Relación entre la actividad física y la calidad de vida relacionada con la salud en personas con enfermeda-des cardiovasculares (Relationship between physical activity and health-related quality of life in people with cardiovascular diseases)

Juan Francisco Aguirre Chávez; Leticia Irene Franco Gallegos; Guadalupe Simanga Ivett Robles Hernández; Karla Montes Mata

doi:10.47197/retos.v50.98238

Authors

Juan Francisco Aguirre Chávez Universidad Autónoma de Chihuahua https://orcid.org/0000-0003-0767-1176
Leticia Irene Franco Gallegos Universidad Autónoma de Chihuahua
Guadalupe Simanga Ivett Robles Hernández Universidad Autónoma de Chihuahua
Karla Montes Mata Universidad Autónoma de Chihuahua

DOI:

https://doi.org/10.47197/retos.v50.98238

Keywords:

Keywords: Cardiovascular diseases, health-related quality of life, physical activity, CVD prevention

Abstract

Cardiovascular Diseases (CVD) represent a primary challenge in terms of mortality and economic repercussions for health systems in Mexico and internationally. These conditions can cause a significant deterioration in the Health-Related Quality of Life (HRQoL), impacting the individual's functionality and biological, social, and psychological aspects. Faced with this reality, a literature review has been conducted to unravel how physical activity can mitigate cardiovascular risk and strengthen HRQoL in patients with CVD. Using a rigorous search strategy, 60 relevant articles were identified, excluding those that did not meet the defined inclusion criteria. The analysis derived from these works indicated that physical activity is beneficial in preventing and treating CVD, positively impacting various facets of individual well-being. In conclusion, this study highlights the importance of physical activity as a crucial element in improving HRQoL in patients with CVD. Additionally, its determining role as a preventive strategy against said conditions is highlighted, opening a new paradigm in cardiovascular care management. In the context of the constant fight against CVD, physical activity is not only positioned as an ally but as a silent and promising path towards a future of health and a better quality of life.

Keywords: Cardiovascular diseases, health-related quality of life, physical activity, CVD prevention

References

Aljabery, M. A., Rajeh Saifan, A., Alrimawi, I., Alzoubi, A. M., & Atout, M. (2022). The Associations Between Patients’ Characteristics and the Quality of Life Among Acute Coronary Syndrome Patients in Jordan: A Cross-Sectional Study. SAGE Open Nursing, 8. https://doi.org/10.1177/23779608221129129

Ameri, H., Yousefi, M., Yaseri, M., Nahvijou, A., Arab, M., & Akbari Sari, A. (2020). Mapping EORTC-QLQ-C30 and QLQ-CR29 onto EQ-5D-5L in Colorectal Cancer Patients. Journal of Gastrointestinal Cancer, 51(1), 196–203. https://doi.org/10.1007/s12029-019-00229-6

Angulo, S. M., Reales, J. M., Sandín, B., & Santed, M. A. (2019). Quality of life in people with spinal cord injury. Revista de Psicopatologia y Psicologia Clinica, 24(2), 71–82. https://doi.org/10.5944/rppc.23114

Asghari, F., Ghazanfari, A., Sharifi, T., & Ahmadi, R. (2022). Modeling the Effect of Personality Traits, Enjoyment, and Sports Commitment on Sports Motivation Mediated by Competitive Anxiety. Archives of Hygiene Sciences, 11(2), 91–102. https://doi.org/10.32598/AHS.11.2.344.2

Avgerinos, K. I., Spyrou, N., Mantzoros, C. S., & Dalamaga, M. (2019). Obesity and cancer risk: Emerging biological mechanisms and perspectives. Metabolism: Clinical and Experimental, 92, 121–135. https://doi.org/10.1016/j.metabol.2018.11.001

Aylett, E., Small, N., & Bower, P. (2018). Exercise in the treatment of clinical anxiety in general practice – a systematic review and meta-analysis. BMC Health Services Research, 18(1). https://doi.org/10.1186/S12913-018-3313-5

Azhar, A. S., Al Shammasi, Z. H., & Higgi, R. E. (2016). The impact of congenital heart diseases on the quality of life of patients and their families in Saudi Arabia: Biological, psychological, and social dimensions. Saudi Medical Journal, 37(4), 392. https://doi.org/10.15537/SMJ.2016.4.13626

