Investigating the Upper Extremity Exercise Capacity and Associated Variables in Individuals With Heart Failure.

IF 3.1 3区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Journal of Cardiopulmonary Rehabilitation and Prevention Pub Date : 2025-08-04 DOI:10.1097/HCR.0000000000000977

Habibe Durdu, Ertan Aydin

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引用次数: 0

Abstract

Purpose: To investigate the relationship of upper extremity exercise capacity (UEEC) with activities of daily living (ADL), handgrip strength, handgrip endurance, and anthropometric and clinical characteristics in patients with heart failure (HF).

Methods: In 48 patients with HF and 50 age- and sex-matched healthy controls, we evaluated UEEC, handgrip strength and endurance, and AD using the 6-minute pegboard ring test (6PBRT), a hydraulic hand dynamometer, and the London Chest Activity of Daily Living (LCADL) scale, respectively.

Results: Clinical characteristics were similar between patients with HF (mean age 63.21 ± 8.55 years, 42% female) and healthy controls (mean age 60.16 ± 8.64 years, 54 % female, P > .05). Patients with HF had significantly reduced 6PBRT scores (Cohen's d = - 1.906), handgrip strength (Cohen's d = - 0.595), and handgrip endurance (Cohen's d = - 1.791), as well as higher LCADL scores (Cohen's d = 1.628) compared to healthy controls (P < .05). The 6PBRT score showed strong positive correlation with handgrip endurance (r = 0.595, P < .001) and moderate positive correlation with total work capacity (r = 0.497, P < .001). The LCADL%total revealed a moderate negative correlation with handgrip strength (r = - 0.495, P < .001) and total work capacity (r = - 0.493, P < .001) and a moderate positive correlation with body mass index (r = 0.477, P = .001) in patients with HF. Performance of ADL was not correlated to 6PBRT score in patients with HF. Also, the diagnosis of HF and handgrip endurance were the strongest predictors for 6PBRT score (P < .05).

Conclusions: Patients with HF exhibited a clinically significant decrease in their UEEC. Based on our findings, this decline is likely associated with handgrip endurance.

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心力衰竭患者上肢运动能力及相关变量的研究。

目的：探讨心力衰竭（HF）患者上肢运动能力（UEEC）与日常生活活动能力（ADL）、握力、握力耐力、人体测量学及临床特征的关系。方法：在48例HF患者和50例年龄和性别匹配的健康对照中，我们分别使用6分钟钉板环试验（6PBRT）、液压手测力仪和伦敦日常生活胸活动（LCADL）量表评估UEEC、握力和耐力以及AD。结果：HF患者（平均年龄63.21±8.55岁，女性占42%）与健康对照组（平均年龄60.16±8.64岁，女性占54%，P < 0.05）的临床特征相似。HF患者的6PBRT评分（Cohen’s d = - 1.906）、握力（Cohen’s d = - 0.595）和握力耐力（Cohen’s d = - 1.791）明显低于健康对照组，LCADL评分（Cohen’s d = 1.628）高于健康对照组（P < 0.05）。6PBRT得分与握力耐力呈极显著正相关（r = 0.595, P < 0.001），与总工作能力呈中度正相关（r = 0.497, P < 0.001）。HF患者LCADL%总数与握力（r = - 0.495, P < 0.001）、总工作能力（r = - 0.493, P < 0.001）呈中度负相关，与体重指数（r = 0.477, P = 0.001）呈中度正相关。心衰患者的ADL表现与6PBRT评分无关。此外，HF诊断和握力耐力是6PBRT评分的最强预测因子（P < 0.05）。结论：HF患者的UEEC有显著的临床下降。根据我们的研究结果，这种下降可能与握力耐力有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Cardiopulmonary Rehabilitation and Prevention 医学-心血管系统

CiteScore

5.40

自引率

34.20%

发文量

164

审稿时长

6-12 weeks

期刊介绍： JCRP was the first, and remains the only, professional journal dedicated to improving multidisciplinary clinical practice and expanding research evidence specific to both cardiovascular and pulmonary rehabilitation. This includes exercise testing and prescription, behavioral medicine, and cardiopulmonary risk factor management. In 2007, JCRP expanded its scope to include primary prevention of cardiovascular and pulmonary diseases. JCRP publishes scientific and clinical peer-reviewed Original Investigations, Reviews, and Brief or Case Reports focused on the causes, prevention, and treatment of individuals with cardiovascular or pulmonary diseases in both a print and online-only format. Editorial features include Editorials, Invited Commentaries, Literature Updates, and Clinically-relevant Topical Updates. JCRP is the official Journal of the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation.