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RESEARCH PAPER
 
CC BY-NC-ND 3.0
 
 

Use of the IPAQ questionnaire in the form of a mobile application in monitoring physical activity of patients with cardiovascular diseases

Tomasz Saran 1  ,  
Jakub Owoc 2,  
 
1
Department of General and NeuroRehabilitation, Institute of Rural Health, Lublin, Poland
2
College of Public Health, Zielona Góra, Poland
3
Department for Woman Health, Institute of Rural Health in Lublin, Poland
KEYWORDS:
TOPICS:
ABSTRACT:
Introduction:
Systematic, dynamic physical effort brings about tremendous health benefits, not only in young individuals, but as a form of primary prevention, and primarily as secondary prevention of cardiovascular system diseases.

Material and methods:
The research project was conducted in the Rehabilitation Centre at the Witold Chodźko Institute of Rural Health (IMW) in Lublin, Poland, and covered a group of 927 ambulatory patients. From among the study group, two subgroups were distinguished (Groups 1 and 2). Selection of patients was targeted, based on the criterion of the existing diagnosis of cardiovascular diseases (Group 1; N=53), and the lack of these diseases (Group 2; N=53). The daily level of physical activity was assessed using the monitoring application (Instrument for Activity Measurement IMW) – using a short version of the International Physical Activity Questionnaire (IPAQ), and alternatively analyzing the data from a smartphone accelerometer.

Results:
The total level of weekly physical activity in Group 1 was 4532.88±3611.6 MET-min/week, and was considerably higher, compared to the control group (3142.58±2536.9 MET-min/week). Also, the values of weekly caloric cost of physical activity (KAF kcalxweek -1 ) showed higher values (6935.77±5957.4), compared to the control group (4274±3344.9). The group of cardiologic patients (Group 1) showed a higher level of activity, especially within the range of effort on an intensive level, and low level – going for walks, walking(MET1, MET3), which was also translated into the caloric cost of these levels of physical activity (KAF1, KAF3).

Conclusions:
The results of the study indicated a significantly higher level of physical activity in the group of patients with concomitant cardiovascular diseases, compared to the control group. The overestimation of the level of physical activity perceived by patients seems to be an important problem, especially in the control group.

CORRESPONDING AUTHOR:
Tomasz Saran   
Department of General and NeuroRehabilitation, Institute of Rural Health, Lublin, Poland
 
