Objectively measured physical activity in patients with heart failure: a sub-analysis from the HF-Wii study

Leonie Klompstra, Tiny Jaarsma, Massimo F Piepoli, Tuvia Ben Gal, Lorraine Evangelista, Anna Strömberg, Maria Bäck

Research output: Contribution to journalArticleAcademicpeer-review


AIMS: Physical activity (PA) is important in patients with heart failure (HF) to improve health outcomes. The adherence to PA is low, and therefore, novel approaches are necessary to increase PA. We aimed to determine the difference in PA in patients with HF who have access to exergaming compared to patients who received motivational support and to explored predictors of a clinically relevant change in non-sedentary time between baseline and 3 months.

METHODS AND RESULTS: In total, 64 patients (mean age 69 ± 9 years, 27% female) wore an accelerometer 1 week before and 1 week after the intervention. Data were analysed using logistic regression analysis. Patients spent 9 h and 43 min (±1 h 23 min) during waking hours sedentary. There were no significant differences in PA between patients who received an exergame intervention or motivational support. In total, 30 of 64 patients achieved a clinically relevant increase in non-sedentary time. Having grandchildren [odds ratio (OR) 7.43 P = 0.03], recent diagnosis of HF (OR 0.93 P = 0.02), and higher social motivation (OR 2.31 P = 0.03) were independent predictors of a clinically relevant increase of non-sedentary time.

CONCLUSION: Clinicians should encourage their patients to engage in alternative approaches to improve PA and reduce sedentary habits. Future exergaming interventions should target individuals with chronic HF who have low social motivation and a low level of light PA that may benefit most from exergaming. Also (non-familial), intergenerational interaction is important to enabling patients in supporting patients in becoming more active.

Original languageEnglish
Pages (from-to)499-508
Number of pages10
JournalEuropean Journal of Cardiovascular Nursing
Issue number5
Publication statusPublished - 1 Jul 2022
Externally publishedYes


  • Activity Monitor
  • Exergame
  • Heart Failure
  • Motivation
  • Physical activity
  • Sedentary time


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