Sedentary behaviour may cause differences in physical outcomes and activities of daily living in older cardiovascular disease patients participating in phase I cardiac rehabilitation

Scientific Reports, Journal Year: 2024, Volume and Issue: 14(1)

Published: June 18, 2024

This study aimed to investigate the rate of sedentary behaviour and differences in physical outcomes activities daily living (ADL) based on time hospitalized older cardiovascular disease patients undergoing phase I cardiac rehabilitation. Older were enrolled from October 2020 September 2023 divided into high group (≥ 480 min/day) low (< min/day). Patients' clinical characteristics, usual gait speed, Five Times Sit Stand Test compared as indices outcomes. Motor, cognitive, total Functional Independence Measure (FIM) scores used ADL between groups using analysis covariance. Final included 402 (mean age: 76.7 years, female: 35.3%). The 48.5% patients. After adjustment for baseline speed (0.80 ± 0.27 vs. 0.96 0.23 m/s, p < 0.001) was lower FTSST (11.31 4.19 9.39 3.11 s, higher versus group. Motor (85.82 8.82 88.09 5.04 points, 0.001), cognitive (33.32 2.93 34.04 2.24 FIM (119.13 10.66 122.02 6.30 significantly after adjustment. In rehabilitation, might influence at discharge. It is thus important consider amount spent by these during life while hospitalized.

Language: Английский

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Association Between Complementary Use of Daikenchuto (a Japanese Herbal Medicine) and Readmission in Older Patients With Heart Failure and Constipation

Circulation Reports, Journal Year: 2025, Volume and Issue: 7(2), P. 86 - 96

Published: Jan. 20, 2025

Background: Constipation commonly coexists with heart failure (HF) and can increase blood pressure because of straining during defecation accompanying mental stress. Daikenchuto, a Japanese herbal medicine to ameliorate gastrointestinal motility, may be effective as complement laxatives in improving outcomes patients HF constipation.

Language: Английский

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Sedentary behavior and physical activity on exercise capacity in adult patients with congenital heart disease

International Journal of Cardiology Congenital Heart Disease, Journal Year: 2025, Volume and Issue: 19, P. 100569 - 100569

Published: Jan. 22, 2025

Language: Английский

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Physical activity during summer and recognition of heatstroke prevention among patients with cardiovascular disease in an urban area of Japan: a descriptive study

BMC Research Notes, Journal Year: 2025, Volume and Issue: 18(1)

Published: Jan. 29, 2025

Patients with cardiovascular disease are considered a high-risk population for heat-related illnesses. This study aimed to describe the difference in physical activity between summer and fall among patients their recognition of heatstroke prevention an urban area high temperature conditions. We enrolled 56 outpatients who participated cardiac rehabilitation 2022 (median age, 75 years [interquartile range, 68–80]). Physical level each patient was assessed using International Activity Questionnaire at baseline (August) follow-up (October). Changes exercise habits frequency going outside during period patients' were questionnaires. The prevalence low higher than (57.1% vs. 37.5%, p = 0.013). Of involved self-exercise before summer, 33.9% answered that decreased summer. them, 47.4% felt remained fall. Regarding outside, 82.1% went less Most participants highly interested prevention.

Language: Английский

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Socio-economic Factors and Cardiovascular Outcomes in Japan: Is Unrestricted Access to Healthcare Resources Enough?

Published: Jan. 1, 2025

Abstract Japan is considered a country with economic power, but in fact income inequality increasing, and this leading to health inequities. It estimated that millions of people have limited access healthcare due lack medical insurance. Many older heart failure patients, who are the terminal stage cardiovascular diseases, require nursing care support socially isolated, it necessary improve quality disease management during their daily lives through use services as well care. Even telemedicine, which expected increase future, patients poor, elderly, digitally illiterate may be left behind. In future Japanese healthcare, create system address social determinants (SDOH) facing.

Language: Английский

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Improvement of rate of force development in the quadriceps without increased maximal voluntary contraction through cardiac rehabilitation: A case series of three older patients

Geriatrics and gerontology international/Geriatrics & gerontology international, Journal Year: 2025, Volume and Issue: unknown

Published: Feb. 2, 2025

The data that support the findings of this study are available on request from corresponding author. not publicly due to privacy or ethical restrictions.

