نوع مقاله : مقاله پژوهشی
نویسندگان
1 گروه علوم ورزشی، دانشکده ادبیات و علوم ورزشی، دانشگاه قم، قم، ایران
2 گروه علوم ورزشی دانشکده علوم انسانی دانشگاه قم، قم، ایران
چکیده
کلیدواژهها
موضوعات
عنوان مقاله [English]
نویسندگان [English]
Purpose: Cardiovascular diseases represent a leading global cause of mortality, particularly challenging in developing nations. This study investigated relationships between physical activity (PA) levels and anxiety/depression symptoms in coronary angiography candidates, while examining age and gender roles.
Methods: Using a quantitative, descriptive-correlational design, we assessed 103 patients (50.5% male, mean age=60.86±8.99 years) from Qom, Iran (2023-2024). Standardized measures included the IPAQ-SF for PA and DASS-21 for psychological symptoms, analyzed via Pearson correlations and multiple regression (SPSS v27, p<0.05).
Results: Results revealed significant negative anxiety-PA associations (excluding vigorous exercise), strongest for moderate walking (β=-0.32, p<0.05). Conversely, depression showed positive correlations with total PA and moderate walking (β=0.28, p<0.05), suggesting PA's potential coping role. Age consistently negatively predicted all PA measures (p<0.01), most strongly for total PA (β=-0.41), aligning with known age-related activity declines. Gender differences approached significance only for vigorous activity (β=0.23, p=0.053), indicating possible intensity-based preferences.
Conclusion: These findings emphasize the need for personalized cardiac rehabilitation addressing: 1) anxiety as a primary PA barrier, particularly for moderate activities; 2) age-appropriate exercise prescriptions; and 3) potential gender-specific intensity preferences. The distinct anxiety/depression relationships with PA highlight the necessity for differentiated psychological approaches in cardiac care. While anxiety appears inhibitory, depression's positive association suggests compensatory PA use, requiring distinct clinical consideration.
Study limitations include its cross-sectional design and self-reported measures, suggesting future longitudinal studies with objective PA assessment. Nonetheless, these results provide compelling evidence for tailored rehabilitation programs that integrate psychological support with demographically-sensitive exercise recommendations. Such personalized interventions could significantly improve both physical activity adherence and mental health outcomes in cardiac patients, ultimately enhancing rehabilitation effectiveness and quality of life.
کلیدواژهها [English]
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