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Exercise self-efficacy (ESE) in adults with congential heart disease
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.ORCID-id: 0000-0001-6321-8240
Umeå universitet, Medicinska fakulteten, Institutionen för folkhälsa och klinisk medicin.
Umeå universitet, Medicinska fakulteten, Institutionen för samhällsmedicin och rehabilitering, Fysioterapi.
Vise andre og tillknytning
2017 (engelsk)Inngår i: European Heart Journal, ISSN 0195-668X, E-ISSN 1522-9645, Vol. 38, nr Suppl. 1, artikkel-id ehx501.P618Artikkel i tidsskrift, Meeting abstract (Fagfellevurdert) Published
Abstract [en]

Background: Many adults with congenital heart disease (CHD) have reduced aerobic exercise capacity and impaired muscle function. However, it is largely unknown which factors have influence on the confidence to perform exercise training, i.e. Exercise Self-Efficacy (ESE).

Aims: To identify factors related to low ESE, and thus identify potential targets for rehabilitation and thereby enhance the potential for being physically active.

Methods: Seventy-nine adults with CHD; simple lesions n=38 (women n=16), complex lesions n=41 (women n=17) (mean age 36.7±14.6 years) and 42 age and sex matched controls were recruited. All participants completed questionnaires on ESE, quality of life (EQ-5D), and physical activity (international physical activity questionnaire, IPAQ), and performed muscle endurance tests.

Results: ESE was categorised into low (<26 points, n=24) and high (≥26 points, n=55). Patients with low ESE were older (45.2±15.4 vs. 32.6±12.5 years, p=0.002), more often had prescribed medication (67% vs. 44%, p=0.06), higher New York Heart Association functional class (NYHA) (≥ III) (25% vs. 7%, p=0.03) and performed fewer shoulder flexions (30.9±16.1 vs. 45.9±23.9, p=0.01) compared with those with high ESE. In the high ESE group, ESE did not differ from controls (33.8±3.9 vs. 33.4±6.1, p=0.74). In linear multivariate analysis age (B;-0.18, 95% CI -0.28- -0.08), smoking (B;-3.73, 95% CI -7.17- -0.28), EQ-5Dindex <1 (B;-3.33, 95% CI -6.08- -0.57) and number of shoulder flexions (B; 0.09, 95% CI 0.03–0.16) were independently associated with ESE.

Conclusion: Many adults with CHD have low ESE. Rehabilitation targeting quality of life, smoking cessation and muscle training may improve ESE, and thus enhance the potential for being physically active in this population.

sted, utgiver, år, opplag, sider
2017. Vol. 38, nr Suppl. 1, artikkel-id ehx501.P618
Emneord [en]
heart diseases, exercise, adult, self efficacy
HSV kategori
Forskningsprogram
omvårdnadsforskning med medicinsk inriktning
Identifikatorer
URN: urn:nbn:se:umu:diva-156919DOI: 10.1093/eurheartj/ehx501.P618OAI: oai:DiVA.org:umu-156919DiVA, id: diva2:1292962
Konferanse
European Society of Cardiology (ESC) Congress 2017, 26-30 August, Barcelona, Spain
Tilgjengelig fra: 2019-03-01 Laget: 2019-03-01 Sist oppdatert: 2019-03-20bibliografisk kontrollert

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