Frontiers in public health · 2026
Short-term transitions in health-promoting lifestyle profiles following first-time percutaneous coronary intervention: a latent profile transition analysis.
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Jiang Pengli, Zhang Juan, Sun Wenzhuo, Hu Mengbing, Li Chan
Аннотация
BACKGROUND: Maintaining a health-promoting lifestyle is essential for long-term cardiovascular risk management in patients undergoing percutaneous coronary intervention (PCI). However, how lifestyle behaviors change before and after first-time PCI, and which factors are associated with these changes, remain insufficiently understood.
AIMS: This study aimed to identify patterns and short-term transitions in health-promoting lifestyle behaviors before and after first-time PCI in patients with coronary heart disease (CHD).
METHODS: This was a prospective longitudinal study with a 6-month follow-up. A total of 603 patients with CHD from three tertiary hospitals in Zhengzhou were enrolled. Lifestyle profiles were identified at baseline (T1) and at 6 months after PCI (T2) using latent profile transition analysis (LPTA), and multinomial logistic regression was used to examine factors associated with profile transitions.
RESULTS: Three different lifestyles were consistently identified at both time points: Unhealthy, Moderately Healthy, and Healthy. Although some transitions toward healthier profiles were observed between T1 and T2, most participants remained in their initial profile, indicating relative stability over the 6-month period. Higher levels of general self-efficacy and perceived social support significantly increased the likelihood of positive lifestyle changes (p < 0.001). In contrast, higher BMI, lower education, and lower income were associated with reduced odds of behavioral improvement (p < 0.05).
CONCLUSION: Lifestyle behaviors among patients undergoing first-time PCI are heterogeneous and show limited change over the first 6 months following the procedure. Psychological and social resources, particularly self-efficacy and social support, are important correlates of favorable lifestyle transitions and may represent useful targets for post-PCI care and rehabilitation.
AIMS: This study aimed to identify patterns and short-term transitions in health-promoting lifestyle behaviors before and after first-time PCI in patients with coronary heart disease (CHD).
METHODS: This was a prospective longitudinal study with a 6-month follow-up. A total of 603 patients with CHD from three tertiary hospitals in Zhengzhou were enrolled. Lifestyle profiles were identified at baseline (T1) and at 6 months after PCI (T2) using latent profile transition analysis (LPTA), and multinomial logistic regression was used to examine factors associated with profile transitions.
RESULTS: Three different lifestyles were consistently identified at both time points: Unhealthy, Moderately Healthy, and Healthy. Although some transitions toward healthier profiles were observed between T1 and T2, most participants remained in their initial profile, indicating relative stability over the 6-month period. Higher levels of general self-efficacy and perceived social support significantly increased the likelihood of positive lifestyle changes (p < 0.001). In contrast, higher BMI, lower education, and lower income were associated with reduced odds of behavioral improvement (p < 0.05).
CONCLUSION: Lifestyle behaviors among patients undergoing first-time PCI are heterogeneous and show limited change over the first 6 months following the procedure. Psychological and social resources, particularly self-efficacy and social support, are important correlates of favorable lifestyle transitions and may represent useful targets for post-PCI care and rehabilitation.