Highlights
- •Greater ambivalence toward physical activity was associated with decreased MVPA.
- •Greater ambivalence toward physical activity was related to more sedentary time.
- •Greater ambivalence toward physical activity was associated with poorer VO2Peak.
Abstract
Background
Adolescents with congenital heart disease (CHD) are insufficiently physically active.
Given that increasing physical activity may reduce their cardiovascular risk, it is
important to identify correlates of this behavior. Perceived benefits of and barriers
to physical activity are associated with physical activity engagement. Existing research
has only considered these constructs separately. This population may be ambivalent
toward physical activity (i.e., perceive both strong benefits and barriers). The association
of ambivalence and physical activity related outcomes is unknown among this at-risk
population.
Objective
Determine the association of ambivalence and sedentary behavior, moderate-to-vigorous
physical activity (MVPA), and cardiorespiratory fitness (VO2Peak) among adolescents with CHD.
Methods
The present study is an analysis of data from an eligibility assessment for a randomized
clinical trial of an intervention to promote MVPA among adolescents aged 15 to 18
years with moderate or complex CHD. Participants (N = 84) completed a survey assessing perceived benefits and barriers from which ambivalence
toward physical activity was calculated, an exercise stress test to measure VO2Peak, and wore an accelerometer for one week to determine their engagement in sedentary
behavior and MVPA. Linear regression analyses determined associations between ambivalence
and physical activity related outcomes.
Results
Greater ambivalence toward physical activity was associated with increased sedentary
behavior, decreased MVPA, and reduced VO2Peak, adjusting for demographic and clinical covariates.
Conclusions
Ambivalence is associated with objectively measured physical activity (sedentary behavior,
MVPA) and a biomarker of cardiovascular health (VO2Peak). Screening for ambivalence may help clinicians identify those most likely to benefit
from physical activity-related education.
Keywords
Abbreviations:
BMI (body mass index), CHD (congenital heart disease, MVPA, moderate-to-vigorous physical activity), VO2Peak (cardiorespiratory fitness)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: December 30, 2022
Accepted:
December 22,
2022
Received in revised form:
December 22,
2022
Received:
September 22,
2022
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
