This study aims to investigate randomized controlled trial to evaluate whether reducing sedentary behavior improves recovery in post-cardiac surgery patients. Participants are assigned to either a behavioral intervention that substitutes sitting with light activity or to usual care. Changes in exercise capacity and quality of life are the primary measured outcomes. It is hypothesized that the intervention group will demonstrate superior gains in both physical function and well-being. The results could inform a valuable adjunct to existing cardiac rehabilitation programs.
Patient Aged 50-80 years (represents the majority cases)
Natural decline in physical capacity, making them an ideal population for studying these outcomes)
Underwent elective or emergency cardiac surgery (once patient is in ward)/1
Those requiring invasive mechanical ventilation
Individuals with significant cognitive impairment affecting consent or compliance
Pregnant women or Lactating Mother
Parallel
Sedentary Behaviour Modification Protocol
Other interventionstructured intervention designed to reduce the total time spent sitting or lying down (excluding sleeping) and to break up long, uninterrupted periods of inactivity. Effective protocols, often guided by the COM-B model (Capability, Opportunity, Motivation, Behaviour), aim to replace sedentary time with light-intensity physical activity (e.g., walking, standing).
Standard Cardiac Rehabilitation
Other interventionA 3-12 week outpatient, medically supervised program starting shortly after surgery, focusing on monitored exercise (Treadmill), risk factor modification, and education to safely improve heart function. It involves 1-hour sessions 2-3 times a week, combining aerobic training, light strength training, and lifestyle counseling
Peak Expiratory Flow Rate (PEFR)
peak expiratory flow rates measured through digital spirometer.3 zones of measurements are commonly used to interpret peak flow rates. Normal value of PEFR is 80 to 100%.Green zone indicates 80 to 100% normal peak flow reading, yellow zone indicates 50 to 79 %of normal peak flow readings, and red zone indicates less than 50% of normal peak flow reading.
Forced Vital Capacity (FVC)
Forced Vital Capacity (FVC) Forced vital capacity (FVC) measured through digital spirometer. If the value of FVC is within 80% of the reference value, the results are considered normal. Changes in FVC from baseline to 3rd week and after 6 weeks day of intervention will be assessed.
Forced Expiratory volume in 1sec (FEV1)
Forced expiratory volume in 1sec (FEV1) measured through digital spirometer. If the value of FEV1 is within 80% of the reference value, the results are considered normal.
36-Item Short Form Health Survey
The SF-36 Health Survey is a widely used tool that measures eight scales related to functional and well-being health-related quality of life (HRQOL).
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