A1 Journal article (refereed)
A cardiac-rehab behaviour intervention to reduce sedentary time in coronary artery disease patients : the SIT LESS randomized controlled trial (2024)


Kroesen, S. H., van Bakel, B. M. A., de Bruin, M., Günal, A., Scheepmaker, A., Aengevaeren, W. R. M., Willems, F. F., Wondergem, R., Pisters, M. F., Ortega, F. B., Hopman, M. T. E., Thijssen, D. H. J., Bakker, E. A., & Eijsvogels, T. M. H. (2024). A cardiac-rehab behaviour intervention to reduce sedentary time in coronary artery disease patients : the SIT LESS randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 21, Article 90. https://doi.org/10.1186/s12966-024-01642-2


JYU authors or editors


Publication details

All authors or editors: Kroesen, Sophie H.; van Bakel, Bram M. A.; de Bruin, Marijn; Günal, Arzu; Scheepmaker, Arko; Aengevaeren, Wim R. M.; Willems, Frank F.; Wondergem, Roderick; Pisters, Martijn F.; Ortega, Francisco B.; et al.

Journal or series: International Journal of Behavioral Nutrition and Physical Activity

eISSN: 1479-5868

Publication year: 2024

Publication date: 19/08/2024

Volume: 21

Article number: 90

Publisher: BioMed Central

Publication country: United Kingdom

Publication language: English

DOI: https://doi.org/10.1186/s12966-024-01642-2

Publication open access: Openly available

Publication channel open access: Open Access channel

Publication is parallel published (JYX): https://jyx.jyu.fi/handle/123456789/96889

Publication is parallel published: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11331608/


Abstract

Background: High sedentary times (ST) is highly prevalent in patients with coronary artery disease (CAD), highlighting the need for behavioural change interventions that effectively reduce ST. We examined the immediate and medium-term effect of the SIT LESS intervention on changes in ST among CAD patients enrolled in cardiac rehabilitation (CR).

Methods: CAD patients participating in CR at 2 regional hospitals were included in this randomized controlled trial (1:1, stratified for gender and hospital). The control group received CR, whereas SIT LESS participants additionally received a 12-week hybrid behaviour change intervention. The primary outcome was the change in accelerometer-derived ST from pre-CR to post-CR and 3 months post-CR. Secondary outcomes included changes in ST and physical activity characteristics, subjective outcomes, and cardiovascular risk factors. A baseline constrained linear mixed-model was used.

Results: Participants (23% female; SIT LESS: n = 108, control: n = 104) were 63 ± 10 years. Greater ST reductions were found for SIT LESS compared to control post-CR (-1.7 (95% confidence interval (CI): -2.0; -1.4) versus - 1.1 (95% CI: -1.4; -0.8) h/day, pinteraction=0.009), but not at 3 months post-CR (pinteraction=0.61). Besides, larger light-intensity physical activity (LIPA) increases were found for SIT LESS compared to control post-CR (+ 1.4 (95% CI: +1.2; +1.6) versus + 1.0 (95% CI: +0.8; +1.3) h/day, pinteraction=0.020). Changes in other secondary outcomes did not differ among groups.

Conclusion: SIT LESS transiently reduced ST and increased LIPA, but group differences were no longer significant 3 months post-CR. These findings highlight the challenge to induce sustainable behaviour changes in CAD patients without any continued support.


Keywords: cardiovascular diseases; coronary artery disease; rehabilitation; physical activity; immobility; lifestyle; risk factors; intervention study

Free keywords: cardiac rehabilitation; cardiovascular disease; physical activity; prevention; sedentary lifestyle; e-Health


Contributing organizations


Ministry reporting: Yes

VIRTA submission year: 2024

Preliminary JUFO rating: 3


Last updated on 2024-14-09 at 21:05