Movement Behaviors and Quality of Life in Cardiac Rehabilitation Programs: A Study Based on the Canadian 24‐Hour Movement Guidelines
Júlio César de Ávila Soares, Maria Eduarda Martins Vigilato, Heloísa Balotari Valente, Alice Haniuda Moliterno, João Pedro Lucas Neves Silva, Diego Giulliano Destro Christofaro, Luiz Carlos Marques VanderleiABSTRACT
Background and Purpose
The Canadian 24‐Hour Movement Guidelines integrate recommendations on physical activity (PA), sedentary behavior (SB), and sleep. Individuals in cardiac rehabilitation programs (CRPs) have specific characteristics that may influence adherence to these 24‐Hour Movement Guidelines and their relationship with quality of life. This study aimed to investigate the proportion of CRP participants who meet the recommendations of the Canadian 24‐Hour Movement Guidelines and to evaluate the association between levels of PA, SB, and sleep duration with the quality‐of‐life domains of these individuals.
Methods
This was a cross‐sectional observational study including CRP participants (mean age: 68.46 ± 10.15 years; 58.1% with coronary artery disease). Quality of life was assessed using the 36‐Item Short‐Form Health Survey (SF‐36). Movement behaviors (PA, SB, and sleep) were measured by accelerometers. Compliance with the guidelines was described using percentage values. Associations between PA, SB, and sleep with quality‐of‐life domains were analyzed using quantile regression. The significance level was set at 5%.
Results
Among the 105 participants analyzed, only 2.9% simultaneously met all three recommendations. Individual adherence was 29.5% (PA), 9.5% (SB), and 34.3% (sleep). A negative association was identified between SB and functional capacity, and positive associations were found between PA and the domains of functional capacity, vitality, and social aspects. Sleep duration was not associated with quality‐of‐life domains.
Discussion
Few CRP participants simultaneously meet all three recommendations of the Canadian 24‐Hour Movement Guidelines, with partial adherence being more frequent. Higher levels of PA and lower time spent in SB were associated with better quality of life, whereas sleep duration showed no significant association.