Department of Sport Industry Studies and Exercise Medicine Center for Diabetes and Cancer Patients, Yonsei University, 50, Yonsei-Ro, Seodaemun-Gu, Seoul, Republic of Korea.
Frontier Research Institute of Convergence Sports Science, Yonsei University, Seoul, Republic of Korea.
Sci Rep. 2024 Feb 1;14(1):2622. doi: 10.1038/s41598-024-52764-3.
Although increase in physical activity is important to improve prognosis of cardiac patients in addition to hospital-based exercise cardiac rehabilitation, their physical activity levels are not properly understood. This study aimed to examine domain- and intensity-specific physical activity in individuals with coronary heart disease (CHD) and compare them with non-CHD individuals. Data from the Korean National Health and Nutrition Examination Survey (KNHANES) from 2014 to 2019 were analyzed, including 1083 CHD patients and 38,532 non-CHD individuals. The inclusion criteria were age 19 years or older and data not missing for CHD information. Before and after propensity score matching (PSM) for age, sex, body mass index, education, household income, alcohol intake, and smoking status, domain (leisure, work, transportation)-and intensity (moderate, vigorous) -specific physical activity participation levels were compared between individuals with and without CHD. Before PSM, CHD individuals were older, less educated, more sedentary, and participated less in PAs compared to non-CHD individuals. After PSM, CHD individuals had similar levels of domain-specific PAs. However, they had higher work-related PA levels (29.7 ± 209.6 vs. 42.1 ± 291.3 min/week p = 0.022) and more sedentary time (487.2 ± 224.2 vs. 514.1 ± 228.7. p = 0.003) than those without CHD. Subgroup analysis revealed lower leisure-related PA in men with CHD (63.5 ± 165.5 vs. 47.3 ± 140.2, p < 0.05) and higher work-related PA in women with CHD (18.9 ± 159.7 vs. 57.1 ± 397.5, p < 0.01). Among those < 65 years of age, individuals with CHD spent more time sedentary than individuals without CHD. CHD individuals are not physically inactive compared with non-CHD individuals who are similar in sociodemographic status and lifestyle. CHD patients' PA levels may have been underestimated.
尽管增加身体活动对于改善心脏病人的预后很重要，除了医院为基础的运动心脏康复外，他们的身体活动水平并没有得到适当的了解。本研究旨在检查冠心病（CHD）患者的特定领域和特定强度的身体活动，并将其与非 CHD 个体进行比较。本研究使用了 2014 年至 2019 年韩国国家健康和营养检查调查（KNHANES）的数据，其中包括 1083 名 CHD 患者和 38532 名非 CHD 个体。纳入标准为年龄在 19 岁及以上且 CHD 信息无缺失。在进行年龄、性别、体重指数、教育程度、家庭收入、饮酒和吸烟状况的倾向评分匹配（PSM）之前和之后，比较了有和无 CHD 个体在休闲、工作、交通等领域（中等、剧烈）特定身体活动参与水平。在 PSM 之前，CHD 患者年龄较大，受教育程度较低，久坐不动，参加 PA 的比例较低。PSM 后，CHD 患者的特定领域 PA 水平相似。然而，他们的工作相关 PA 水平更高（29.7±209.6 与 42.1±291.3，p=0.022），久坐时间更长（487.2±224.2 与 514.1±228.7，p=0.003）。亚组分析显示，男性 CHD 患者的休闲相关 PA 较低（63.5±165.5 与 47.3±140.2，p<0.05），女性 CHD 患者的工作相关 PA 较高（18.9±159.7 与 57.1±397.5，p<0.01）。在年龄<65 岁的人群中，CHD 患者比非 CHD 患者久坐的时间更多。与社会人口统计学和生活方式相似的非 CHD 个体相比，CHD 患者的身体活动水平可能被低估了。
