BACKGROUND Regular exercise is advised for individuals given a diagnosis of cardiovascular disease. COVID-19 presented challenges to exercise adherence. OBJECTIVE The objective of this study was to determine long-term exercise adherence and whether individuals with cardiovascular disease adhered to American Heart Association/American College of Cardiology Foundation guidelines before and during the COVID-19 pandemic. METHODS This is an observational cross-sectional study in which men (73%) and women discharged from a multiwide hospital system after an acute coronary event were enrolled. Participants completed 3 questionnaires, including the Exercise Adherence Rating Scale. RESULTS Five hundred eighty-two individuals (mean [SD] age, 67 [9.8] years) completed the survey. Fifty-three percent of participants met minimum exercise guidelines during COVID-19. Exercise days per week decreased significantly during COVID-19 in women (P = .013) but not significant for men (P = .301). Categorized by age, the decrease was significant for middle-aged women (P = .002), not older women (P = .336). Men exercised more minutes per session (P = .034), and had greater exercise adherence (P = .003) and greater exercise intensity (P < .001). Overall, women participated less in cardiac rehabilitation (P = .046) and reported the greatest disparity in exercise adherence and intensity. CONCLUSION Exercise after an acute event is beneficial, and the percentage of individuals meeting recommended guidelines should be higher considering the relationship between exercise and the possibility of future cardiac events. On the basis of the many physical and mental benefits of maintaining exercise, healthcare practitioners are encouraged to screen all patients for exercise adherence with a major emphasis on educating women and older adults.

中文翻译：

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患有冠状动脉疾病的老年和中年人在 COVID-19 之前和期间的运动依从性。

背景技术对于被诊断为心血管疾病的个体，建议定期锻炼。COVID-19 对坚持锻炼提出了挑战。目的 本研究的目的是确定长期锻炼依从性以及心血管疾病患者在 COVID-19 大流行之前和期间是否遵守美国心脏协会/美国心脏病学会基金会指南。方法 这是一项观察性横断面研究，其中男性 (73%) 和女性在急性冠状动脉事件后从多医院系统出院。参与者完成了 3 份问卷，包括运动依从性评定量表。结果 五百八十二个人（平均 [SD] 年龄，67 [9.8] 岁）完成了调查。53% 的参与者在 COVID-19 期间达到了最低锻炼指南。在 COVID-19 期间，女性每周锻炼天数显着减少 (P = .013)，但对男性而言则不显着 (P = .301)。按年龄分类，中年女性 (P = .002) 的下降显着，老年女性则不然 (P = .336)。男性每次锻炼的时间更长 (P = .034)，并且锻炼依从性更高 (P = .003) 和锻炼强度更大 (P < .001)。总体而言，女性参与心脏康复的较少 (P = .046)，并且在运动依从性和强度方面的差异最大。结论 急性事件后锻炼是有益的，考虑到锻炼与未来心脏事件可能性之间的关系，符合推荐指南的个体百分比应该更高。