Heart failure & cardiomyopathies

Sex Differences in Efficacy of Multidomain Rehabilitation Among Older Adults With Acute HF: The REHAB-HF Trial

JACC Heart FailPublished Secondary analysis of the REHAB-HF randomised trial

Authors' conclusion

Female (vs male) participants with ADHF had a significantly greater improvement in physical function in response to the REHAB-HF intervention.

Study context

Population
Older patients with acute decompensated HF
Participants
349 patients
Comparison
REHAB-HF intervention vs attention control, by sex
  • Femalen = 183
  • Malen = 166reference
Primary endpoint
Short Physical Performance Battery (SPPB)
Follow-up
3 months
Methodological detailsprespecified secondary analysis
  • Prespecified secondary analysis

Primary result

As reported in the abstract

SPPB, treatment effect by sex (subgroup analysis)
GroupEffect size
Female1.9 [95% CI: 1.1-2.7]
Male1.0 [95% CI: 0.1-1.8]

Effect size

Female1.9 [95% CI: 1.1-2.7]
Male1.0 [95% CI: 0.1-1.8]

Further findings

OutcomeFemaleMale
Frailty burden (Fried phenotype), treatment effect by sex · 3 months
Effect size−0.5 [95% CI: −0.9 to −0.2]0.00 [95% CI: −0.4 to 0.4]
  • Frailty burden (Fried phenotype), treatment effect by sex: P for interaction = 0.04

6MWD and quality of life (QOL) (KCCQ score) · 3 months

Greater improvement in females vs males, without significant treatment effect interaction by sex

Intervention adherence

No difference by sex

Original publication

Sex Differences in Efficacy of Multidomain Rehabilitation Among Older Adults With Acute HF: The REHAB-HF Trial. JACC Heart Fail. Published 24 September 2025. doi:10.1016/j.jchf.2025.102547

Composed by AI from the published abstract and checked against it. How Briefs are made →

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