Barbiellini Amidei, C., Trevisan, C., Dotto, M., Ferroni, E., Noale, M., Maggi, S., Corti, M. C., Baggio, G., Fedeli, U., & Sergi, G. (2022). Association of physical activity trajectories with major cardiovascular diseases in elderly people. Heart, 108(5), 360–366. https://doi.org/10.1136/HEARTJNL-2021-320013

Barquera, S., Hernández-Barrera, L., Trejo-Valdivia, B., Shamah, T., Campos-Nonato, I., & Rivera-Dommarco, J. (2020). Obesidad en México, prevalencia y tendencias en adultos. Ensanut 2018-19. Salud Publica de Mexico, 62(6), 682–692. https://doi.org/10.21149/11630

Barquera, S., & Rivera, J. A. (2020). Obesity in Mexico: rapid epidemiological transition and food industry interference in health policies. The Lancet Diabetes and Endocrinology, 8(9), 746–747. https://doi.org/10.1016/S2213-8587(20)30269-2

Basto-Abreu, A., Torres-Álvarez, R., Reyes-Sánchez, F., González-Morales, R., Canto-Osorio, F., Colchero, M. A., Barque-ra, S., Rivera, J. A., & Barrientos-Gutiérrez, T. (2020). Predicting obesity reduction after implementing warning labels in Mexico: A modeling study. PLoS Medicine, 17(7), 1–14. https://doi.org/10.1371/journal.pmed.1003221

Briones, E. (2016). Ejercicios físicos en la prevención de hipertensión arterial. Medisan, 20(1), 35–42.

Buie, J. J., Watson, L. S., Smith, C. J., & Sims-Robinson, C. (2019). Obesity-related cognitive impairment: The role of endothelial dysfunction. Neurobiology of Disease, 132(July), 104580. https://doi.org/10.1016/j.nbd.2019.104580

Caballero, B. (2019). Humans against Obesity: Who Will Win? Advances in Nutrition, 10, S4–S9. https://doi.org/10.1093/advan ces/nmy055

Chatzinikolaou, A., Tzikas, S., & Lavdaniti, M. (2021). Assessment of Quality of Life in Patients With Cardiovascular Disease Using the SF-36, MacNew, and EQ-5D-5L Questionnaires. https://doi.org/10.7759/cureus.17982

Chuquilín-Arista, F., Álvarez-Avellón, T., & Menéndez-González, M. (2021). Impact of Depression and Anxiety on Dimen-sions of Health-Related Quality of Life in Subjects with Parkinson’s Disease Enrolled in an Association of Patients. Brain Sciences, 11(6). https://doi.org/10.3390/BRAINSCI11060771

Coulman, K. D., & Blazeby, J. M. (2020). Health-Related Quality of Life in Bariatric and Metabolic Surgery. Current Obesity Reports, 9(3), 307–314. https://doi.org/10.1007/s13679-020-00392-z

Deen, D. (2004). Metabolic syndrome: time for action. American Family Physician, 69(12), 2875–2882.

Geidl, W., Schlesinger, S., Mino, E., Miranda, L., & Pfeifer, K. (2020). Dose-response relationship between physical activity and mortality in adults with noncommunicable diseases: A systematic review and meta-analysis of prospective observational studies. International Journal of Behavioral Nutrition and Physical Activity, 17(1), 1–18. https://doi.org/10.1186/S12966-020-01007-5/FIGURES/4

Hajar, R. (2017). Risk Factors for Coronary Artery Disease: Historical Perspectives. Heart Views : The Official Journal of the Gulf Heart Association, 18(3), 109. https://doi.org/10.4103/HEARTVIEWS.HEARTVIEWS_106_17

Haraldstad, K., Wahl, A., Andenæs, R., Andersen, J. R., Andersen, M. H., Beisland, E., Borge, C. R., Engebretsen, E., Eisemann, M., Halvorsrud, L., Hanssen, T. A., Haugstvedt, A., Haugland, T., Johansen, V. A., Larsen, M. H., Løvereide, L., Løyland, B., Kvarme, L. G., Moons, P., … Helseth, S. (2019). A systematic review of quality of life research in medi-cine and health sciences. Quality of Life Research, 28(10), 2641–2650. https://doi.org/10.1007/s11136-019-02214-9

Haywood, C., & Sumithran, P. (2019). Treatment of obesity in older persons—A systematic review. Obesity Reviews, 20(4), 588–598. https://doi.org/10.1111/obr.12815

INEGI. (2022). Defunciones en México de enero a junio de 2021. Comunicado de Prensa.

