138 PHYSICAL ACTIVITY AND HEALTH PROMOTION NEEDS, PREFERENCES AND PRIORITIES OF OLDER WOMEN LIVING WITH CARDIOVASCULAR DISEASE DE Rolfe, KK Yoshida, S Jaglal, R Reid, S Thomas Toronto, Ontario BACKGROUND AND AIMS: Women are less likely than men to participate in cardiac rehabilitation (CR) and physical activity (PA). However, the impact of CR on PA participation and other health promotion (HP) practices in community settings is unknown. The aims of this study were to (1) describe the HP and PA practices and preferences of older women with CVD, and (2) determine how HP activities (including PA and CR) are prioritized, and PA information accessed. We determined whether older women with CVD differ in their PA practices (1) based on their CR attendance, and (2) compared to the popu- lation of older Ontario women. METHODS: Mail surveys were distributed to 252 eligible past female patients at the University of Ottawa Heart Institute (UOHI). Survey completion rate was 50% (N  127). Analyses described women’s PA and HP practices and priorities, and compared PA participation and CR referral rate between (i) survey respondents and older Ontario women, and (ii) CR attendees and non-attendees. RESULTS: Survey respondents (mean age  75.8 years) were more active than Ontario’s population of older women in terms of daily activities, and walking for transportation and exercise (P .01); CR attendees and non-attendees did not differ in these activities. Seventy two % of women (N  103) reported participating in PA in their home, and this location was preferred (70%). The most important reason for PA participation is to improve overall health and wellbeing (68%, N  103), versus other reasons, i.e., ‘to manage or prevent health conditions’(13.6%). Women were most likely to consult their physician for PA information or advice (45.3%, N  53), but 40% (N  113) reported their physician ‘never’ or ‘rarely’ discusses their level of PA or helps them to in- crease their level of PA (60%, N  111). Despite an automatic referral policy at UOHI, only 60% (N  119) reported receiving a referral to CR. Fifty four % of respondents (N  120) attended CR which is greater than the 37% of eligible older Ontario women who attend CR (P .01). Women who attended CR were more likely to have received physician referral (P .01), and less likely to report transportation and a lack of available PA programs in their communities as challenges to PA participation. CONCLUSION: Since little is known about how women not at- tending CR prioritize and participate in HP and PA practices, this research can be used to better understand and provide the necessary supports and desirable contexts for women in both hospital and community settings. Canadian Institutes of Health Research (CIHR), Ontario Wom- en’s Health Scholars Award 139 EVALUATING THE CARDIAC REHABILITATION PARADIGM IN THE MANAGEMENT OF CARDIOVASCULAR RISK IN PATIENTS WITH CHRONIC KIDNEY DISEASE TL Parsons, M DeYoung, D Hopkins-Rosseel, W Hopman, S Lahaye Kingston, Ontario BACKGROUND: Cardiac rehabilitation (CR) is recommended for the management of cardiovascular disease in chronic kidney disease (CKD). To date, no prospective, randomized-control trial has evalu- ated the efficacy of the CR paradigm for these patients This project was conducted to determine a) the prevalence of CKD amongst a cohort of participants who completed a four-month CR program, and b) whether the presence of co-morbid CKD had an influence on outcomes associated with CR participation. METHODS/DESIGN: Retrospective analysis of Vascular Health Protection Network (VHPN © ) data. PARTICIPANTS: Intake and discharge data from adult partici- pants who completed the CR program between January 1 st 2004 - and December 31 st , 2009. OUTCOME MEASURES: Stage of CKD was determined using estimated Glomerular Filtration Rate (eGFR) (NKF Guide- lines). Height, weight, body mass index (BMI), waist circum- ference (WC), resting blood pressure (systolic, SBP; diastolic, DBP), functional exercise capacity (peak METs), cholesterol (total, Chol total; LDL, HDL), triglycerides, fasting blood glu- cose (FBG), glycolated hemoglobin (HbA1c), and high-sensi- tivity C reactive protein (hs-CRP) were measured prior to pro- gram admission and discharge. DATA ANALYSIS: Those with no evidence of CKD were com- bined with those categorized as Stage 1 and Stage 2, and compared to those who were at Stage 3 or higher. Changes in outcome measures were calculated by subtracting admis- sion from discharge values. Admission, discharge and change data were compared using chi-square tests for cate- gorical data, and independent samples t-tests (Mann-Whit- ney where appropriate) for continuous data. RESULTS: The study population included 804 individuals (62  10 years, 76.6% male and 94.7% Caucasian); 335 (42%) had no evidence of renal disease, 71 (9%) were cate- gorized as Stage 1, 210 (26%) as Stage 2, 82 (10%) as Stage 3, 4 (0.5%) as Stage 4 and 2 (0.2%) as Stage 5. Between group differences were observed with respect to a number of admission and discharge values, as well as changes in weight, WC, BMI, peak METs, SBP, DBP, HbA1c, and FBG (Ta- ble 1). CONCLUSION: Although renal insufficiency is prevalent amongst CR participants, very few late stage CKD (4 and 5) patients were observed. Additional work is required to document the barriers to CR participation by late stage CKD patients. As groups differed at baseline additional multivariable analysis will be performed to identify the key factors associated with changes in outcome while controlling for these differences. S112 Canadian Journal of Cardiology Volume 27 2011