TY - JOUR
T1 - Cholinesterase levels predict exercise capacity in cardiac recipients early after transplantation
AU - Kitagaki, