Arterial stiffness is associated with moderate to vigorous physical activity levels in post-myocardial infarction patients

• Type: Article in International Scientific Journal
• Date: 2019

Authors

Nórton Luís Oliveira (Author) Other; Alberto Jorge Alves (Author) Other; Maria-Arantzazu Ruescas-Nicolau (Author) Other; Gustavo Silva (Author) Other; Madalena Teixeira (Author) Other; Fernando Ribeiro (Author) Other; José Oliveira (Author) FADEUP

Journal

Title: Journal of Cardiopulmonary Rehabilitation and Prevention

Vol. 39 No. 5

Pages: 325-330

ISSN: 1932-7501

Publisher: Wolters Kluwer Health

Indexing

ISI Web of Knowledge - 2 Citations

Scopus - 2 Citations

Scientific classification

FOS: Social sciences

Other information

Authenticus ID: P-00Q-ETR

DOI: 10.1097/hcr.0000000000000406

Abstract (EN): Purpose: Arterial stiffness has shown independent predictive value for all-cause and cardiovascular mortalities, as well as fatal and nonfatal coronary events. Physical activity (PA) is associated with reduced cardiovascular morbidity and mortality. The study aims to analyze the cross-sectional association of arterial stiffness with objectively measured PA in patients following acute myocardial infarction. Methods: One hundred patients were consecutively recruited after experiencing an acute myocardial infarction. Central arterial stiffness was measured through carotid-femoral pulse wave velocity (cf-PWV) and daily PA was assessed objectively during 7 consecutive days with accelerometers. To be valid, data required recordings at least for 8 hr/d on 5 d. Results: The cf-PWV showed a negative and significant association with total weekly time spent in moderate to vigorous PA (MVPA) (r = -0.416, P <.001). Patients classified as having higher risk according to arterial stiffness values (cf-PWV ¿10 m/sec) showed significantly lower time spent in MVPA than those below that threshold. The cf-PWV was significantly lower in patients performing >300 min of MVPA/wk than in those performing <150 min/wk (8.53 ± 2.08 vs 10.3 ± 2.44 m/sec, P =.021). Differences remained significant after adjustment for several confounders. Conclusions: Moderate to vigorous PA was inversely associated with arterial stiffness and time spent in MVPA was lower in patients after acute myocardial infarction, with cf-PWV above the risk threshold value (¿10 m/sec). These results seem to reinforce the importance of PA as a nonpharmacological tool for secondary cardiovascular prevention. Copyright © 2019 National Association of Neonatal Nurses. Unauthorized reproduction of this article is prohibited.

Language: English

Type (Professor's evaluation): Scientific