{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,27]],"date-time":"2026-09-27T11:08:44Z","timestamp":1790507324689,"version":"4.1.0"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2022,6,18]],"date-time":"2022-06-18T00:00:00Z","timestamp":1655510400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Scandinavian Med Sci Sports"],"published-print":{"date-parts":[[2022,11]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p>To identify how and when to intervene in cardiovascular disease (CVD) patients' sedentary behavior, we moved beyond studying total volume of sitting and examined sitting patterns. By analyzing the timing of stand\u2010to\u2010sit and sit\u2010to\u2010stand transitions, we compared sitting patterns (a) between CVD patients and healthy controls, and (b) before and after cardiac rehabilitation (CR).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>One hundered twenty nine CVD patients and 117 age\u2010matched healthy controls continuously wore a tri\u2010axial thigh\u2010worn accelerometer for 8\u2009days (&gt;120\u2009000 posture transitions). CVD patients additionally wore the accelerometer directly and 2\u00a0months after CR.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>With later time of the day, both CVD patients and healthy controls sat down sooner (i.e., shorter standing episode before sitting down; HR\u00a0=\u00a01.01, 95% CI [1.011, 1.015]) and remained seated longer (HR\u00a0=\u00a00.97, CI [0.966, 0.970]). After more previous physical activity, both groups sat down later (HR\u00a0=\u00a00.97, CI [0.959, 0.977]), and patients remained seated longer (HR\u00a0=\u00a00.96; CI [0.950, 0.974]). Immediately and 2\u2010months following CR, patients sat down later (HR<jats:sub>post\u2010CR<\/jats:sub>\u00a0=\u00a00.96, CI [0.945, 0.974]; HR<jats:sub>follow\u2010up<\/jats:sub>\u00a0=\u00a00.96, CI [0.948, 0.977]) and stood up sooner (HR<jats:sub>post\u2010CR<\/jats:sub>\u00a0=\u00a01.04, CI [1.020, 1.051]; HR<jats:sub>follow\u2010up<\/jats:sub>\u00a0=\u00a01.03, CI [1.018, 1.050]). These effects were less pronounced with older age, higher BMI, lower sedentary behavior levels, and\/or higher physical activity levels at baseline.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Cardiac rehabilitation programs could be optimized by targeting CVD patients' sit\u2010to\u2010stand transitions, by focusing on high\u2010risk moments for prolonged sitting (i.e., in evenings and after higher\u2010than\u2010usual physical activity) and attending to the needs of specific patient subgroups.<\/jats:p><\/jats:sec>","DOI":"10.1111\/sms.14202","type":"journal-article","created":{"date-parts":[[2022,6,11]],"date-time":"2022-06-11T11:35:00Z","timestamp":1654947300000},"page":"1639-1649","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Sitting patterns in cardiovascular disease patients compared with healthy controls and impact of cardiac rehabilitation"],"prefix":"10.1111","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7756-5630","authenticated-orcid":false,"given":"Pam","family":"ten Broeke","sequence":"first","affiliation":[{"name":"Behavioural Science Institute Radboud University  Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3696-6267","authenticated-orcid":false,"given":"Bram M. A.","family":"van Bakel","sequence":"additional","affiliation":[{"name":"Radboud Institute for Health Sciences, Department of Physiology Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3899-471X","authenticated-orcid":false,"given":"Esm\u00e9e A.","family":"Bakker","sequence":"additional","affiliation":[{"name":"Radboud Institute for Health Sciences, Department of Physiology Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8676-0518","authenticated-orcid":false,"given":"Debby G. J.","family":"Beckers","sequence":"additional","affiliation":[{"name":"Behavioural Science Institute Radboud University  Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5125-5693","authenticated-orcid":false,"given":"Sabine A. E.","family":"Geurts","sequence":"additional","affiliation":[{"name":"Behavioural Science Institute Radboud University  Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0747-4471","authenticated-orcid":false,"given":"Dick H. J.","family":"Thijssen","sequence":"additional","affiliation":[{"name":"Radboud Institute for Health Sciences, Department of Physiology Radboud University Medical Center  Nijmegen The Netherlands"},{"name":"Research Institute for Sport and Exercise Sciences Liverpool John Moores University  Liverpool UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Thijs M. H.","family":"Eijsvogels","sequence":"additional","affiliation":[{"name":"Radboud Institute for Health Sciences, Department of Physiology Radboud University Medical Center  Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5892-3236","authenticated-orcid":false,"given":"Erik","family":"Bijleveld","sequence":"additional","affiliation":[{"name":"Behavioural Science Institute Radboud University  Nijmegen The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,6,18]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.118.011585"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2020.11.014"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654-018-0380-1"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamacardio.2016.1567"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.118.035312"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.7326\/M17-0212"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1073\/pnas.2001284117"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jshs.2016.02.002"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1088\/0967-3334\/37\/10\/1653"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/0018720815590293"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1177\/0018720816669444"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/dev0000619"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780195152968.001.0001"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.3934\/publichealth.2017.1.33"},{"key":"e_1_2_11_16_1","volume-title":"Human Behavior and the Principle of Least Effort","author":"Zipf GK","year":"1949"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1249\/JES.0000000000000252"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-8425.2008.00369.x"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1177\/0300060520979211"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1249\/JES.0000000000000252"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0244841"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-2046"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1055\/a-0997-6650"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsams.2021.08.009"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1111\/sms.13958"}],"container-title":["Scandinavian Journal of Medicine &amp; Science in Sports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sms.14202","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/sms.14202","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/sms.14202","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,22]],"date-time":"2023-08-22T04:59:30Z","timestamp":1692680370000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/sms.14202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,6,18]]},"references-count":24,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2022,11]]}},"alternative-id":["10.1111\/sms.14202"],"URL":"https:\/\/doi.org\/10.1111\/sms.14202","archive":["Portico"],"relation":{},"ISSN":["0905-7188","1600-0838"],"issn-type":[{"value":"0905-7188","type":"print"},{"value":"1600-0838","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,6,18]]},"assertion":[{"value":"2021-11-09","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-06","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-06-18","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}