ECSS Paris 2023: CP-SH05
INTRODUCTION: Cardiovascular disease is the leading cause of mortality worldwide, representing a major global health burden. Physical inactivity increases cardiovascular risk, while regular physical activity supports health maintenance. In cardiac patients, the transition from structured rehabilitation to daily life is key for sustainable secondary prevention. Understanding patients exercise needs provides insights into experiences, barriers, and motivation, enabling tailored interventions that enhance adherence, safety, and well-being, while considering medical, psychological, and social factors. We conducted qualitative interviews with cardiac patients, therapists, and physicians to explore strategies for long-term physical activity support. METHODS: We employed a qualitative research design with 11 semi-structured individual interviews with cardiac patients (55% female, aged 30-80 y) with coronary heart disease. They participated or had participated in ambulatory cardiac rehabilitation at our university hospital and were part of a secondary prevention program. Participants spoke and understood German at an adequate level. Additionally, we conducted a focus group interview with 5 rehabilitation center employees (therapists and physicians, 20% female). Thematic reflexive analysis was used to evaluate data. RESULTS: In the individual interviews, four main categories emerged: attitude to sport, needs, barriers and motivation. All participants mentioned particularly motivation in the context of sports and physical activity. Intrinsic and extrinsic factors played an almost equal role in patient motivation, accounting for 49% and 51% of responses, respectively. Key intrinsic motivators were goal achievement (33%), body awareness/well-being (22%), challenge/enjoyment of movement (22%), and health awareness (20%). Extrinsically, patients were influenced by their social environment (55%), available programs (21%), and experiencing nature (16%). Psychological pressure from illness (7%) played a minor role. Professionals in the focus group identified barriers such as lack of social support, physical limitations, psychological issues, and daily life constraints. Additionally, inadequate education about the disease and the benefits of physical activity were frequently noted. CONCLUSION: This qualitative study highlights motivation as a crucial factor in exercise behavior among cardiac rehabilitation patients. Both intrinsic and extrinsic motivation influence adherence, but sustaining lifestyle changes requires strengthening intrinsic motivation. Key factors potentially include social support, health awareness, daily life coordination, and diverse program offerings. Future research should further examine individual motivation, patient-professional relationships, family dynamics, and age-related differences. Qualitative studies and intervention trials should develop tailored exercise programs to enhance adherence and promote long-term health.
Read CV Oliver FaudeECSS Paris 2023: CP-SH05
Objective: Previous studies have suggested that screen time sedentary behavior may contribute to depression in children and adolescents. However, the differential effects of various types of screen time on depression symptoms in this population remain unclear. This study aims to clarify the impact of different types of screen time sedentary behavior on depression symptoms in children and adolescents through a nationwide cross-sectional survey conducted over two years. Methods: Based on the China Family Panel Studies, a total of 6,052 children and adolescents aged 10-18 were surveyed in 2020 and 2022. Depression symptoms were assessed using the Centre for Epidemiologic Studies Depression (CES-D) scale. Participants were surveyed on their frequency of screen time for activities such as online gaming, online shopping, online learning, online socializing, and online entertainment. Three generalized linear regression models were used: Model 1 examined the effect of different types of screen time on depression symptoms; Model 2 controlled for gender, age, urban-rural type, and education level; and Model 3 further controlled for physical activity frequency and sleep duration. Results: The results of Model 1 indicated that compared to children and adolescents who did not engage in online shopping, those who did were 24% more likely to experience depression (Odds Ratio [OR] = 1.24, 95% CI: 1.03-1.45). Similarly, those who engaged in online entertainment were 27% more likely to experience depression compared to non-users (OR = 1.27, 95% CI: 1.03-1.52), with daily users having a 44% higher probability of depression (OR = 1.44, 95% CI: 1.17-1.70). After controlling for gender, age, urban-rural type, and education level, the effect of online shopping on depression probability became non-significant, but the effect of online entertainment remained. Additionally, compared to adolescents who never used online socializing, those who did had a 31% lower probability of depression (OR = -0.31, 95% CI: -0.59 to -0.03). After further controlling for physical activity and sleep, the effects of online shopping, online socializing, and online entertainment on depression were no longer significant. Conclusion: Among different types of screen time sedentary behaviors, online shopping and online entertainment are risk factors for depression symptoms in children and adolescents, while online socializing serves as a protective factor. Future policies should address the differential impacts of screen time behaviors on the mental health of children and adolescents and develop targeted interventions.
Read CV Mingming GuoECSS Paris 2023: CP-SH05