Physical Activity Readiness in Patients with Heart Failure

Elena Marques-Sule, Pallav Deka, Luis Almenar, Dola Pathak, Raquel López-Vilella and Leonie Klompstra ()
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Elena Marques-Sule: Physiotherapy in Motion, Multispeciality Research Group (PTinMOTION), Department of Physiotherapy, University of Valencia, 46010 Valencia, Spain
Pallav Deka: College of Nursing, Michigan State University, East Lansing, MI 48824, USA
Luis Almenar: Unidad de Insuficiencia Cardíaca y Trasplante, Servicio de Cardiología, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain
Dola Pathak: Department of Statistics and Probability, Michigan State University, East Lansing, MI 48824, USA
Raquel López-Vilella: Unidad de Insuficiencia Cardíaca y Trasplante, Servicio de Cardiología, Hospital Universitari i Politècnic La Fe, 46026 Valencia, Spain
Leonie Klompstra: Department of Health, Medicine and Caring Sciences, Linkoping University, 58183 Linkoping, Sweden

IJERPH, 2022, vol. 19, issue 23, 1-9

Abstract: The aim of this study was to explore the readiness for physical activity (PA) and its related factors in patients with heart failure. This cross-sectional study included 163 patients with heart failure (mean age 66 ± 16, 50% female). The ability to safely engage in PA was assessed with the PA Readiness Questionnaire (PAR-Q). Psychological readiness was measured using two questionnaires, namely: Exercise Self-efficacy Scale and the Motivation for PA and Exercise/Working Out. A multivariate analysis of covariance was conducted to test the effect of background variables on readiness for PA. 64% (n = 105) of patients reported not being able to safely engage in PA, 80% (n = 129) reported low self-efficacy, and 45% (n = 74) were extrinsically motivated indicating external factors drove their motivation. Factors that positively influenced the PA readiness included lower age ( p < 0.01), being male ( p < 0.01), being married ( p < 0.01), having higher education ( p < 0.01), being in NYHA-class I compared with II ( p < 0.01), less time since diagnosis ( p < 0.01), lower BMI ( p = 0.02), and not suffering from COPD ( p = 0.02). Prior to recommending exercise, assessment of safety to engage in PA along with self-efficacy and motivation in patients with heart failure is essential.

Keywords: physical activity; physical readiness; motivation; self-efficacy; exercise; heart failure (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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