Leung Yvonne W, Ceccato Natalie, Stewart Donna E, Grace Sherry L
Kinesiology and Health Science, 222A Bethune College, York University, 4700 Keele Street, Toronto, ON, M3J1P3, Canada.
J Behav Med. 2007 Oct;30(5):411-21. doi: 10.1007/s10865-007-9117-4. Epub 2007 Jul 7.
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.
这项纵向研究调查了心脏病患者的运动行为模式（即保持者、不规律运动者和不运动者），并探究了运动模式的社会人口统计学、临床、心理社会和环境相关因素。来自三家医院的661名心脏病住院患者同意参与研究（应答率为75%），并在出院后9个月和18个月进行了重新评估（保留率为81%）。通过健康促进生活方式概况II分量表采用中位数分割法评估运动模式。在417名有完整数据的参与者（平均年龄63.1±10.2岁）中，42.2%被归类为运动保持者，21.3%为不规律运动者，26.1%为不运动者。多项逻辑回归显示，运动保持者更可能为男性，在诊断前就进行运动，参加心脏康复治疗，感知到的运动障碍较少，并且较不可能是当前吸烟者、既往吸烟者或将疾病原因归咎于自身行为的人。更有可能保持运动的患者具有积极的认知并利用心脏康复治疗。
