Motivational and emotional correlates of physical activity and sedentary behavior after cardiac rehabilitation : an observational study

Article Article scientifique Article Motivational and emotional correlates of physical activity and sedentary behavior after cardiac rehabilitation : an observational study eng 2024-10-03 author Fessler Layan 0000-0002-8435-5110 Univ. Grenoble-Alpes, SENS, Grenoble, F-38000, France. layan.fessler@univ-grenoble-alpes.fr. 940475 author Tessitore Elena 0000-0003-1680-0152 Department of Cardiology, Department of Internal Medicine and Rehabilitation, University Hospital of Geneva, Geneva, Switzerland. 750991 Département de médecine (DEMED) author Craviari Cecilia 0000-0001-7494-2744 Cardiology Service, Geneva University Hospitals, Geneva, Switzerland. author Sarrazin Philippe 0000-0003-0598-7564 Univ. Grenoble-Alpes, SENS, Grenoble, F-38000, France. author Meyer Philippe 0000-0002-2430-8953 Cardiology Service, Geneva University Hospitals, Geneva, Switzerland. 48187 Département de médecine (DEMED) author Luthy Christophe 0000-0003-1804-1903 Division of General Medical Rehabilitation, Geneva University Hospitals, Geneva, Switzerland. 34932 dept de réadaptation et gériatrie (MIGRG) author Hanna Deschamps Eliana 0000-0001-7012-1340 Division of General Medical Rehabilitation, Geneva University Hospitals, Geneva, Switzerland. 891286 author Cheval Boris 0000-0002-6236-4673 Swiss Center for Affective Sciences, University of Geneva, Geneva, Switzerland. boris.cheval@ens-rennes.fr.,Laboratory for the Study of Emotion Elicitation and Expression (E3Lab), Department of Psychology, University of Geneva, Geneva, Switzerland. boris.cheval@ens-rennes.fr.,Department of Sport Sciences and Physical Education, École normale supérieure Rennes, Bruz, France. boris.cheval@ens-rennes.fr.,Univ Rennes, VIPS2 (Violences, Innovations, Politiques, Socialisations et Sports) - EA 4636, F-35000, Rennes, France. boris.cheval@ens-rennes.fr. 812669 209 10.1186/s13102-024-00997-0 39363352 2052-1847 PMC11448298 https://bmcsportsscimedrehabil.biomedcentral.com/articles/10.1186/s13102-024-00997-0 Background: The present study assessed physical activity (PA) and sedentary behavior (SB) levels and their motivational and emotional health-related correlates, in outpatients following a cardiovascular rehabilitation (CR) program, and compared these variables with those of a healthy control group. Methods: The study included 119 participants: 68 CR outpatients (Mage 57.76 ± 10.76; 86.76% males) and 51 control participants matched on age (Mage 57.35 ± 6.33 years; 45.10% males). PA and SB were assessed using accelerometers during the first week post-discharge for outpatients and during a typical week for controls. Motivational (i.e., perceived capabilities, affective and instrumental attitudes, intention, approach-avoidance tendencies) and emotional health-related variables (i.e., anxiety, depressive symptoms, fatigue, pain intensity) were measured using validated scales. PA and SB data from 17 outpatients and 42 controls were valid for analysis, resulting in a final sample of 59 participants. Results: CR outpatients engaged an average of 60.21 (± 34.79) min of moderate-to-vigorous PA (MVPA), and 548.69 (± 58.64) min of SB per day, with 18 more minutes of MVPA per day than controls (p = .038). Univariate and multivariate regressions indicated that positive affective attitudes were associated with higher MVPA (b = 10.32, R2 = 0.07, p = .029), and that males spent more time in SB than females (b = 40.54, R2 = 0.09, p = .045). Univariate and multivariate logistic regressions showed that meeting the World Health Organization's weekly guidelines for MVPA was associated with higher perceived capabilities toward PA and more positive affective attitudes (OR = 1.17, p = .030; OR = 1.26, p < .001, respectively). Interaction tests showed no significant differences in these results between outpatients and controls. Conclusion: The study highlights an association between higher perceived capabilities and positive affective attitudes toward PA with higher PA levels after outpatient CR. While these findings suggest that enhancing these motivational variables may be beneficial for increasing PA levels after CR, longitudinal and experimental studies are needed to further establish their role. Exercise Health Motivation Patients Physical inactivity Dewey 616 Dewey 150 Dewey 618.97 Swiss National Science Foundation Behaviors minimizing energetic cost: A reward? 180040 CH Careers 108 Section de psychologie 71 56 Département de médecine 221 65 Département de réadaptation et gériatrie 22B false 593 Emergence et expression de l'émotion (E3 Lab) https://zenodo.org/records/11064184 BMC sports science, medicine & rehabilitation 16 1 c157b462-5de8-4ab7-b170-c0da54688198 Article (Published version) Public Article_scientifique_from_europePmc.pdf 1642283 application/pdf CC BY-NC-ND-4.0 a41bd3cc982e25cc613384880eb2fa180baaec00bff69d1da1c2395d98fcdee7 8e7c7e64-c032-48ee-959d-9eee73784e62 Appendix Public 13102_2024_997_MOESM1_ESM.docx 3136858 application/vnd.openxmlformats-officedocument.wordprocessingml.document 4129a1f9826b742ce898bc10157d6dec712dbae26c62e055f06953faf676097f openAccess Faculté de psychologie et des sciences de l'éducation / Section de psychologie Faculté de médecine / Section de médecine clinique / Département de médecine Faculté de médecine / Section de médecine clinique / Département de réadaptation et gériatrie

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Fessler, Layan