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Healthy Physical Behaviors for Cardiovascular Diseases: Towards Refined Measurement Methods, Epidemiologic Data, and Promotion Strategies

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601). This special issue belongs to the section "Health Behavior, Chronic Disease and Health Promotion".

Deadline for manuscript submissions: closed (1 June 2023) | Viewed by 5416

Special Issue Editors

Prof. Dr. Pierre-Yves de Müllenheim

E-Mail Website
Guest Editor
Institut de formation en éducation physique et en sport d’Angers (IFEPSA), 49136 Les Ponts-de-Cé, France
Interests: physical activity; sedentary behavior; walking capacity; activity monitors; peripheral artery disease
Dr. Véronique Cornelissen

E-Mail Website
Co-Guest Editor
Department of Rehabilitation Sciences, University of Leuven, 3000 Leuven, Belgium
Interests: exercise therapy; cardiovascular disease prevention, exercise-based rehabilitation; technology in rehabilitation

Special Issue Information

Dear Colleagues, 

Physical behaviors (physical activity, sedentary behavior, and sleep) play a substantial role in overall and cardiovascular health (Tsao et al., 2022). As a result, significant research efforts are continuously focused on improving measurement methods and promotion strategies for healthy physical behaviors. Various metrics from activity monitors can now be applied to characterize physical behaviors, enhancing our understanding of their relationships with health (Backes et al., 2021). It is also known that several levels of intervention (e.g., individual, community, see PAGAC, 2018) are conducive to encouraging physical behavior changes. However, for artery diseases, additional research efforts seem to be required to obtain data related to refined behavior measurement methods and promotion strategies. Guidelines for managing some families of artery diseases (e.g., Gerhard-Herman et al., 2017) still essentially focus on walking behavior in order to improve walking capacity. No information is available on what daily composition of physical behaviors should be recommended for the optimization of artery and overall health, nor on what strategies could be implemented to favor the adoption of healthy physical behavior, in particular for patients with chronic pain symptoms. With this in mind, papers considering the following topics in relation to artery diseases are welcome for this Special Issue:

  • New methods for measuring physical behaviors, in particular for recognizing activity types and estimating behavior intensity;
  • Characterization of physical behavior patterns and their relationships with the physical environment and/or health;
  • Effects of interventions targeting healthier physical behaviors, using either exercise-based programs or other frameworks (e.g., learning how to cope with pain during walking).

Prof. Dr. Pierre-Yves De Müllenheim
Dr. Véronique Cornelissen
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access monthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • artery diseases
  • physical activity
  • sedentary behavior
  • sleep
  • measurement methods
  • behavior patterns
  • health
  • physical environment
  • behavioral interventions

Published Papers (3 papers)