Katta, N., Loethen, T., Lavie, C. J., & Alpert, M. A. (2021). Obesity and Coronary Heart Disease: Epidemiology, Pathology, and Coronary Artery Imaging. Current Problems in Cardiology, 46(3), 100655. https://doi.org/10.1016/j.cpcardiol.2020.100655

Kaur, J. (2014). A comprehensive review on metabolic syndrome. Cardiology Research and Practice, 2014, 943162. https://doi.org/10.1155/2014/943162

Kelley, E., Imboden, M. T., Harber, M. P., Finch, H., Kaminsky, L. A., & Whaley, M. H. (2018). Cardiorespiratory Fitness Is Inversely Associated With Clustering of Metabolic Syndrome Risk Factors: The Ball State Adult Fitness Program Longitudi-nal Lifestyle Study. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 2(2), 155–164. https://doi.org/10.1016/j.mayocpiqo.2018.03.001

Komalasari, R., Nurjanah, & Yoche, M. M. (2019a). Quality of Life of People with Cardiovascular Disease: A Descriptive Study. Asian/Pacific Island Nursing Journal, 4(2), 92. https://doi.org/10.31372/20190402.1045

Komalasari, R., Nurjanah, & Yoche, M. M. (2019b). Quality of Life of People with Cardiovascular Disease: A Descriptive Study. Asian/Pacific Island Nursing Journal, 4(2), 92. https://doi.org/10.31372/20190402.1045

Korenhof, S. A., Rouwet, E. V., Elstgeest, L. E. M., Tan, S. S., Macchione, S., Vasiljev, V., Rukavina, T., Alhambra-Borrás, T., Fierloos, I. N., & Raat, H. (2022). Evaluation of an Intervention to Promote Self-Management Regarding Cardiovascu-lar Disease: The Social Engagement Framework for Addressing the Chronic-Disease-Challenge (SEFAC). International Journal of Environmental Research and Public Health, 19(20), 13145. https://doi.org/10.3390/IJERPH192013145/S1

Kubota, Y., Evenson, K. R., Maclehose, R. F., Roetker, N. S., Joshu, C. E., & Folsom, A. R. (2017). Physical activity and lifetime risk of cardiovascular disease and cancer. Medicine and Science in Sports and Exercise, 49(8), 1599–1605. https://doi.org/10.1249/MSS.0000000000001274

LaMonte, M. J., Barlow, C. E., Jurca, R., Kampert, J. B., Church, T. S., & Blair, S. N. (2005). Cardiorespiratory fitness is inversely associated with the incidence of metabolic syndrome: a prospective study of men and women. Circulation, 112(4), 505–512. https://doi.org/10.1161/CIRCULATIONAHA.104.503805

Lavie, C. J., Ozemek, C., Carbone, S., Katzmarzyk, P. T., & Blair, S. N. (2019). Sedentary Behavior, Exercise, and Cardio-vascular Health. Circulation Research, 124(5), 799–815. https://doi.org/10.1161/CIRCRESAHA.118.312669

Leal, P. C., Goes, T. C., da Silva, L. C. F., & Teixeira-Silva, F. (2017). Trait vs. state anxiety in different threatening situa-tions. Trends in Psychiatry and Psychotherapy, 39(3), 147–157. https://doi.org/10.1590/2237-6089-2016-0044

Lear, S. A., Hu, W., Rangarajan, S., Gasevic, D., Leong, D., Iqbal, R., Casanova, A., Swaminathan, S., Anjana, R. M., Kumar, R., Rosengren, A., Wei, L., Yang, W., Chuangshi, W., Huaxing, L., Nair, S., Diaz, R., Swidon, H., Gupta, R., … Yusuf, S. (2017a). The effect of physical activity on mortality and cardiovascular disease in 130 000 people from 17 high-income, middle-income, and low-income countries: the PURE study. The Lancet, 390(10113), 2643–2654. https://doi.org/10.1016/S0140-6736(17)31634-3

Lear, S. A., Hu, W., Rangarajan, S., Gasevic, D., Leong, D., Iqbal, R., Casanova, A., Swaminathan, S., Anjana, R. M., Kumar, R., Rosengren, A., Wei, L., Yang, W., Chuangshi, W., Huaxing, L., Nair, S., Diaz, R., Swidon, H., Gupta, R., … Yusuf, S. (2017b). The effect of physical activity on mortality and cardiovascular disease in 130 000 people from 17 high-income, middle-income, and low-income countries: the PURE study. The Lancet, 390(10113), 2643–2654. https://doi.org/10.1016/S0140-6736(17)31634-3

