Analysis of Factors Influencing Exercise Benefits and Barriers in Cardiovascular Disease Patients Visiting the Emergency Department Based on Machine Learning

Authors

  • Yan Sun
  • Aiying Li
  • Jin Zhang

DOI:

https://doi.org/10.62051/ijphmr.v2n2.01

Keywords:

Emergency care, Cardiovascular disease, Physical activity, Exercise benefits/barriers, Machine learning

Abstract

Objective: To investigate the exercise benefits/barriers and influencing factors among cardiovascular disease (CVD) patients seeking emergency care. Methods: A convenience sampling method was used to select CVD patients who visited the emergency department of a tertiary hospital in Chengdu from December 2023 to July 2024 as the study subjects. The investigation was conducted through medical record review and on-site questionnaire surveys. The research tools included a general information questionnaire, the International Physical Activity Questionnaire-Short Form (IPAQ-SF), the Exercise Benefits/Barriers Scale (EBBS), the Exercise Self-Efficacy Scale, the Patient Health Questionnaire-9 (PHQ-9), and the Social Support Rating Scale (SSRS). Data were entered into Excel and statistically analyzed using SPSS 26.0. Results: Among the 1080 patients, 62.9% did not meet physical activity standards. Depression and social support explained 48.0% of the total variance in exercise benefits/barriers. The random forest algorithm performed best in predicting influencing factors. Conclusion: CVD patients seeking emergency care are generally insufficiently active, with depression and social support significantly impacting exercise benefits/barriers.

References

[1] Mortensen K, Rudolph V, Willems S, Ventura R. New developments in antibradycardic devices. Expert Rev Med Devices. 2007; 4(3):321-333.

[2] Shen Jiaxin. Analysis of disease spectrum and characteristics of more than 240,000 adult emergency patients [D]. Tianjin Medical University, 2019.

[3] Chen HH, Hsieh PL. Applying the Pender's health promotion model to identify the factors related to older adults' participation in community-based health promotion activities [J]. Int J Environ Res Public Health, 2021, 18(19): 9985.

[4] Heydari A, Khorashadizadeh F. Pender's health promotion model in medical research [J]. J Pak Med Assoc, 2014, 64(9): 1067-1074.

[5] Bai Chenxiao. Study on physical activity and its influencing factors in COPD patients based on health promotion model [D]. Shandong University, 2020.

[6] Wen Z. Study on the influence of exercise on depression in the elderly -- the mediating role of mental resilience [J]. Journal of Guangzhou University of Physical Education, 2018, 38(05): 99-102.

[7] Moser O, Eckstein ML, West DJ, Goswami N, Sourij H, Hofmann P. Type 1 diabetes and physical exercise: moving (forward) as an adjuvant therapy. Curr Pharm Des. 2020; 26(9):946–57.

[8] Kennedy A, Narendran P, Andrews RC, Daley A, Greenfield SM. Attitudes and barriers to exercise in adults with a recent diagnosis of type 1 diabetes: a qualitative study of participants in the Exercise for Type 1 Diabetes (EXTOD) study. BMJ Open. 2018; 8(1).

[9] Roberts AJ, et al. Association between fear of hypoglycemia and physical activity in youth with type 1 diabetes: the SEARCH for diabetes in youth study. Pediatr Diabetes. 2020; 21(7):1277–84.

[10] Ward R, Thomas SB, Power LE, Taylor SE. Barriers and facilitators to exercise adherence in community-dwelling adults with diabetes: a systematic review. Diabetes Res Clin Pract. 2021; 179:109007.

[11] Zhang Y, et al. Fear of hypoglycemia in patients with type 1 and 2 diabetes: a systematic review. J Clin Nurs. 2020.

[12] Sechrist KR, Walker SN, Pender NJ. Development and psychometric evaluation of the exercise benefits/barriers scale [J]. Res Nurs Health, 1987, 10(6): 357-365.

[13] Zheng Jing. Physical activity and its influencing factors in maintenance hemodialysis patients [D]. Sun Yat-sen University, 2009.

[14] Hallal PC, Victora CG. Reliability and validity of the International Physical Activity Questionnaire (IPAQ) [J]. Med Sci Sports Exerc, 2004, 36(3): 556.

[15] Wang Y, Li X, Hu H. The impact of marital status on cardiovascular disease and mortality among Chinese adults [J]. JAMA Network Open, 2021, 4(5): e212083.

[16] Kim TJ, von dem Knesebeck O. Socioeconomic inequalities in overweight and obesity among adults in Europe: A systematic review and meta-analysis [J]. Obesity Reviews, 2018, 19(5): 615-628.

[17] Li X, Xie X, Shi Y. Association of dietary fat intake with cardiovascular and all-cause mortality among adults in China: A nationwide cohort study [J]. The Lancet Regional Health-Western Pacific, 2020, 10: 100132.

[18] Lavie CJ, Laddu D, Arena R. Healthy lifestyle interventions to combat noncommunicable disease—A novel strategy to reverse global trends in physical inactivity and obesity [J]. Progress in Cardiovascular Diseases, 2022, 70: 53-63.

[19] Zhai L, Zhang Y, Zhang D. The relationship between physical activity and mental health: A systematic review and meta-analysis [J]. PLoS One, 2015, 10(10): e0138916.

[20] Rebar AL, Stanton R, Geard D. A meta-meta-analysis of the effect of physical activity on depression and anxiety in non-clinical adult populations [J]. Health Psychology Review, 2015, 9(3): 366-378.

[21] McAuley E, Mullen SP, Szabo AN. Self-efficacy and functional limitations in older adults: The role of social support and social efficacy [J]. Journals of Gerontology Series B: Psychological Sciences and Social Sciences, 2011, 66(3): 363-370.

[22] Wang J, Mann F, Lloyd-Evans B. Associations between loneliness and perceived social support and outcomes of mental health problems: A systematic review [J]. BMC Psychiatry, 2018, 18(1): 156.

[23] Couronné R, Probst P, Boulesteix AL. Random forest versus logistic regression: A large-scale benchmark experiment [J]. BMC Bioinformatics, 2018, 19(1): 270.

[24] Deo RC. Machine learning in medicine [J]. Circulation, 2015, 132(20): 1920-1930.

Downloads

Published

14-10-2024

Issue

Section

Articles

How to Cite

Sun, Y., Li, A., & Zhang, J. (2024). Analysis of Factors Influencing Exercise Benefits and Barriers in Cardiovascular Disease Patients Visiting the Emergency Department Based on Machine Learning. International Journal of Public Health and Medical Research, 2(2), 1-8. https://doi.org/10.62051/ijphmr.v2n2.01