Heart failure & cardiomyopathies

Physical activity and relationship to physical function, quality of life, and cognitive function in older patients with acute decompensated heart failure

Am Heart JPublished Cross-sectional study

Authors' conclusion

Older patients recently hospitalized for ADHF have very low levels of physical activity and high levels of sedentary time, both of which may be potential targets for interventions in this high-risk population. Physical activity level was not significantly associated with objectively measured physical function, QOL, or cognition, suggesting that this measure provides independent information regarding the patient experience of living with HF.

Study context

Population
Older patients recently hospitalized for acute decompensated HF
Participants
93 participants
Exposure
Physical activity in acute decompensated HF (ADHF) vs age-matched NHANES healthy and chronic stable HF adults
  • ADHFn = 93
Outcome
Accelerometer-measured sedentary time, light and moderate-to-vigorous physical activity
Follow-up
10 to 14 days after index hospitalization

Main finding

As reported in the abstract

Daily activity (ADHF participants)
GroupSedentary timeLight physical activityModerate-to-vigorous physical activity
ADHF1,008 (IQR 896, 1,109)88 (57, 139)10 (6, 25)

ADHF

Sedentary time1,008 (IQR 896, 1,109)
Light physical activity88 (57, 139)
Moderate-to-vigorous physical activity10 (6, 25)

Observational data: associations, not effects.

Further findings

Awake time nonsedentary

Short Physical Performance Battery (SPPB), Kansas City Cardiomyopathy Questionnaire (KCCQ) and Montreal Cognitive Assessment (MOCA) by quartile of total physical activity (ADHF)

SPPB, KCCQ and MOCA scores did not differ among quartiles of total physical activity

Original publication

Physical activity and relationship to physical function, quality of life, and cognitive function in older patients with acute decompensated heart failure. Am Heart J. Published 11 November 2022. doi:10.1016/j.ahj.2022.11.002

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