Lee, J. Y., Ryu, S., Cheong, E. S., & Sung, K. C. (2016a). Association of Physical Activity and Inflammation With All-Cause, Cardiovascular-Related, and Cancer-Related Mortality. Mayo Clinic Proceedings, 91(12), 1706–1716. https://doi.org/10.1016/J.MAYOCP.2016.08.003

Lee, J. Y., Ryu, S., Cheong, E. S., & Sung, K. C. (2016b). Association of Physical Activity and Inflammation With All-Cause, Cardiovascular-Related, and Cancer-Related Mortality. Mayo Clinic Proceedings, 91(12), 1706–1716. https://doi.org/10.1016/J.MAYOCP.2016.08.003

Li, J., Loerbroks, A., Bosma, H., & Angerer, P. (2016). Work stress and cardiovascular disease: a life course perspective. Journal of Occupational Health, 58(2), 216. https://doi.org/10.1539/JOH.15-0326-OP

Lisset, M., Regal, L., García Álvarez, Y., Álvarez Hernández, R., Morales Pérez, C., Manuel, V., Cuesta, R., & David González León, H. (2018). Influencia del estrés psicológico y la actividad física moderada en la reactividad cardiovascular. Revista Finlay, 8(3), 224–233.

Mayoral, K., Rajmil, L., Murillo, M., Garin, O., Pont, A., Alonso, J., Bel, J., Perez, J., Corripio, R., Carreras, G., Herrero, J., Mengibar, J. M., Rodriguez-Arjona, D., Ravens-Sieberer, U., Raat, H., Serra-Sutton, V., & Ferrer, M. (2019). Meas-urement properties of the online EuroQol-5D-youth instrument in children and adolescents with type 1 diabetes mellitus: Questionnaire study. Journal of Medical Internet Research, 21(11), 1–26. https://doi.org/10.2196/14947

Medina, C., Coxson, P., Penko, J., Janssen, I., Bautista-Arredondo, S., Barquera, S., & Bibbins-Domingo, K. (2020). Cardio-vascular and diabetes burden attributable to physical inactivity in Mexico. Cardiovascular Diabetology, 19(1), 1–9. https://doi.org/10.1186/S12933-020-01050-3/FIGURES/2

Mendoza-Herrera, K., Pedroza-Tobías, A., Hernández-Alcaraz, C., Ávila-Burgos, L., Aguilar-Salinas, C. A., & Barquera, S. (2019). Attributable burden and expenditure of cardiovascular diseases and associated risk factors in mexico and other se-lected mega-countries. International Journal of Environmental Research and Public Health, 16(20). https://doi.org/10.3390/ijerph16204041

Mozaffarian, D. (2016). Dietary and Policy Priorities for Cardiovascular Disease, Diabetes, and Obesity – A Comprehensive Review. Circulation, 133(2), 187. https://doi.org/10.1161/CIRCULATIONAHA.115.018585

Muñoz-Rodríguez, D. I., Arango-Alzate, C. M., & Segura-Cardona, Á. M. (2018). Entornos y actividad física en enfermedades crónicas: Más allá de factores asociados. Universidad y Salud, 20(2), 183. https://doi.org/10.22267/rus.182002.122

Nystoriak, M. A., & Bhatnagar, A. (2018). Cardiovascular Effects and Benefits of Exercise. Frontiers in Cardiovascular Medicine, 5, 135. https://doi.org/10.3389/FCVM.2018.00135

Olson, K. N., Redman, L. M., & Sones, J. L. (2019). Genomics of metabolic and tumor/cancer traits Obesity “complements” preeclampsia. Physiological Genomics, 51(3), 73–76. https://doi.org/10.1152/physiolgenomics.00102.2018

OPS, & OMS. (2020a). La Carga de Enfermedades Cardiovasculares - OPS/OMS | Organización Panamericana de la Salud.

OPS, & OMS. (2020b). La Carga de Enfermedades Cardiovasculares - OPS/OMS | Organización Panamericana de la Salud.

