Higher physical activity and lower sedentary behavior are associated with better quality of life in cardiac rehabilitation participants, but sleep duration shows no significant association.
In a cross-sectional study of 105 cardiac rehabilitation participants, only 2.9% met all three Canadian 24-Hour Movement Guidelines recommendations. Higher physical activity was positively associated with functional capacity, vitality, and social aspects, while sedentary behavior was negatively associated with functional capacity; sleep duration was not associated with any quality-of-life domain.
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Higher physical activity and lower sedentary behavior are associated with better quality of life in cardiac rehabilitation participants, but sleep duration shows no significant association. The current body of evidence comprises 1 study. EvidenceHub rates the overall confidence at 32/100 (low).
The Claim
Higher physical activity and lower sedentary behavior are associated with better quality of life in cardiac rehabilitation participants, but sleep duration shows no significant association.
This conclusion is most relevant to: Cardiac rehabilitation program participants (mean age 68.46 ± 10.15 years; 58.1% with coronary artery disease).
What the Research Shows
The conclusion draws on 1 linked study. Highlights from the cited literature:
- ▸Movement Behaviors and Quality of Life in Cardiac Rehabilitation Programs: A Study Based on the Canadian 24-Hour Movement Guidelines. (Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2026) —
How It Works
The proposed biological pathway:
- ▸Physical activity improves cardiovascular fitness and energy levels, enhancing functional capacity and vitality.
- ▸Reduced sedentary behavior may improve physical function by reducing deconditioning.
- ▸Sleep duration may not directly impact quality of life in this population, possibly due to other factors.
- ▸Result: Higher PA and lower SB are linked to better quality of life, but sleep is not.
Who Might Benefit
Evidence fit by population:
- ▸Cardiac rehabilitation program participants (mean age 68.46 ± 10.15 years; 58.1% with coronary artery disease)
Recommended Dose
N/A
Limitations & Caveats
Important context when interpreting this evidence:
- ▸Cross-sectional design prevents causal inference.
- ▸Sample size relatively small (n=105) and specific to cardiac rehabilitation, limiting generalizability.
- ▸Sleep duration measured objectively but not sleep quality, which may be more relevant.
- ▸Potential confounding factors not fully controlled (e.g., comorbidities, medication).
Frequently Asked Questions
What percentage of cardiac rehabilitation participants meet all three Canadian 24-Hour Movement Guidelines?▼
Only 2.9% of participants met all three recommendations simultaneously.
Which quality of life domains are associated with physical activity in this study?▼
Physical activity was positively associated with functional capacity, vitality, and social aspects.
Is sleep duration associated with quality of life in cardiac rehabilitation patients?▼
No, sleep duration was not significantly associated with any quality-of-life domain in this study.
What was the individual adherence rate for each movement behavior?▼
Adherence was 29.5% for physical activity, 9.5% for sedentary behavior, and 34.3% for sleep.
References
- 1.Soares JCÁ, Vigilato MEM, Valente HB, Moliterno AH, Silva JPLN, Christofaro DGD, Vanderlei LCM. “Movement Behaviors and Quality of Life in Cardiac Rehabilitation Programs: A Study Based on the Canadian 24-Hour Movement Guidelines..” Physiotherapy research international : the journal for researchers and clinicians in physical therapy, 2026. PMID: 42544029 DOI: 10.1002/pri.70281