{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T08:16:53Z","timestamp":1789546613628,"version":"build-2803163510"},"reference-count":13,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2016,1,8]],"date-time":"2016-01-08T00:00:00Z","timestamp":1452211200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Clinical Cardiology"],"published-print":{"date-parts":[[2016,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Previous research demonstrates greater survival among coronary artery disease (<jats:styled-content style=\"fixed-case\">CAD<\/jats:styled-content>) patients who engage in cardiac rehabilitation. No national prospective studies, however, have examined the effects of objectively measured free\u2010living physical activity on mortality among <jats:styled-content style=\"fixed-case\">CAD<\/jats:styled-content> patients, which is important because only 25% of eligible cardiac patients participate in cardiac rehabilitation. Therefore, the purpose of this study was to examine the association between objectively measured free\u2010living physical activity on all\u2010cause mortality among a national sample of <jats:styled-content style=\"fixed-case\">CAD<\/jats:styled-content> patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>We hypothesize that free\u2010living physical activity will be inversely associated with all\u2010cause mortality risk among CAD patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Data from the 2003 to 2006 National Health and Nutrition Examination Survey were used, with follow\u2010up through 2011. Physical activity was assessed over 7 days during waking hours using the <jats:styled-content style=\"fixed-case\">ActiGraph<\/jats:styled-content> 7164 accelerometer.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Among the 256 <jats:styled-content style=\"fixed-case\">CAD<\/jats:styled-content> adults (representative of 6.5 million <jats:styled-content style=\"fixed-case\">CAD<\/jats:styled-content> patients in the United States), 68 died over the follow\u2010up period (26.56%). The median follow\u2010up period was 76.5 months (interquartile range = 62\u201391 months). After adjustment, for every 60\u2010minute increase in daily free\u2010living physical activity, <jats:styled-content style=\"fixed-case\">CAD<\/jats:styled-content> patients had a 16% reduced risk of all\u2010cause mortality (hazard ratio: 0.84, 95% confidence interval: 0.72\u20100.97).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Free\u2010living objectively measured physical activity is associated with greater survival among <jats:styled-content style=\"fixed-case\">CAD<\/jats:styled-content> patients in the United States. If confirmed by future research, development of strategies to not only increase participation in supervised cardiac rehabilitation, but also increase participation in free\u2010living physical activity, are needed.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.22508","type":"journal-article","created":{"date-parts":[[2016,1,10]],"date-time":"2016-01-10T17:21:54Z","timestamp":1452446514000},"page":"165-169","source":"Crossref","is-referenced-by-count":13,"title":["The Effects of Free\u2010Living Physical Activity on Mortality After Coronary Artery Disease Diagnosis"],"prefix":"10.1002","volume":"39","author":[{"given":"Paul D.","family":"Loprinzi","sequence":"first","affiliation":[{"name":"Jackson Heart Study Vanguard Center of Oxford, Center for Health Behavior Research, Department of Health, Exercise Science and Recreation Management University of Mississippi  University Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ovuokerie","family":"Addoh","sequence":"additional","affiliation":[{"name":"Department of Health, Exercise Science and Recreation Management University of Mississippi  University Mississippi"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2016,1,8]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2009.01.078"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.80.2.234"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001800.pub2"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.110.983536"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.701466"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/oxfordjournals.aje.a009387"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.4278\/ajhp.130510-QUAN-235"},{"key":"e_1_2_7_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/1756-6649-13-5"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1249\/mss.0b013e3180dc9954"},{"key":"e_1_2_7_11_1","unstructured":"Summary health statistics for U.S. adults: National Health Interview Survey 2012 [Table 1]. DHHS publication no. 2014\u20131588. Hyattsville MD: U.S. Department of Health and Human Services Centers for Disease Control and Prevention National Center for Health Statistics; 2014."},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22350"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/clc.22417"},{"key":"e_1_2_7_14_1","first-page":"298","article-title":"Alternatives for cardiac rehabilitation patients unable to return to a hospital\u2010based program","volume":"22","author":"Sparks KE","year":"1993","journal-title":"Heart Lung."}],"container-title":["Clinical Cardiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fclc.22508","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/clc.22508","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,6]],"date-time":"2023-10-06T09:33:37Z","timestamp":1696584817000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/clc.22508"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2016,1,8]]},"references-count":13,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2016,3]]}},"alternative-id":["10.1002\/clc.22508"],"URL":"https:\/\/doi.org\/10.1002\/clc.22508","archive":["Portico"],"relation":{},"ISSN":["0160-9289","1932-8737"],"issn-type":[{"value":"0160-9289","type":"print"},{"value":"1932-8737","type":"electronic"}],"subject":[],"published":{"date-parts":[[2016,1,8]]}}}