ArticlePulmonary circulation
Barriers to physical activity in patients with pulmonary hypertension.
Article in Pulmonary circulation. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed, 27 citations in OpenAlex.
- Factors Influencing Physical Activity Engagement Amongst Those Living With Pulmonary Hypertension in the UK.Pulmonary circulation · 2026Article
- Prevalence and Predictors of Pulmonary Hypertension in Children with Portal Hypertension: A Single Center Study.Pediatric gastroenterology, hepatology & nutrition · 2025Article
- Relationships that perceived barriers to physical activity have with functional capacity and quality of life in patients with pulmonary hypertension.Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia · 2025Observational
- Relevance of patient-centered actigraphy measures in pulmonary arterial hypertension and chronic thromboembolic pulmonary hypertension: a qualitative interview study.BMC pulmonary medicine · 2024Article
- Impact of educational intervention and pedometer-based self-monitoring on physical activity levels in patients with pulmonary arterial hypertension.Cardiovascular diagnosis and therapy · 2024Article
- Barriers to and facilitators of physical activity in pediatric pulmonary hypertension.Pulmonary circulation · 2024Article
- Prevalence of sufficient physical activity among general adult population and sub-populations with chronic conditions or disability in the USA.European journal of public health · 2023Article
- Can the association between hypertension and physical activity be moderated by age?Journal of Taibah University Medical Sciences · 2023Article
- Exploration of physical activity knowledge, preferences and support needs among pulmonary hypertension patients.PloS one · 2023Article
- Exercise Training as a Non-Pharmacological Therapy for Patients with Pulmonary Arterial Hypertension: Home-Based Rehabilitation Program and Training Recommendations.Journal of clinical medicine · 2022Review
- Exploring Perceived Barriers to Physical Activity in Korean Older Patients with Hypertension: Photovoice Inquiry.International journal of environmental research and public health · 2022Article
- The Impact of Wearable Technologies in Health Research: Scoping Review.JMIR mHealth and uHealth · 2022Article
- Effect of moderate-intensity seated exercise on the management of metabolic outcomes in hypertensive individuals with or without exercise habits.Journal of exercise science and fitness · 2021Article
- "It is the fear of exercise that stops me" - attitudes and dimensions influencing physical activity in pulmonary hypertension patients.Pulmonary circulationArticle
- Attitudes towards exercise among medical specialists who manage patients with pulmonary hypertension.Pulmonary circulationArticle
- Impact of patient characteristics and perceived barriers on referral to exercise rehabilitation among patients with pulmonary hypertension in the United States.Pulmonary circulationArticle
- 'Tired, afraid, breathless … .' An international survey of the exercise experience for people living with pulmonary hypertension.Pulmonary circulationArticle
Corrections and comments
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Authors and funding
7 authors at 3 institutions in 1 country.
Funding
Abstract
Patients with pulmonary arterial hypertension (PAH) and chronic thromboembolic pulmonary hypertension (CTEPH) have low levels of physical activity (PA). Increased PA has health benefits including improved quality of life. This study aimed to identify patient-perceived barriers to PA that correlate with objectively measured PA in this population. We performed a cross-sectional survey of 40 patients with PAH and CTEPH. Participants rated how often 15 barriers interfere with being physically active on a 5-point Likert Scale. The primary outcome measure was PA quantified using the Fitbit Zip activity tracker for two weeks. The primary independent variables were the 15 barriers and a summary score (total average barriers). Separate multivariable linear regressions were performed to assess the association between the 15 barriers and the summary score and PA adjusting for age, sex, and PAH etiology. Of the participants, 85% (34/40) had valid step counts and were included. Of these 34, 85% (n = 29) were female and 91% (n = 31) had PAH. The median (interquartile range [IQR]) number of daily steps was 3913 (2309-6313). The barriers endorsed most strongly were lack of self-discipline, lack of energy, and lack of interest. In the multivariable analysis, a 1-unit increase in perceived lack of interest, lack of enjoyment, and lack of skills was associated with a significant decrease in step counts of -1414 steps (95% confidence interval [CI] = (-2580 - -248), -1458 steps (-2404 - -511), and -1533 steps (-2910 - -156), respectively. Counseling and interventions aimed at increasing PA in patients with PAH should address interest, enjoyment, and skill development.
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Registered trials
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