Adherence to 2020 ESC recommendations on physical activity in a population with different cardiovascular risk levels: A prospective population-based study from the CoLaus/PsyCoLaus study.

Details

Serval ID
serval:BIB_74FC430BFB91
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Adherence to 2020 ESC recommendations on physical activity in a population with different cardiovascular risk levels: A prospective population-based study from the CoLaus/PsyCoLaus study.
Journal
Preventive medicine reports
Author(s)
Hauser R., de la Harpe R., Vollenweider P., Hullin R., Vaucher J., Marques-Vidal P., Méan M.
ISSN
2211-3355 (Print)
ISSN-L
2211-3355
Publication state
Published
Issued date
06/2024
Peer-reviewed
Oui
Volume
42
Pages
102743
Language
english
Notes
Publication types: Journal Article
Publication Status: epublish
Abstract
In 2020, the European Society of Cardiology (ESC) recommends 150 min of moderate or 75 min of vigorous-intensity PA per week. While general population PA adherence is suboptimal, its status among those with previous ASCVD or high ASCVD risk remains unknown. We aimed to assess objective adherence to ESC PA recommendations using accelerometer-based measurement among these populations.
We used data from the Swiss CoLaus|PsyCoLaus cohort study (2014-2016). PA was measured using a 14-day wrist accelerometer. Adherence was defined as > 80 % of recommended PA achievement. Adherence was investigated separately among participants with previous ASCVD and among cardiovascular risk groups (based on the Systematic Coronary Risk Evaluation SCORE-1 and more recent SCORE2) with simple and multivariable logistic regressions. Participants' characteristics were also evaluated as independent factors after adjustment.
We studied 1867 participants (median age: 61.2 years, 51.3 % female). ESC PA Adherence reached 55.5 % overall, and 37 % in those with previous ASCVD. Multivariable analysis showed no significant association between previous ASCVD or high cardiovascular risk and PA adherence (Odds ratio adjusted [OR <sub>a</sub> ] 0.9, 95 % Confidence Interval [CI] 0.6-1.4 and OR <sub>a</sub> 0.7, 95 % CI 0.4-1.2, respectively). Age (≥60 years old), obesity, smoking, chronic renal disease, hypertension, diabetes and benzodiazepine use were significantly associated with lower likelihood of PA adherence in multivariable logistic regression.
Adherence to ESC PA guidelines, particularly in participants with higher cardiovascular risk, was poor. Since PA adherence was associated with modifiable risk factors (e.g., obesity, smoking, and benzodiazepine use), maintained efforts to implement the ESC recommendations are advised.
Pubmed
Open Access
Yes
Create date
10/05/2024 15:18
Last modification date
17/05/2024 6:57
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