REFERENCES (31):
1. Noncommunicable diseases. WHO (2014). Regional Office for Europe.
2. Mirat J. Physical activity in the prevention and treatment of cardiovascular diseases. Acta Med Croatia 2007; 61 (suppl.1): 63–67.
3. Warburton DE, Nicol CW, Bredin SS. Health benefits of physical activity: the evidence. CMAJ 2006; 174(6): 801–809.
4. Blair S, Cheng Y, Holder J. Is physical activity or physical fitness more important in defining health benefits? Med Sci Sports Exerc. 2001; 33 (suppl.): 379–399.
5. Taylor RS, Brown A, Ebrahim S, et al. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. Am J Med. 2004; 116: 682–692.
6. Hambrecht R, Wolf A, Gielen S, Linke A, Hofer J, Erbs S. Effect of exercise on coronary endothelial function in patients with coronary artery disease. N Engl J Med. 2000; 342: 454–460.
7. Sesso HD, Paffenbarger RS Jr, Lee IM. Physical activity and coronary heart disease in men. The Harvard Alumni Health Study. Circulation 2000; 102(9): 975–980.
8. Cheng X, Li W, Guo J, et al. Physical activity levels, sport activities, and risk of acute myocardial infarction: results of the INTERHEART study in China. Angiology 2014; 65(2): 113–121.
9. Smedt DD, Clavs E, Annemans L, et al. The association between self-reported lifestyle changes and health-related quality of life in coronary patients: The EUROASPIRE III survey. Eur J PrevCardiol. 2014; 21(7): 796–805.
10. Yates T, Haffner SM, Schulte PJ, et al. Association between change in daily ambulatory activity and cardiovascular events in people with impaired glucose tolerance (NAVIGATOR trial): A cohort analysis. Lancet 2014; 384(9922): 1059–1066.
11. Wenger NK. Cardiac Rehabilitation: Implications of the AHCPR Guideline. Hosp Med. 1997; 33: 31–38.
12. ExTraMATCH Collaborative. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH) Br Med J. 2004; 328: 189–192.
13. Paré G, Sicotte C, St.-Jules D, Gauthier R. Cost-Minimization Analysis of a Telehomecare Program for Patients with Chronic Obstructive Pulmonary Disease. Telemed e-Health 2006; 12(2): 114–121.
14. Keteyian SJ. Exercie Training in Congesive Heart Failure: Risks and Benefits. Progress in Cardiovascular Disease 2011; 53: 419–428.
15. WHO (2010) Global Recommendations on Physical Activity for Health.
16. Bauman A, Bull F, Chey T, Craig CL, Ainsworth BE, Sallis JF, et al. The International Prevalence Study on Physical Activity: results from 20 countries. Int J Behav Nutr Phys Act. 2009; 6: 1–11.
17. Neilson HK, Robson PR, Friedenreich CM, Csizmadi I. Estimating activity energy expenditure: how valid are physical activity questionnaires? Am J Clin Nutr. 2008; 7: 279–291.
18. Mahabir S, Baer DJ, Giffen C, Clevidence B, Campbell WS, Taylor PR. Comparison of energy expenditure estimates from 4 physical activity Questionnaire with doubly labeled water estimates in postmenopausal women. Am J Clin Nutr. 2006; 84(1): 230–236.
19. Pate RR, Prat M, Blair SN, Haskell WL, Macera CA, Bouchardet C, et al. Physical activity and public health. A recommendation from the centers for Disease Control and Prevention and the American College of Sports Medicine. J Am Med Assoc. 1995; 273(5): 402–407.
20. Mora S, Cook N, Buring J. Physical activity and reduced risk of cardiovascular events. Circulation 2007; 116: 2110–2118.
21. Fletcher GF, Balady GJ, Amsterdam EA, et al. Exercise standards for testing and training: A statement for healthcare professionals from the American Heart Association. Circulation 2001; 104: 1694–1740.
22. Szot W, Zając J, Kostkiewicz M, Owoc J, Bojar I. Cardiac rehabilitation: a good measure to improve quality of life in peri- and postmenopausal women with microvascular angina. Ann Agric Environ Med. 2015; 22: 390–395.
23. American Heart Association. Heart Disease and Stroke Statistics- Update 200Dallas, Texas: American Heart Association 2006.
24. Wang W, Jiang Y, He HG. A randomised controlled trial on the effectiveness of a home-based self-management programme for community-dwelling patients with myocardial infarction. Eur J CardiovascNurs. 2015.
25. Woolf-May K, Bird S, MacIntyre P. Physical activity levels during phase IV cardiac rehabilitation in a group of male myocardial infarction patients. B J Sports Med. 2005; 39(3).
26. European Guidelines on CVD Prevention in Clinical Practice. Eur Heart J. 2003; 24(14): 1601–1610.
27. Paffenbarger RSJr, Hyde RT, Wing AL. Physical activity and physical fitness as determinants of health and longevity. In: Bouchard C, Shephard RJ, Stephens TS, Sutton JR, McPherson BD. [ed.]. Exercise, fitness, and health. Human Kinetics Publishers, Champaign, IL (USA) 1990; pp. 33–48.
28. Haskell WL, Lee I-M, Pate RR, Powell KE, Blair SN, Franklin BA. Physical activity and public health: Updated recommendation for adults from the American College of Sports Medicine and the American Heart Association. Med Sci Sports Exerc. 2007; 39(8): 1423–1434.
29. Global recommendations on Physical activity for Health: World Health Organization, Geneva 2010.
30. Brownell KD, Wadden TA. The learn Program for Weight Control. American Health Publishing Company. Dallas 1999.
31. Shephard RJ. Limits to the measurement of habitu al Physical activity by Questionnaire. Br J Sports Med. 2003; 37: 197–206.
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