Daily Path Areas and Location Use During and After Cardiac Rehabilitation.

IF 3.3 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-01-10 DOI:10.1097/HCR.0000000000000917

Jodi Langley, Nerissa Campbell, Darren Warburton, Ryan E Rhodes, Shane Sweet, Nicholas Giacomantonio, Daniel Rainham, Shaelyn Strachan, Travis Saunders, Chris Blanchard

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Abstract

Purpose: Little research has focused on the potential impact that the environment plays in shaping cardiac rehabilitation (CR) patient sedentary time (ST) and physical activity (PA). To address this, the current study generated daily path areas (DPAs) based on the locations they visited during and after they completed CR.

Methods: Patients in CR (n = 66) completed a survey and wore an accelerometer and Global Positioning System receiver for 7 days early (first month), late (last 2 weeks of program), and 3 months after completing CR.

Results: Individual DPAs were approximately 24 km2 at baseline and remained stable over time. Location-based analyses showed that most patients' ST and PA time was spent at home, followed by other residential, commercial, work, and CR locations. However, the time spent in certain locations (eg, parks and recreation locations) fluctuated during and after CR by intensity.

Conclusions: CR patient DPA was stable over time. Within this space, they primarily engaged in ST and PA at home. However, when not home, the distribution of location use varied across a number of locations that extended well beyond their neighborhoods. Therefore, proximity to home may not be a barrier for CR patients in relation to their ST and PA.

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心脏康复期间和之后的每日路径区域和位置使用。

目的：很少有研究关注环境对心脏康复（CR）患者久坐时间（ST）和身体活动（PA）的潜在影响。为了解决这个问题，目前的研究根据他们在完成CR期间和之后访问的位置生成了每日路径区域（dpa）。方法：CR患者（n = 66）完成了一项调查，并在完成CR后的7天（第一个月），晚些时候（计划的最后2周）和3个月佩戴加速度计和全球定位系统接收器。结果：个体dpa在基线时约为24平方公里，并随着时间的推移保持稳定。基于位置的分析显示，大多数患者的ST和PA时间是在家中度过的，其次是其他住宅、商业、工作和CR地点。然而，在某些地点（如公园和娱乐场所）花费的时间在CR期间和之后随强度而波动。结论：CR患者DPA随时间稳定。在这个空间里，他们主要在家里从事ST和PA。然而，当不在家时，位置使用的分布在许多超出其社区的位置上有所不同。因此，离家近可能不是CR患者治疗ST和PA的障碍。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiopulmonary Rehabilitation and Prevention 医学-心血管系统

CiteScore

5.40

自引率

34.20%

发文量

164

审稿时长

6-12 weeks

期刊介绍： JCRP was the first, and remains the only, professional journal dedicated to improving multidisciplinary clinical practice and expanding research evidence specific to both cardiovascular and pulmonary rehabilitation. This includes exercise testing and prescription, behavioral medicine, and cardiopulmonary risk factor management. In 2007, JCRP expanded its scope to include primary prevention of cardiovascular and pulmonary diseases. JCRP publishes scientific and clinical peer-reviewed Original Investigations, Reviews, and Brief or Case Reports focused on the causes, prevention, and treatment of individuals with cardiovascular or pulmonary diseases in both a print and online-only format. Editorial features include Editorials, Invited Commentaries, Literature Updates, and Clinically-relevant Topical Updates. JCRP is the official Journal of the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation.