Submit Manuscript    >>    Login | Register

Factors Associated with Moderate Physical Activity Among Older Adults with Atrial Fibrillation

Objective:Engaging patients with atrial fibrillation (AF) in moderate-intensity physical activity has been encouraged by published guidelines. We examinedfactors associated with engagement in moderate physical activity among older adults with AF. Methods: Data are from the SAGE (Systematic Assessment of Geriatric Elements)-AF study. Older adults (≥65 years) with AF and a CHA2DS2-VASc≥2were recruited from several clinics in Massachusetts and Georgia between 2015 and 2018. The Minnesota Leisure Time Physical Activity questionnaire was used to assess whether participants engaged in moderate-intensityphysical activity (i.e. at least 150 minutes of moderate exercise). Logistic regression was utilized to examine the sociodemographic and clinical characteristics and geriatric elements associated with engaging in moderate-intensityphysical activity. Results: Participants were on average 76 years old and 48% werewomen. Approximately one-half (52%)of study participants engaged in moderate-intensity physical activity. Morbid obesity (adjusted OR [aOR]=0.41, 90%CI=0.23-0.73), medical history of renal disease (aOR=aOR=0.68,90%CI= 0.48-0.96), slow gait speed (aOR=0.44,90%CI=0.32-0.60), cognitive impairment (aOR=0.74, 90%CI=0.56-0.97), and social isolation (aOR=0.58, 90%CI= 0.40-0.84) were independently associated with a lower likelihood, while higher AF related quality of life score (aOR=1.64, 90%CI=1.25-2.16) a greater likelihood, of meeting recommended levels of moderate physical activity. Conclusions:Nearly one-halfof older adults with NVAF did not engage in moderate-intensity exercise. Clinicians should identifyolder patients with NVAF who are less likely to engage in physical activity and develop tailored interventions to promoteregular physical activity.

Credits: Jordy Mehawej,Jane S.Saczysnki, Catarina I. Kiefe,Eric Ding, Hawa O. Abu,Darleen Lessard,Robert H. Helm, Benita A. Bamgbade, Connor Saleeba, Weijia Wang, David D. McManus, Robert J. Goldberg

Biosense Webster
event date
Introduction to AFib
Ablation Specialist

View Ablation Specialists