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Participation in cardiac rehabilitation and younger age are associated with increased physical activity in coronary heart disease patients

This systematic review of 24 observational studies found that the primary explanatory variables for 24-hour movement behaviors in coronary heart disease patients were concentrated at the intrapersonal level. Aging was significantly associated with reduced physical activity, while participation in cardiac rehabilitation was linked to increased physical activity. No significant associations were found at the policy level.

Last updated: Aug 21, 2026•0 RCTs•📖 Read as article →

Evidence Score

Evidence Score32/100
Human RCT☆☆☆☆☆
Meta-analysis☆☆☆☆☆
Mechanism★★★★★
Safety★★★★☆
Confidencelow

Study Evidence

Study 1. Explanatory Variables of Objectively Measured 24 h Movement Behaviors in Coronary Heart Disease Patients: A Systematic Review.

observational

Peng X, Guo T, Wang X, Wan Y, Peng Y, Cheng T, Tang S, Tu H · Clinical cardiology (2026)

Participants: N/A
Duration: N/A
Intervention: Observational assessment of explanatory variables (including cardiac rehabilitation participation, age, social support, residential environment) for 24-hour movement behaviors
Outcome: Objectively measured 24-hour movement behaviors (physical activity, sedentary behavior, sleep) and their explanatory variables
Effect Size: N/A
Population: Adults (≥18 years) with coronary heart disease

Result:

PubMed: 42605982DOI: 10.1002/clc.70440

Mechanism Graph

Cardiac rehabilitation participation provides structured exercise and behavioral counseling
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Younger age may be associated with better physical function and motivation
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Spousal support and residential environment may facilitate or hinder physical activity
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Result: Increased physical activity in those participating in cardiac rehabilitation and younger patients

Limitations

  • ⚠Only 7 of 24 studies explored determinants of two activity behaviors simultaneously; none comprehensively explored all three 24-hour movement behaviors
  • ⚠Observational study designs limit causal inference
  • ⚠No significant associations found at the policy level, possibly due to limited data

Frequently Asked Questions

What are the key factors associated with physical activity in coronary heart disease patients?▼

Younger age and participation in cardiac rehabilitation are consistently associated with increased physical activity, while spousal support and residential environment also play roles.

Does social support affect sedentary behavior in coronary heart disease patients?▼

Yes, at the interpersonal level, social support was found to moderate both physical activity levels and sedentary behavior.

Are there any policy-level factors influencing movement behaviors in these patients?▼

The review found no significant associations at the policy level, suggesting a need for more research in this area.

What is the recommended intervention for promoting physical activity in coronary heart disease patients?▼

Personalized encouragement to promote participation in cardiac rehabilitation is suggested as a core component of behavioral interventions, along with leveraging spousal support and optimizing exercise environments.

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References

  1. 1.Peng X, Guo T, Wang X, Wan Y, Peng Y, Cheng T, Tang S, Tu H. "Explanatory Variables of Objectively Measured 24 h Movement Behaviors in Coronary Heart Disease Patients: A Systematic Review.." Clinical cardiology, 2026. PMID: 42605982 DOI: 10.1002/clc.70440
Disclaimer: This content is for educational purposes only and is not medical advice. Evidence scores reflect the quality and quantity of available research, not clinical recommendations. Always consult a healthcare professional before starting any supplement or intervention.