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Relation of sedentary behaviour to physical function in phase I cardiac rehabilitation

Izawa, P. Kazuhiro Kanejima, Yuji Kitamura, Masahiro Ishihara, Kodai Ogura, Asami Kubo, Ikko Oka, Koichiro Nagashima, Hitomi Tawa, Hideto Matsumoto, Daisuke Shimizu, Ikki 神戸大学

2023.06.09

概要

Increased sedentary behaviour (SB) is reportedly associated with mortality and morbidity in cardiovascular disease. However, its relation with physical function is not well understood in phase I cardiac rehabilitation (CR). This study aimed to investigate the rate of SB and the relation between SB and physical function among patients participating in phase I CR. This prospective multicentre cohort study enrolled patients participating in CR from October 2020 to July 2022. Patients with probable dementia and difficulty walking alone were excluded. We used sitting SB time as the index of SB and the Short Performance Physical Battery (SPPB) as the index of physical function at discharge. Patients were divided into the low SB group (< 480 min/day) or high SB group (≥ 480 min/day). We analysed and compared the two groups. The final analysis included 353 patients (mean age: 69.6 years, male: 75.6%), of whom 47.6% (168 of 353) were high SB patients. Total sitting SB time was higher in the high SB group versus the low SB group (733.6 ± 155.3 vs 246.4 ± 127.4 min/day, p < 0.001), and mean SPPB score was lower in the high SB group versus the low SB group (10.5 ± 2.4 vs 11.2 ± 1.6 points, p = 0.001). Multiple regression analysis identified SB as an explanatory variable for total SPPB score (p = 0.017). Patients with high SB had significantly lower SPPB scores than those with low SB. These findings underscore the importance of considering SB when improving physical function. Effective strategies to improve physical function can be developed that consider SB in phase I CR.

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Acknowledgements

The present study benefitted from the support of Yuichi Matsuda, Ryohei Yoshikawa, Yuta Muranaka, Mitsuyo

Okada, Toshimi Doi, Shinichi Shimada, Masashi Kanai, Masato Ogawa, Ryo Yoshihara, Natsumi Ikezawa, Ayami

Osumi, and Ayano Makihara.

Author contributions

K.P.I.: Conceptualization, Methodology, Validation, Formal analysis, Writing—Original Draft; Y.K.: Conceptualization, Methodology, Validation, Formal analysis, Writing—Review & Editing, Visualization; M.K., K.I.,

A.O., I.K.: Conceptualization, Investigation, Writing—Review & Editing; K.N.: Resources, Writing—Review &

Editing, Supervision; K.O., H.N., H.T., D.M., I.S.: Resources, Writing—Review & Editing.

Funding

This work was supported by JSPS KAKENHI Grant Number JP22K11392.

Competing interests The authors declare no competing interests.

Additional information

Correspondence and requests for materials should be addressed to K.P.I.

Reprints and permissions information is available at www.nature.com/reprints.

Publisher’s note Springer Nature remains neutral with regard to jurisdictional claims in published maps and

institutional affiliations.

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