{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T16:10:52Z","timestamp":1791216652978,"version":"4.1.0"},"reference-count":41,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T00:00:00Z","timestamp":1772409600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate the level of physical activity (PA) and influencing factors among young and middle-aged patients with coronary heart disease (CHD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A cross-sectional survey was conducted among 326 young and middle-aged patients with CHD in four tertiary hospitals in Hubei Province. This study adopted the general information questionnaire, International Physical Activity Questionnaire-Long (IPAQ-L), Fear of Activity in Patients with Coronary Artery Disease (Fact-CAD), Exercise Self-Efficacy Scale (ESES), Family Adaptation, Partnership, Growth, Affection, Resolve index (APGAR), The Piper Fatigue Scale-12 (PFS-12), and Patient Health Questionnaire-9 items (PHQ-9) as assessment tools. According to whether the level of PA met the recommended standard of the guideline, the participants were divided into the qualified group (\n                      <jats:italic>n<\/jats:italic>\n                      = 112) and the non-qualified group (\n                      <jats:italic>n<\/jats:italic>\n                      = 214). Univariate analysis and binary logistic regression analysis were performed using SPSS 25.0 to summarize the influencing factors of patients' PA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The rate of PA compliance among young and middle-aged patients with CHD was 34.36%. Binary logistic regression analysis showed that hemoglobin, glycated hemoglobin, fear of movement, exercise self-efficacy, family care, and fatigue were the influencing factors of PA among young and middle-aged patients with CHD (\n                      <jats:italic>P<\/jats:italic>\n                      &amp;lt; 0.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Young and middle-aged patients with CHD generally exhibit low levels of PA, a result of combined physiological, psychological, and social factors. Healthcare professionals should develop multi-dimensional intervention programmes to improve the level of patients' PA, thereby achieving cardiac rehabilitation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1773456","type":"journal-article","created":{"date-parts":[[2026,3,2]],"date-time":"2026-03-02T06:35:21Z","timestamp":1772433321000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Influencing factors of physical activity among young and middle-aged patients with coronary heart disease: a multicenter cross-sectional study"],"prefix":"10.3389","volume":"14","author":[{"given":"Mengying","family":"Yang","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Medicine, The Central Hospital of Wuhan, Tongji Medical College, Huazhong University of Science and Technology","place":["Wuhan, Hubei, China"]},{"name":"Key Laboratory for Molecular Diagnosis of Hubei Province, The 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