indication; to describe factors predicting low physical activity; and to describe physical activity as a predictor of mortality. Design National survey with register follow-up. Comparisons were made to a matched healthy reference population, and patients were followed in registers for 15 months. Setting Patients are identified from national registers and questionnaires are distributed by postal mail. Participants All diagnostic profiles and indications were included as were both single-chamber ICD and biventricular ICD (N=499). Interventions Not applicable. Main Outcome Measures Questions regarding physical activity and the International Physical Activity Questionnaire-Short Form were used to assess physical activity. Results The response rate was 71.7%. The mean age of participants was 65.5 years, with 82% of participants being men. Of the participants, 37% participated in a rehabilitation program, and 21% were sedentary compared with 8% in the reference population (P<.0001 only of patients followed physical exercise guidelines. low activity was predicted by primary prevention indication ratio confidence interval and higher comorbidity ci p finally associated with increased mortality however it not statistically significant when adjusted for age sex marital status comorbidity.> Conclusions Guidelines for exercise and participation in rehabilitation are not met for this population, leaving a great potential for future interventions to improve the clinical outcomes, which are modifiable by exercise. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314012210 |
Bibliothèques HE Vinci
