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Title: Attitudes towards exercise among medical specialists who manage patients with pulmonary hypertension.
Austin Authors: Chia, Karen S W;Wong, Peter K K;Gonzalez, Senen ;Kotlyar, Eugene;Faux, Steven G;Shiner, Christine T
Affiliation: Department of Cardiology, St Vincent's Hospital, Sydney, Australia
St Vincent's Clinical School, University of New South Wales, Sydney, Australia
Royal Talbot Rehabilitation Centre, Austin Health, Kew, Victoria, Australia
Department of Rheumatology, Westmead Hospital, Sydney, Australia
Rural Clinical School, Coffs Harbour, University of New South Wales, Sydney, Australia
Department of Rehabilitation Medicine, St Vincent's Hospital Sydney, Australia
Issue Date: May-2020 2020-05-14
Publication information: Pulmonary circulation 2020; 10(2): 2045894020922806
Abstract: Exercise training was not traditionally recommended for patients with pulmonary hypertension. However, recent work has demonstrated that exercise improves endurance and quality-of-life in patients with pulmonary hypertension. Unfortunately, patients with pulmonary hypertension are often sedentary. While some studies have examined patient attitudes to exercise, none have investigated physician perspectives on exercise in patients with pulmonary hypertension. This multinational survey of physicians involved in treating patients with pulmonary hypertension sought to ascertain physician attitudes to exercise and physician-identified barriers and enablers of exercise in this patient population. We collected cross-sectional survey data from a cohort of 280 physicians, including rehabilitation physicians, cardiologists, respiratory physicians and rheumatologists. We found that overall, 86% physicians recommended exercise, in line with current guidelines, although there were differences in the rationale for prescribing exercise and in the type of exercise prescription. Barriers to exercise included patient-related factors, such as patient ill health preventing exercise; poor patient motivation and lack of understanding regarding the benefits of exercise. Systemic barriers included cost/funding issues and limited availability of appropriate services. Perceived enablers of exercise included access to appropriate programmes, provision of education and supportive treating clinicians. Further research is required to identify and implement interventions to promote physical activity in patients with pulmonary hypertension.
DOI: 10.1177/2045894020922806
ORCID: 0000-0002-0089-8151
PubMed URL: 32489642
ISSN: 2045-8932
Type: Journal Article
Subjects: exercise barriers and enablers
pulmonary hypertension
Appears in Collections:Journal articles

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