Language: Английский

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Developing a Collaborative Model for Cardiac Rehabilitation ― Linking Hospitals and Local Fitness Centers for Older Adults With Cardiovascular Disease ―

Circulation Reports, Journal Year: 2025, Volume and Issue: 7(3), P. 154 - 159

Published: Feb. 3, 2025

Cardiac rehabilitation (CR) is a comprehensive program designed to help cardiac patients reintegrate into social life. The maintenance phase (phase III) typically conducted in hospitals or at local exercise facilities, depending on individual lifestyles. Effective collaboration between and facilities essential for maintaining CR older adults with cardiovascular disease (CVD), but several barriers hinder this linkage. Since 2022, the Aichi Health Plaza has maintained by developing unique handbook (the Rehabilitation Exercise Facility Cooperation Medical Institutions [CREpas] handbook). A system was established Department of Cardiology National Center Geriatrics Gerontology, facilitating seamless transitions through referrals after outpatient center-based CR. Partnerships included methods information sharing, such as diary, training records, occasional telephone calls emails, biannual exchange meetings. total 18 enrolled, no severe adverse events occurred during exercise. However, 11 (61%) discontinued various reasons. Transferring from fitness centers crucial CVD. While safety ensured centers, interruptions highlight need addressing continuity. Seamless healthcare CVD remain key challenge context heart failure pandemic require further discussion.

Language: Английский

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Influence of inspiratory muscle strength on 6-minute walk distance in patients with acute heart failure

PLoS ONE, Journal Year: 2025, Volume and Issue: 20(2), P. e0317679 - e0317679

Published: Feb. 12, 2025

Inspiratory muscle weakness may affect exercise tolerance; however, the relationship between inspiratory strength and 6-minute walk distance (6MWD) in patients with acute heart failure (AHF) is unknown. This study aimed to quantitatively investigate association at start of cardiac rehabilitation (CR) 6MWD discharge AHF. single-center, retrospective, observational enrolled 275 AHF who underwent CR. Patients unable before admission, isometric knee extensor strength/weight (%IKES) < 0.3 kgf/kg CR, or undergo examination were excluded. Maximum mouth pressure (PI-max) was used as an indicator measured The PI-max divided by predicted value for analysis (%PI-max). primary outcome 6MWD, tolerance, discharge. Statistical performed using multiple regression analysis, dependent variable %PI-max CR independent variable. Covariates age, New York Heart Association class, physical frailty, %IKES final included 94 (median age 83.0 years, 57.5% male). Multiple showed that significantly associated even after adjustment covariates (β = 0.223, 95% confidence interval: 0.063–0.382, p 0.007). a factor In conclusion, increased contribute improved

Language: Английский

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Machine-Learning-Based Prediction of Exercise Intolerance of Patients With Heart Failure Using Pragmatic Submaximal Exercise Parameters

Circulation Reports, Journal Year: 2025, Volume and Issue: 7(4), P. 257 - 266

Published: Feb. 26, 2025

Background: Low peak oxygen uptake (V̇O2), especially ≤14 mL/min/kg, is a strong indicator of poor prognosis in patients with heart failure (HF). However, measuring this parameter sometimes difficult if the maximal workload not reached. This study developed predictive classification model for low V̇O2in HF using machine learning (ML).

Language: Английский

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Impact of online support of physical activity management using a wearable device on renal function in patients with acute coronary syndrome: a randomized controlled trial protocol

PeerJ, Journal Year: 2025, Volume and Issue: 13, P. e19067 - e19067

Published: Feb. 26, 2025

Background Acute coronary syndromes (ACS) often cause rapid decline in renal and cardiac function. In patients with ACS, combined dysfunction is associated increased overall mortality cardiovascular events. Physical activity (PA) management may crucially contribute towards protection of function ACS. This article describes the study protocol a randomized controlled trial (RCT) assessing whether online support for PA using wearable devices information communication technology ACS facing difficulties participating outpatient rehabilitation after discharge can protect following disease onset. Methods We have designed two-arm RCT 3-month follow-up period. The intervention incorporates monitoring PA, pulse rate, blood pressure device an accelerometer web application system, as well periodic educational feedback goal setting. primary endpoint estimated glomerular filtration rate based on serum cystatin C (eGFRcys). effect will be assessed eGFRcys at 3 months adjusted baseline values. secondary endpoints are urine albumin/creatinine ratio, brain natriuretic peptide levels, average step count, peak oxygen uptake, quality life, incidence adverse Discussion provide evidence regarding effectiveness strategy novel not only mitigates barriers impeding participation protects but also improving survival recurrence rates, preventing dialysis, reducing medical long-term care costs. Trial registration: was registered Japan Registry Clinical Trials July 5, 2024. registration number jRCT1022240014 (Impact Online Support Activity Management Using Wearable Device Renal Function Patients Coronary Syndrome).

Language: Английский

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