Heart failure & cardiomyopathies

Accelerometer vs. Other Activity Measures in Heart Failure with Preserved Ejection Fraction: The VITALITY-HFpEF Trial

ESC Heart FailPublished Secondary analysis of the VITALITY-HFpEF randomised trial

Authors' conclusion

Accelerometer-based activity measures did not correlate with subjective or objective standard measures of health status and functional capacity in heart failure with preserved ejection fraction.

Study context

Population
Patients with HFpEF in the VITALITY-HFpEF accelerometry substudy
Participants
69 patients
Comparison
Change in accelerometry activity vs change in Kansas City Cardiomyopathy Questionnaire-Physical Limitation Score (KCCQ-PLS) and 6MWT
Primary endpoint
Association between change in accelerometry activity and deterioration, improvement or no change in KCCQ-PLS (≥8.33 and ≤ −4.17 points) and 6MWT (≥32 vs. ≤ −32 m)
Follow-up
Baseline to 24 weeks
Methodological detailsaccelerometry substudy
  • Accelerometry substudy

Primary result

As reported in the abstract

Change in hours activeOdds ratio (95% CI)P value
KCCQ-PLS deterioration, improvement or no change
0.91(0.71–1.18)
P = 0.48
6MWT deterioration, improvement or no change
1.21(0.91–1.60)
P = 0.18
KCCQ-PLS deteriorated
16
KCCQ-PLS improved
34
KCCQ-PLS unchanged
19
6MWT deteriorated
8
6MWT improved
21
6MWT unchanged
19

Further findings

Other accelerometry metrics vs change in KCCQ and 6MWT

Similar lack of association
Unaffected when KCCQ and 6MWT examined as continuous variables

Accelerometer wear

Mean accelerometer wear, h/day (±2.1)
21.4

Original publication

Accelerometer vs. Other Activity Measures in Heart Failure with Preserved Ejection Fraction: The VITALITY-HFpEF Trial. ESC Heart Fail. Published 20 November 2023. doi:10.1002/ehf2.14572

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