Relationship between physical function at discharge and hospital meal intake in elderly patients with heart failure

Kubo, Ikko; Izawa, Kazuhiro P.; Kajisa, Nozomu; Ogura, Asami; Kanai, Masashi; Nishio, Ryo; Matsumoto, Daisuke

doi:10.1007/s00380-022-02077-0

Cited by 4 publications

(3 citation statements)

References 37 publications

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“…The SPPB is scored from 0 points (unable to complete a task) to 4 points (highest level of performance). The sum of the three test scores, which range from 0 to 12 points, was determined according to previously reported methods 18 , 30 . Patient characteristics were collected by one of the researchers from the medical record on the patient’s admission, and each patient’s SB and SPPB were assessed at discharge by one or two CR staff members.…”

Section: Methodsmentioning

confidence: 99%

“…Previous studies have also shown that 63.8% of elderly patients with HF had low physical function as assessed by the SPPB at discharge 18 and that the motor Functional Independence Measure score of activities of daily living in these patients was an independent predictor of re-hospitalization within 90 days 20 . Another recent report found that the prevalence of hospital-associated disability was 7.43% among 238,160 patients with acute HF eligible for cardiac rehabilitation (CR), and only 44% patients received phase I CR (pre discharge) in the total cohort 21 .…”

Section: Introductionmentioning

confidence: 94%

“…The SPPB is now frequently being used as a screening tool for sarcopenia in elderly patients with CVD 17 – 19 . As the SPPB does not require special procedures or skills in evaluation, physical function and sarcopenia can be easily evaluated even in elderly people with complications 18 , 19 . For these reasons, the SPPB was used to assess physical function and perform SB screening in the present study.…”

Section: Introductionmentioning

confidence: 99%

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Relation of sedentary behaviour to physical function in phase I cardiac rehabilitation

Izawa

Kanejima

Kitamura

et al. 2023

Sci Rep

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Increased sedentary behaviour (SB) is reportedly associated with mortality and morbidity in cardiovascular disease. However, its relation with physical function is not well understood in phase I cardiac rehabilitation (CR). This study aimed to investigate the rate of SB and the relation between SB and physical function among patients participating in phase I CR. This prospective multicentre cohort study enrolled patients participating in CR from October 2020 to July 2022. Patients with probable dementia and difficulty walking alone were excluded. We used sitting SB time as the index of SB and the Short Performance Physical Battery (SPPB) as the index of physical function at discharge. Patients were divided into the low SB group (< 480 min/day) or high SB group (≥ 480 min/day). We analysed and compared the two groups. The final analysis included 353 patients (mean age: 69.6 years, male: 75.6%), of whom 47.6% (168 of 353) were high SB patients. Total sitting SB time was higher in the high SB group versus the low SB group (733.6 ± 155.3 vs 246.4 ± 127.4 min/day, p < 0.001), and mean SPPB score was lower in the high SB group versus the low SB group (10.5 ± 2.4 vs 11.2 ± 1.6 points, p = 0.001). Multiple regression analysis identified SB as an explanatory variable for total SPPB score (p = 0.017). Patients with high SB had significantly lower SPPB scores than those with low SB. These findings underscore the importance of considering SB when improving physical function. Effective strategies to improve physical function can be developed that consider SB in phase I CR.

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Section: Methodsmentioning

confidence: 99%