Move More and Sit Less Pilot Intervention for Individuals with Heart Failure

15 Pages Posted: 14 Apr 2022

See all articles by Ann Swartz

Ann Swartz

University of Wisconsin - Milwaukee

Christa Wamsley

Midwestern University-Glendale

Erin Crownover

University of Texas at Austin

Sergey Tarima

Medical College of Wisconsin - Institute for Health and Equity

Nunzio Gaglianello

Medical College of Wisconsin

Kristen Deal

University of Wisconsin-Milwaukee

Edith Burns

affiliation not provided to SSRN

Abstract

Background: Higher physical activity (PA) and lower sedentary behavior (SB) have been independently associated with lower risk of Heart Failure (HF). However, few individuals with HF engage in sufficient PA to confer benefits and many engage in high amounts of SB. This this feasibility study was conducted to examine changes in steps/day and SB in response to a tailored move more and sit less intervention.

Methods: This study used a single group, pre-post study design to assess changes in steps/day, inactive time, and time in moderate- to vigorous-intensity physical activity in individuals with HF stage C and D. Participants completed 1-week baseline assessment and an 11-week intervention. GEE Poisson model was used to evaluate the effect of intervention on change in PA and SB.

Results and Translational Conclusions: Average steps per day increased significantly over the intervention from 4778 steps/day at baseline to 5518 steps/day post-intervention. Time spent sedentary did not change. Age and duration of disease were associated with PA. Every year of age was associated with 2.8% lower total steps/day and those living with HF for 5+ years had 67% higher steps/day compared with those who had been living with the disease for a shorter duration. Move more and sit less interventions that include behavioral change techniques such as immediate feedback on steps can result in changes in walking behavior. Further strategies for engaging patients earlier in the disease course and reducing SB may yield even greater benefit.

Note:
Funding Information: Funding was provided by Advancing a Healthier Wisconsin Endowment Grant #5520453.

Declaration of Interests: The authors declare that they have no competing interests.

Ethics Approval Statement: The institutional review board approved all study procedures prior to the start of the study, confirming that the study protocol follows the ethical guidelines of the 1975 Declaration of Helsinki. All participants consented to participation. This study was approved by the Medical College of Wisconsin, Approval # PRO00028104 (PI Nunzio Gaglianello)

Keywords: Walking, steps/day, Cardiovascular disease, Exercise, sedentary behavior

Suggested Citation

Swartz, Ann and Wamsley, Christa and Crownover, Erin and Tarima, Sergey and Gaglianello, Nunzio and Deal, Kristen and Burns, Edith, Move More and Sit Less Pilot Intervention for Individuals with Heart Failure. Available at SSRN: https://ssrn.com/abstract=4046485 or http://dx.doi.org/10.2139/ssrn.4046485

Ann Swartz (Contact Author)

University of Wisconsin - Milwaukee ( email )

Bolton Hall 802
3210 N. Maryland Ave.
Milwaukee, WI 53211
United States

Christa Wamsley

Midwestern University-Glendale ( email )

United States

Erin Crownover

University of Texas at Austin ( email )

Texas
United States

Sergey Tarima

Medical College of Wisconsin - Institute for Health and Equity ( email )

United States

Nunzio Gaglianello

Medical College of Wisconsin ( email )

8701 Watertown Plank Road
Milwaukee, WI WI 53226
United States

Kristen Deal

University of Wisconsin-Milwaukee ( email )

Dept of Biological Sciences
PO Box
Milwaukee, WI 53211
United States

Edith Burns

affiliation not provided to SSRN

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