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SMJ // Article

Original Article

Physical Activity and Sedentary Time in US Adults with and without Heart Failure: 2007–2018 NHANES

Authors: Jessica R. Geller, MSH, ACSM EP-C, Tammie M. Johnson, DrPH, MPH, Michael R. Richardson, PhD, MSH, James R. Churilla, PhD, MPH, MS

Abstract

Objectives: Current evidence describing physical activity (PA) and sedentary time (ST) in people with and without heart failure (HF) is limited. This study examines PA participation and ST in a nationally representative sample of US adults with and without self-reported HF.

Methods: The study sample (N = 21,633) included US adult (40 years old and older) participants from the 2007–2018 National Health and Nutrition Examination Survey. PA participation, ST, and HF status were assessed via a questionnaire.

Results: Compared with participants without HF (68%), 84% of participants with HF reported not meeting PA recommendations (P < 0.05). Compared with participants without HF (63%), 75% of participants with HF reported >4.5 hours/day of ST (P < 0.05). Unadjusted analysis suggests that participants with HF had 60% (P < 0.05) lower odds of reporting meeting PA recommendations when compared with those without HF. In a fully adjusted model, these odds were attenuated (odds ratio 0.74, P < 0.05). Similarly, unadjusted analysis illustrated those individuals with HF had 42% (P < 0.05) lower odds of reporting ≤4.5 hours/day of ST. In a fully adjusted model, these odds also were attenuated (odds ratio 0.66, P < 0.05).

Conclusions: Our findings suggest that US adults with HF report significantly less PA and greater amounts of ST than those without HF.

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