老年心力衰竭患者的短期体能测试与心-踝血管指数的关系

IF 1.2 4区 医学 Q3 CARDIAC & CARDIOVASCULAR SYSTEMS
Shinya Kanzaki, Akihiro Ogawa, Yuki Ikeda, Msahiro Iwakawa, Takahiro Nakagami, Satoshi Kido, Arata Nakajima, Kazuhiro Shimizu
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引用次数: 0

摘要

老年患者的平衡功能障碍会影响其独立性,增加跌倒和残疾的风险。动脉僵化是动脉粥样硬化的一个重要参数,可影响包括大脑在内的外周器官,导致平衡失调。心踝关节血管指数(CAVI)的测量与血压无关,它作为动脉僵化的指标已引起人们的关注。然而,心力衰竭患者的平衡功能障碍与心踝关节血管指数之间的关系仍不清楚。我们调查了2017年至2022年间心脏康复数据库中的心衰患者,研究了老年心衰患者的短期体能测试(SPPB)得分与CAVI之间的关联。在出院前一天测量了身体功能、身体成分和 CAVI。身体成分通过生物电阻抗分析进行评估。身体功能通过评估手握力、6分钟步行距离和SPPB来确定。在 205 名年龄≥ 65 岁的连续住院患者中(平均 77.0 岁;男性 140 人;女性 65 人),45.0% 的患者患有肌肉疏松症。肌肉疏松症患者的 CAVI 明显高于非肌肉疏松症患者(分别为 10.4 [9.5, 11.4] 对 9.8 [8.9, 10.8])。年龄、6分钟步行距离、SPPB串联时间、4米步行时间、5次坐立时间和SPPB评分与CAVI显著相关,其中串联时间是CAVI的独立决定因素(β = -0.142,P = 0.047)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Short Physical Performance Battery and Cardio-Ankle Vascular Index Association in Older Patients with Heart Failure.

Balance dysfunction in older patients compromises independence and increases the risk of falls and disability. Arterial stiffness, an important parameter of atherosclerosis, can affect peripheral organs, including the brain, causing balance disorders. The cardio-ankle vascular index (CAVI), measured independently of blood pressure, has attracted attention as an indicator of arterial stiffness. However, the association between balance dysfunction and CAVI in patients with heart failure remains unclear. We investigated the association between the Short Physical Performance Battery (SPPB) score and CAVI in older patients with heart failure.We investigated heart failure patients from our cardiac rehabilitation database between 2017 and 2022. Physical function, body composition, and CAVI were measured the day before discharge. Body composition was assessed using bioelectrical impedance analysis. Physical function was determined by assessing handgrip strength, 6-minute walk distance, and SPPB. Sarcopenia was classified according to the Asian Working Group for Sarcopenia 2019 guidelines, defining sarcopenia as an SPPB total score ≤ 9.Among the 205 consecutive hospitalized patients aged ≥ 65 years (mean, 77.0 years; male, 140; female, 65), 45.0% had sarcopenia. CAVI was significantly higher in patients with sarcopenia than in those without (10.4 [9.5, 11.4] versus 9.8 [8.9, 10.8], respectively). Age, 6-minute walk distance, SPPB tandem time, 4-m walk time, 5 repetition sit-to-stand time, and SPPB score were significantly associated with CAVI, with tandem being an independent CAVI determinant (β = -0.142, P = 0.047).These results suggest an association between arterial stiffness and SPPB score in older patients with heart failure.

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来源期刊
International heart journal
International heart journal 医学-心血管系统
CiteScore
2.50
自引率
6.70%
发文量
148
审稿时长
6-12 weeks
期刊介绍: Authors of research articles should disclose at the time of submission any financial arrangement they may have with a company whose product figures prominently in the submitted manuscript or with a company making a competing product. Such information will be held in confidence while the paper is under review and will not influence the editorial decision, but if the article is accepted for publication, the editors will usually discuss with the authors the manner in which such information is to be communicated to the reader.
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