Turk Kardiyol Dern Ars. 2016; 44(6): 488-497 | DOI: 10.5543/tkda.2016.30788
Physical inactivity and low quality of life of Turkish women after hospitalization for coronary heart disease: Inferences from EUROASPIRE III
, Sercan Okutucu1
, Ergun Barış Kaya1
, Çetin Erol2
, Oktay Ergene31
Department Of Cardiology, Hacettepe University, Ankara, Turkey2
Department Of Cardiology, Ankara University, Ankara, Turkey3
Atatürk Education And Research Hospital, Cardiology Clinic, Izmir, Turkey
OBJECTIVE The present objective was to compare changes in lifestyle between (i) Turkish women and Turkish men, and (ii) Turkish women and European women, after hospitalization for coronary heart disease (CHD). Risk factor management, physical activity, mood, and quality of life (QOL) indices were compared.
METHODS A total of 2268 women (25.3% of 8966 patients, mean age: 65.8±9.0 years) were interviewed using the European Action on Secondary and Primary Prevention by Intervention to Reduce Events III (EUROASPIRE III). In the Turkey cohort, 65 women (mean age: 63.3±9.9 years) and 273 men (mean age: 59.1±9.6 years) were interviewed, and underwent clinical and biochemical tests at a minimum of 6 months after hospital admission. Patients completed the Godin Leisure-Time Exercise Questionnaire (GLTEQ), the International Physical Activity Questionnaire (IPAQ), the Hospital Anxiety and Depression Scale (HADS), and questionnaires assessing QOL.
RESULTS After hospitalization for CHD, (i) Turkish women have lower participation in cardiac rehabilitation (CR) programs and lower physical activity indices than European women, (ii) Turkish women have lower physical activity indices than Turkish men, (iii) HADS anxiety scores and HADS depression scores were higher for Turkish women than for Turkish men, (iv) HADS anxiety scores and HADS depression scores were higher for Turkish women than for European women, (v) QOL indices were lower for Turkish women than for either European women or Turkish men.
CONCLUSION Turkish women engage in less physical activity, have lower QOL, and have higher rates of depression and anxiety after hospitalization for CHD than either of the other groups assessed. Every effort should be made to increase physical activity, and CR program adherence in general, particularly in female patients.
Cardiovascular prevention, EUROASPIRE, physical activity, quality of life; Turkey; women.
How to cite this article
Lale Tokgözoğlu, Sercan Okutucu, Ergun Barış Kaya, Çetin Erol, Oktay Ergene. Physical inactivity and low quality of life of Turkish women after hospitalization for coronary heart disease: Inferences from EUROASPIRE III. Turk Kardiyol Dern Ars. 2016; 44(6): 488-497
Corresponding Author: Sercan Okutucu, Türkiye