SOCIO-ECOLOGICAL CORRELATES OF EXERCISE AT CARDIAC REHABILITATION COMPLETION

Objectives To describe: (1) the amount of physical activity (PA) in cardiac rehabilitation (CR) graduates by sex, and (2) the correlates of their PA. Design Secondary analysis of baseline data from a randomized trial was undertaken. Graduates were recruited from 3 CR programs. Participants completed a questionnaire which assessed constructs from the Socio-ecological model (i.e., individual-level, social and physical-environmental levels). PA was measured objectively using an ActiGraph GT3X accelerometer. Multi-level modeling was performed. Results 255 patients consented, of which 200 (78.4%) completed the survey and provided valid accelerometer data. Participants self-reported engaging in a mean of 184.51±129.10 (standard deviation) minutes of moderate-to-vigorous-intensity PA (MVPA) per week (with men engaging in more than women, p<.05 accelerometer data revealed participants engaged in minutes of mvpa with meeting recommendations. the mixed models socio-ecological correlate significantly related to greater self-reported was self-regulation accelerometer-derived neighborhood aesthetics conclusions approximately one-quarter cr program completers are achieving recommendations although two-thirds perceive they are. programs should exploit accelerometry and promote skills namely self-monitoring goal-setting positive reinforcement time management relapse prevention. patients be encouraged exercise pleasing locations. funding: this work supported by a grant-in-aid from heart stroke foundation canada ontario award number: prof. grace her toronto general western hospital peter munk cardiac centre university health network. stephanie prince is funded fellowship canadian institute research an endowed strategic ottawa foundation. funders played no role design study collection analysis or interpretation writing manuscript. conflict interest: authors declare that have interest. statement human rights: has been approved appropriate institutional national ethics committee performed accordance ethical standards as laid down declaration helsinki its later amendments comparable standards. on welfare animals: article does not contain any studies animals authors. informed consent: consent obtained all individual corresponding author: sherry l. phd. school kinesiology science bethune york keele street m3j ip3 canada. email: sgrace copyright wolters kluwer inc. rights reserved.>

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