Patel, M., & Uthman, O. (2023). Impact of quality of life in developing cardiovascular disease later in life: Graphical chain model of the English Longitudinal Study of Ageing (ELSA). Archives of Gerontology and Geriatrics, 104. https://doi.org/10.1016/J.ARCHGER.2022.104820

Perez-Campos, L., Mayoral, G., Perez-Campos, E., Hernandez, T., Pina, S., Rodal, F., Cabrera-Fuentes, H., Martinez, M., Pérez, A., Alpuche, J., Zenteno, E., Martínez, H., Martínez, R., Hernandez, J., & Perez-Campos, E. (2020). Obesity sub-tipes, related biomarkers & heterogeneity. Indian J Med Res2, 151(1), 11–21. https://doi.org/10.4103/ijmr.IJMR

Perrin, A., Damiolini, E., Schott, A. M., Zermati, J., Bravant, E., Delahaye, F., Dima, A. L., & Haesebaert, J. (2022). Considering health literacy in cardiovascular disease management: a qualitative study on healthcare professionals’ and pa-tients’ perspectives. BMC Health Services Research, 22(1), 1–12. https://doi.org/10.1186/S12913-022-08455-8/FIGURES/2

Phyo, A. Z. Z., Freak-Poli, R., Craig, H., Gasevic, D., Stocks, N. P., Gonzalez-Chica, D. A., & Ryan, J. (2020). Quality of life and mortality in the general population: a systematic review and meta-analysis. BMC Public Health, 20(1). https://doi.org/10.1186/S12889-020-09639-9

Powell, K. E., King, A. C., Buchner, D. M., Campbell, W. W., DiPietro, L., Erickson, K. I., Hillman, C. H., Jakicic, J. M., Janz, K. F., Katzmarzyk, P. T., Kraus, W. E., Macko, R. F., Marquez, D. X., McTiernan, A., Pate, R. R., Pescatello, L. S., & Whitt-Glover, M. C. (2019). The Scientific Foundation for the Physical Activity Guidelines for Americans, 2nd Edi-tion. Journal of Physical Activity and Health, 16(1), 1–11. https://doi.org/10.1123/JPAH.2018-0618

Riegel, B., Moser, D. K., Buck, H. G., VaughanDickson, V., B. Dunbar, S., Lee, C. S., Lennie, T. A., Lindenfeld, J. A., Mitchell, J. E., Treat-Jacobson, D. J., & Webber, D. E. (2017). Self‐Care for the Prevention and Management of Cardio-vascular Disease and Stroke: A Scientific Statement for Healthcare Professionals From the American Heart Association. Journal of the American Heart Association: Cardiovascular and Cerebrovascular Disease, 6(9). https://doi.org/10.1161/JAHA.117.006997

Rippe, J. M. (2018). Lifestyle Medicine: The Health Promoting Power of Daily Habits and Practices. American Journal of Lifestyle Medicine, 12(6), 499. https://doi.org/10.1177/1559827618785554

Rivera-Dommarco, J. Á., Colchero, M. A., Fuentes, M. L., González de Cosío Martínez, T., Aguilar Salinas, C. A., Hernández Licona, G., & Barquera, S. (2018). Recomendaciones para una política de Estado para la prevención y control de la obesidad en México en el periodo 2018-2024. In Instituto Nacional de Salud Pública (Ed.), La obesidad en México. Estado de la políti-ca pública y recomendaciones para su prevención y control (p. 15).

Rodríguez-Romo, G., Barriopedro, M., Salazar, P. J. A., & Garrido-Muñoz, M. (2015). Relaciones entre Actividad Física y Salud Mental en la Población Adulta de Madrid. Revista de Psicología Del Deporte, 24(2), 233–239.

Romieu, I., Dossus, L., Barquera, S., Blottière, H. M., Franks, P. W., Gunter, M., Hwalla, N., Hursting, S. D., Leitzmann, M., Margetts, B., Nishida, C., Potischman, N., Seidell, J., Stepien, M., Wang, Y., Westerterp, K., Winichagoon, P., Wiseman, M., & Willett, W. C. (2017). Energy balance and obesity: what are the main drivers? Cancer Causes & Control, 28(3), 247. https://doi.org/10.1007/S10552-017-0869-Z

Rosas-Peralta, M., Palomo-Piñón, S., Borrayo-Sánchez, G., Madrid-Miller, A., Almeida-Gutiérrez, E., Galván-Oseguera, H., Magaña-Serrano, J. A., Saturno-Chiu, G., Ramírez-Arias, E., Santos-Martínez, E., Díaz-Díaz, E., Salgado-Pastor, S. J., Morales-Mora, G., Medina-Concebida, L. E., Mejía-Rodríguez, O., Pérez-Ruiz, C. E., Chapa-Mejía, L. R., Álvarez-Aguilar, C., Pérez-Rodríguez, G., … Paniagua-Sierra, J. R. (2016). Consensus on Systemic Arterial Hypertension In Méxi-co. Revista Médica Del Instituto Mexicano Del Seguro Social, 54, s6–s51.