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Research

14 pages, 364 KiB  
Article
Walking Behaviour of Individuals with Intermittent Claudication Compared to Matched Controls in Different Locations: An Exploratory Study
by Anna M. J. Iveson, Ukachukwu O. Abaraogu, Philippa M. Dall, Malcolm H. Granat and Brian M. Ellis
Int. J. Environ. Res. Public Health 2023, 20(10), 5816; https://doi.org/10.3390/ijerph20105816 - 13 May 2023
Cited by 2 | Viewed by 1282
Abstract
Individuals with intermittent claudication (IC) are less physically active than their peers, but how this varies with location is unclear. Individuals with IC and matched controls [sex, age ±5 years, home < 5 miles] wore an activity monitor (activPAL) and carried a GPS [...] Read more.
Individuals with intermittent claudication (IC) are less physically active than their peers, but how this varies with location is unclear. Individuals with IC and matched controls [sex, age ±5 years, home < 5 miles] wore an activity monitor (activPAL) and carried a GPS device (AMOD-AGL3080) for 7 days. GPS data categorised walking events as occurring at home (<=50 m from home co-ordinates) or away from home, and indoors (signal to noise ratio <= 212 dB) or outdoors. Number of walking events, walking duration, steps and cadence were compared between groups and each location pair using mixed model ANOVAs. In addition, the locus of activity (distance from home) at which walking was conducted was compared between groups. Participants (n = 56) were mostly male (64%) and aged 54–89 years. Individuals with IC spent significantly less time walking and took fewer steps than their matched controls at all locations, including at home. Participants spent more time and took more steps away from home than at home, but were similar when walking indoors and outdoors. The locus of activity was significantly smaller for individuals with IC, suggesting that it is not just physical capacity that influences walking behaviour, and other factors (e.g., social isolation) may play a role. Full article
(This article belongs to the Special Issue Healthy Physical Behaviors for Cardiovascular Diseases: Towards Refined Measurement Methods, Epidemiologic Data, and Promotion Strategies)
14 pages, 842 KiB  
Article
The Relationship between the Frontal QRS-T Angle on ECG and Physical Activity Level in Young Adults
by Constantin Ciucurel and Elena Ioana Iconaru
Int. J. Environ. Res. Public Health 2023, 20(3), 2411; https://doi.org/10.3390/ijerph20032411 - 29 Jan 2023
Cited by 2 | Viewed by 1626
Abstract
Background: The heart’s electrical activity has been the subject of numerous research concerning various physiological parameters. The frontal QRS-T angle (FQRST) is an advanced ECG variable with clinical epidemiological utility. This study aimed to determine the relationship between FQRST and physical activity exposure [...] Read more.
Background: The heart’s electrical activity has been the subject of numerous research concerning various physiological parameters. The frontal QRS-T angle (FQRST) is an advanced ECG variable with clinical epidemiological utility. This study aimed to determine the relationship between FQRST and physical activity exposure among young adults. Methods: We recorded the ECG with 12 leads of 124 participants (mean age 20.28 ± 2.23 years, age range 18–27 years). Next, we measured their physical activity level (PAL) with the International Physical Activity Questionnaire—Short Form (IPAQ), which categorizes activity into three classes: low, moderate, or high. Results: An inferential analysis, based on the Kruskal-Wallis H test and Mann–Whitney U test, revealed a statistically significant difference in FQRST between the three groups of subjects, classified by their PAL (p < 0.001). We also identified a significant regression model between the body mass index (BMI) and the FQRST (p < 0.001). Conclusions: The physical activity regime of young adults significantly influences the concordance between ventricular depolarization and repolarization, reflected in the FQRST’s width. Also, we found a regression model between FQRST and BMI with statistical significance. Full article
(This article belongs to the Special Issue Healthy Physical Behaviors for Cardiovascular Diseases: Towards Refined Measurement Methods, Epidemiologic Data, and Promotion Strategies)
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11 pages, 602 KiB  
Article
Experience and Perceptions among Older Outpatients after Myocardial Infarction following an Exercise Intervention: A Qualitative Analysis from the PIpELINe Trial
by Andrea Raisi, Tommaso Piva, Jonathan Myers, Valentina Zerbini, Simona Mandini, Tamara Zappaterra, Gianni Mazzoni, Elisabetta Tonet, Rita Pavasini, Gianluca Campo, Giovanni Grazzi and Emilio Paolo Visintin
Int. J. Environ. Res. Public Health 2023, 20(3), 2196; https://doi.org/10.3390/ijerph20032196 - 26 Jan 2023
Viewed by 1955
Abstract
Traditional cardiac rehabilitation (CR) programs effectively improve physical performance and outcomes after myocardial infarction (MI). However, older patients are less likely to participate in such programs. The aim of this qualitative analysis was to investigate experiences and perceptions of cardiac outpatients enrolled in [...] Read more.
Traditional cardiac rehabilitation (CR) programs effectively improve physical performance and outcomes after myocardial infarction (MI). However, older patients are less likely to participate in such programs. The aim of this qualitative analysis was to investigate experiences and perceptions of cardiac outpatients enrolled in an innovative and exercise-based CR program and to identify possible barriers to improving adherence and quality of life. Semi-structured interviews were conducted on a sample of 31 patients (84% male; age 76 ± 6 years) from the Physical Activity Intervention in Elderly after Myocardial Infarction (PIpELINe) trial, after about six months of the event. Three main themes were identified: Personal feelings after the event; lifestyle change and perception of barriers; and relationships with familiars. Participants perceived sensations of fear at the time of their diagnosis and showed awareness of the importance of following specific health suggestions. They reported a significative change in previous habits and highlighted the need for periodic controls. Few of them felt insecure in carrying out daily activities or practicing exercise and reported an unnecessary protection from the family members. These findings will provide valuable insights for the development of a more feasible patient-centered CR model of intervention. Full article
(This article belongs to the Special Issue Healthy Physical Behaviors for Cardiovascular Diseases: Towards Refined Measurement Methods, Epidemiologic Data, and Promotion Strategies)
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