ArticleESC heart failure2021
Depression mediates physical activity readiness and physical activity in patients with heart failure.
Article in ESC heart failure, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 18 citations in OpenAlex.
- Effect of a Wearable Device-Based Physical Activity Intervention in North Korean Refugees: Pilot Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Physical activity levels and their multilevel determinants in pregnant women screened for contraindications: a cross-sectional study in Shanghai, China.BMC public health · 2026Article
- Are clinical improvements in anxiety or depression associated with improvement in walking fitness following a cardiac rehabilitation programme?Open heart · 2026Observational
- Temporal Variation in Psychosocial Factors and Physical Activity Levels Among Patients With Heart Failure.Circulation. Heart failure · 2026Observational
- Psychometric properties of the Chinese version of the Get Active Questionnaire for Pregnancy and its companion form to assess physical activity readiness.BMC pregnancy and childbirth · 2025Article
- Article
- Well-Being, Physical Activity, and Social Support in Octogenarians with Heart Failure during COVID-19 Confinement: A Mixed-Methods Study.International journal of environmental research and public health · 2022Article
- Lower grip strength and insufficient physical activity can increase depressive symptoms among middle-aged and older European adults: a longitudinal study.BMC geriatrics · 2022Article
- Depression mediates physical activity readiness and physical activity in patients with heart failure.ESC heart failure · 2021Article
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Authors and funding
6 authors at 4 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimsAlthough physical activity (PA) and exercise are essential for patients with heart failure (HF), adherence to the recommended guidelines is low. Not much is known about the mediating effect of HF patients' mental state with their readiness for PA and reported activity levels. The purpose of this study is to investigate the mediatory effect of depression on PA readiness (physical limitation and psychological readiness) and self-reported PA in patients with HF. METHODS AND
resultsIn this cross-sectional study, 163 New York Heart Association Class I and II HF patients, during their clinic visit, reported on their physical limitation (PAR-Q) and psychological readiness [self-efficacy (ESES) and motivation (RM 4-FM)] for PA, depression (HADS-D), and PA (s-IPAQ). Mediation analysis was performed to test the mediating effect of depression on PA readiness (physical limitation and psychological readiness) and self-reported PA following the steps described by Baron and Kenny (1986). Hierarchical regression models were tested for their effects. The Self-Efficacy Theory and Self-Determination theory provided the theoretical platform for the study. Depression completely mediated the effect of physical limitation (β
conclusionsPatients with HF should be screened for depression throughout the trajectory of the disease as it can impact their physical and psychological readiness to perform PA.
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