Salvador-Carulla, L., Lucas, R., Ayuso-Mateos, J. L., & Miret, M. (2014). Use of the terms “Wellbeing” and “Quality of Life” in health sciences: a conceptual framework. The European Journal of Psychiatry, 28(1), 50–65. https://doi.org/10.4321/S0213-61632014000100005

Saviola, F., Pappaianni, E., Monti, A., Grecucci, A., Jovicich, J., & De Pisapia, N. (2020). Trait and state anxiety are mapped differently in the human brain. Scientific Reports, 10(1), 11112. https://doi.org/10.1038/S41598-020-68008-Z

Siboni, F. S., Alimoradi, Z., Atashi, V., Alipour, M., & Khatooni, M. (2019). Quality of Life in Different Chronic Diseases and Its Related Factors. International Journal of Preventive Medicine, 10(1), 65. https://doi.org/10.4103/IJPVM.IJPVM_429_17

Sjöström, L., Narbro, K., Sjöström, C. D., Karason, K., Larsson, B., Wedel, H., Lystig, T., Sullivan, M., Bouchard, C., Carlsson, B., Bengtsson, C., Dahlgren, S., Gummesson, A., Jacobson, P., Karlsson, J., Lindroos, A.-K., Lönroth, H., Näslund, I., Olbers, T., … Swedish Obese Subjects Study. (2007). Effects of bariatric surgery on mortality in Swedish obese subjects. The New England Journal of Medicine, 357(8), 741–752. https://doi.org/10.1056/NEJMoa066254

Staff, A. C. (2019). The two-stage placental model of preeclampsia: An update. Journal of Reproductive Immunology, 134–135(July), 1–10. https://doi.org/10.1016/j.jri.2019.07.004

Stevens, B., Pezzullo, L., Verdian, L., Tomlinson, J., Estrada-Aguilar, C., George, A., & Verdejo-París, J. (2018). The economic burden of hypertension, heart failure, myocardial infarction, and atrial fibrillation in Mexico. Archivos de Cardio-logía de México, 88(3), 241–244. https://doi.org/10.1016/J.ACMX.2018.03.004

Stonerock, G. L., Hoffman, B. M., Smith, P. J., & Blumenthal, J. A. (2015). Exercise as Treatment for Anxiety: Systematic Review and Analysis. Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine, 49(4), 542. https://doi.org/10.1007/S12160-014-9685-9

Svensson, M., Brundin, L., Erhardt, S., Hållmarker, U., James, S., & Deierborg, T. (2021). Physical Activity Is Associated With Lower Long-Term Incidence of Anxiety in a Population-Based, Large-Scale Study. Frontiers in Psychiatry, 12, 1489. https://doi.org/10.3389/FPSYT.2021.714014/BIBTEX

Vaduganathan, M., Mensah, G. A., Turco, J. V., Fuster, V., & Roth, G. A. (2022). The Global Burden of Cardiovascular Diseases and Risk: A Compass for Future Health. Journal of the American College of Cardiology, 80(25), 2361–2371. https://doi.org/10.1016/J.JACC.2022.11.005

Won, M. H., Choi, J., & Son, Y. J. (2022). Multiple mediating effects of self-efficacy and physical activity on the relationship between frailty and health-related quality of life in adults with CVD. European Journal of Cardiovascular Nursing. https://doi.org/10.1093/EURJCN/ZVAC074

Wong, N. D. (2005a). Intensified screening and treatment of the metabolic syndrome for cardiovascular risk reduction. Preventive Cardiology, 8(1), 47–52; quiz 53–54.

Wong, N. D. (2005b). Intensified screening and treatment of the metabolic syndrome for cardiovascular risk reduction. Preventive Cardiology, 8(1), 47–52; quiz 53–54.

World Health Organization. (2019). Healthy diet. 20.

Ye, Y., Lin, H., Wan, M., Qiu, P., Xia, R., He, J., Tao, J., Chen, L., & Zheng, G. (2021). The Effects of Aerobic Exercise on Oxidative Stress in Older Adults: A Systematic Review and Meta-Analysis. Frontiers in Physiology, 12, 1682. https://doi.org/10.3389/FPHYS.2021.701151/BIBTEX

Relationship between physical activity and health-related quality of life in people with cardiovascular dis-eases

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