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June 12, 2026European Journal of Preventive CardiologyOpen Access

Physical activity and sedentary behaviour in a phase III cardiac rehabilitation program: identifying vulnerable subgroups

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Population

190 CVD patients entering a phase III cardiac rehabilitation program, mean age 62±10 years, 17.9% women…

Design

Cross-sectional

Authors

MBM BorgesKWK WagnerMPM Lemos Pires

Discussion

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Overview

Women entering cardiac rehab may need tailored PA support; leaves open whether sex-specific interventions boost guideline adherence.

Key Points

  • To assess physical activity and sedentary behaviour levels in patients entering a phase III cardiac rehabilitation program and identify at-risk subgroups.
  • Cross-sectional analysis of patients with cardiovascular disease (CVD) completing baseline assessments and wearing accelerometers for 7 days.
  • Patients engaged in supervised exercise sessions 2-3 times per week.
  • Group differences were analyzed using t-tests, correlations, and multivariable regression models.
  • Patients averaged 45.89 minutes/day of moderate-to-vigorous physical activity (MVPA) and 11.06 hours/day of sedentary behaviour (SB).
  • Women had lower MVPA compared to men, performing 31.1 min/day vs 45.1 min/day (p=.041).
  • Those with diabetes accumulated less MVPA (43.7 vs 45.9 min/day; p=.011) and completion of phase II CR was associated with lower SB percentage (p=.032).

Structured PICO

P
Population
190 CVD patients entering a phase III cardiac rehabilitation program, mean age 62±10 years, 17.9% women, 85.8% with coronary artery disease, 84.2% completed phase II CR.
I
Intervention
Phase III cardiac rehabilitation program (supervised 60-min exercise sessions, 2-3x/week) with 7-day accelerometer monitoring
O
Outcome
Physical activity (moderate-to-vigorous and light) and sedentary behaviour levels measured by 7-day accelerometer

In patients entering phase III cardiac rehabilitation, sedentary behavior remains high despite meeting physical activity guidelines, with women, diabetics, and those with lower fitness or no prior phase II rehab identified as vulnerable subgroups requiring tailored support.

Cite This Study

Borges et al. (2026) studied this question.

synapsesocial.com/papers/6a2bd1386550ea4541ffe99dhttps://doi.org/10.1093/eurjpc/zwag249.138
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1From surviving to thriving: long-term benefits of phase III cardiac rehabilitation2026
  2. 2Barriers to physical activity and patient profiling in the lifelong maintenance phase of coronary artery disease: a territorial mixed-methods pilot study2025
  3. 3How body composition relates to physical activity levels and handgrip strength: insights from a long-term cardiac rehabilitation program2026
  4. 4Trends in mental health and behavioural risk factors of patients in exercise-based cardiac rehabilitation over 25 years: a retrospective cohort study2026
  5. 5Factors Associated With Improved Exercise Tolerance Among Patients Undergoing Long‐Term Phase III Cardiac Rehabilitation: A Two‐Center Retrospective Observational Study2025