Predictors of Adherence to Diet, Physical Activity, and Quality of Life in Follow-Up of Patients after Myocardial Infarction

Document Type : Original Article

Authors

1 Research Center for Traditional Medicine and History of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran

2 Research Center for Health Sciences, Institute of Health, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

3 Department of Community Medicine, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran,

4 Student Research Committee, Department of Health Promotion, School of Health, Shiraz University of Medical Sciences, Shiraz, Iran

10.30476/ijns.2026.107805.1522

Abstract

Background: Proper diet, physical activity, and quality of life in post- myocardial infarction (MI) patients can influence the prognosis and patient’s mortality. This study determined the predictors of adherence to diet, physical activity, and quality of life in post-myocardial infarction patients.
Methods: In a prospective hospital-based study, patients who had undergone percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) after MI and completed adherence to Mediterranean diet (MD), international physical activity, and MacNew QoL questionnaires one and six months after MI were assessed.
Results: Totally 204 patients (mean age=54.4±5.9 years) completed the questionnaires. About 55.4% had undergone CABG. First and six months after MI, QoL was significantly higher in patients who were smokers (p=0.001), not to be hypertensive (p=0.001), and underwent PCI (p=0.001). Participants who had normal body mass index (BMI) had higher QoL just in the first month (p=0.038). Adherence to MD and physical activity did not change six months after the intervention when compared with the first month. Living in small cities, PCI, and history of hypertension and diabetes were positive predictors of QoL.
Conclusion: Living in small cities, PCI, and history of hypertension and diabetes were positive significant predictors of QoL, but adherence to MD was significantly higher in participants who lived in large cities.

Highlights

Mohammad Hossein Sharifi (Google Scholar)

Vahid Keshtkar (Google Scholar)

Keywords

References

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