Predictors of noncompliance to exercise training in heart failure - PubMed (original) (raw)
Predictors of noncompliance to exercise training in heart failure
Teresita Corvera-Tindel et al. J Cardiovasc Nurs. 2004 Jul-Aug.
Abstract
Background/objectives: Exercise training is an emerging therapy in heart failure (HF). However, factors influencing noncompliance to exercise have not been evaluated. We assessed clinical factors, functional status, and emotional predictors of noncompliance to a 12-week home walking exercise program.
Methods: Using a correlational design, we evaluated noncompliance of 39 HF patients (aged 63.2 +/- 10.1 years, left ventricular ejection fraction 29.5% +/- 8.0%, peak oxygen consumption 14.1 +/- 3.7 mL/kg/min, HF duration 37.5 +/- 32.9 months, 74% New York Heart Association class II) to home walking exercise. Noncompliance was defined as (1) completion of the 12-week program with 60% or less of prescribed weekly walking duration (noncompliant completers); or (2) failure to complete the 12-week program (dropouts). Univariate analyses (chi-square or t test) and multivariate backward logistic regression were performed to identify clinical factors (body mass index, comorbidities, and HF duration), functional status (peak VO2), and emotional dysphoria (anxiety, hostility, depression) predictive of noncompliance to training.
Results: Mean compliance was 35% +/- 30% (945/2700 minutes) for noncompliant patients (n = 13) and 99% +/- 13% (2673/2700 minutes) for compliant patients (n = 26). In the multivariate analysis, higher comorbidity (odds ratio [OR]: 2.7, confidence interval [CI]: 1.11-6.71), longer HF duration (OR: 1.1, CI: 1.01-1.13), lower hostility (OR: 0.47, CI: 0.24-0.91), and lower body mass index (OR: 0.76, CI: 0.58-0.98) were predictive of noncompliance to exercise training in patients with HF.
Conclusions: Noncompliance should be monitored carefully in HF patients with multiple comorbidities, longer HF duration, lower body mass index, and lower hostility scores. In this subgroup of HF patients, tailored exercise prescriptions may enhance compliance to an exercise program.
Similar articles
- Adherence to exercise training in heart failure: a review.
Barbour KA, Miller NH. Barbour KA, et al. Heart Fail Rev. 2008 Feb;13(1):81-9. doi: 10.1007/s10741-007-9054-x. Heart Fail Rev. 2008. PMID: 18008161 Review. - Home-based telemonitored Nordic walking training is well accepted, safe, effective and has high adherence among heart failure patients, including those with cardiovascular implantable electronic devices: a randomised controlled study.
Piotrowicz E, Zieliński T, Bodalski R, Rywik T, Dobraszkiewicz-Wasilewska B, Sobieszczańska-Małek M, Stepnowska M, Przybylski A, Browarek A, Szumowski Ł, Piotrowski W, Piotrowicz R. Piotrowicz E, et al. Eur J Prev Cardiol. 2015 Nov;22(11):1368-77. doi: 10.1177/2047487314551537. Epub 2014 Sep 26. Eur J Prev Cardiol. 2015. PMID: 25261268 Clinical Trial. - Combined aerobic and resistance exercise program improves task performance in patients with heart failure.
Gary RA, Cress ME, Higgins MK, Smith AL, Dunbar SB. Gary RA, et al. Arch Phys Med Rehabil. 2011 Sep;92(9):1371-81. doi: 10.1016/j.apmr.2011.02.022. Arch Phys Med Rehabil. 2011. PMID: 21878207 Free PMC article. Clinical Trial. - Effect of digoxin noncompliance on hospitalization and mortality in patients with heart failure in long-term therapy: a prospective cohort study.
Miura T, Kojima R, Mizutani M, Shiga Y, Takatsu F, Suzuki Y. Miura T, et al. Eur J Clin Pharmacol. 2001 Apr;57(1):77-83. doi: 10.1007/s002280100272. Eur J Clin Pharmacol. 2001. PMID: 11372597 - High-intensity Interval Training Dosage for Heart Failure and Coronary Artery Disease Cardiac Rehabilitation. A Systematic Review and Meta-analysis.
Ballesta García I, Rubio Arias JÁ, Ramos Campo DJ, Martínez González-Moro I, Carrasco Poyatos M. Ballesta García I, et al. Rev Esp Cardiol (Engl Ed). 2019 Mar;72(3):233-243. doi: 10.1016/j.rec.2018.02.015. Epub 2018 Apr 9. Rev Esp Cardiol (Engl Ed). 2019. PMID: 29650445 English, Spanish.
Cited by
- Trait anger, hostility, serum homocysteine, and recurrent cardiac events after percutaneous coronary interventions.
Song EK, Son YJ, Lennie TA. Song EK, et al. Am J Crit Care. 2009 Nov;18(6):554-61. doi: 10.4037/ajcc2009974. Am J Crit Care. 2009. PMID: 19880957 Free PMC article. - Patient experiences of structured heart failure programmes.
Tully NE, Morgan KM, Burke HM, McGee HM. Tully NE, et al. Rehabil Res Pract. 2010;2010:157939. doi: 10.1155/2010/157939. Epub 2011 Feb 7. Rehabil Res Pract. 2010. PMID: 22110963 Free PMC article. - Mental health in hypertension: assessing symptoms of anxiety, depression and stress on anti-hypertensive medication adherence.
Kretchy IA, Owusu-Daaku FT, Danquah SA. Kretchy IA, et al. Int J Ment Health Syst. 2014 Jun 21;8:25. doi: 10.1186/1752-4458-8-25. eCollection 2014. Int J Ment Health Syst. 2014. PMID: 24987456 Free PMC article. - Safety and predictors of adherence of a new rehabilitation program for older women with congestive heart failure.
Azad NA, Bouchard K, Mayhew A, Carter M, Molnar FJ. Azad NA, et al. J Geriatr Cardiol. 2012 Sep;9(3):243-6. doi: 10.3724/SP.J.1263.2011.12211. J Geriatr Cardiol. 2012. PMID: 23097653 Free PMC article. - Adherence to exercise training in heart failure: a review.
Barbour KA, Miller NH. Barbour KA, et al. Heart Fail Rev. 2008 Feb;13(1):81-9. doi: 10.1007/s10741-007-9054-x. Heart Fail Rev. 2008. PMID: 18008161 Review.
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources
Medical
Research Materials
Miscellaneous