Heart failure & cardiomyopathies

Skeletal Muscle Mitochondrial Respiration and Exercise Intolerance in Patients With Heart Failure With Preserved Ejection Fraction

JAMA CardiolPublished Cross-sectional study

Authors' conclusion

In this study, patients with HFpEF had marked abnormalities in skeletal muscle mitochondrial function.

Study context

Population
Clinically stable older adults (>60 years) with chronic heart failure with preserved ejection fraction (HFpEF) and age-matched healthy controls, not in regular exercise or diet programs
Participants
72 adults
Exposure
HFpEF vs age-matched healthy controls
Outcome
Skeletal muscle mitochondrial function (maximal capacity, complex I- and complex II-linked respiration) and its association with exercise performance (peak VO2, 6-minute walk distance, SPPB)
Methodological detailsage-matched controls, single university referral centre, Data collected March 2016 to December 2017; analysed November 2020 to May 2021
  • Age-matched controls
  • Single university referral centre
  • Data collected March 2016 to December 2017; analysed November 2020 to May 2021

Main finding

As reported in the abstract

Maximal capacity correlated with peak exercise oxygen consumption

R = 0.69

P < .001

Maximal capacity correlated with 6-minute walk distance

R = 0.70

P < .001

Maximal capacity correlated with Short Physical Performance Battery score

R = 0.46

P < .001

Observational data: associations, not effects.

Original publication

Skeletal Muscle Mitochondrial Respiration and Exercise Intolerance in Patients With Heart Failure With Preserved Ejection Fraction. JAMA Cardiol. Published 1 June 2023. doi:10.1001/jamacardio.2023.0957

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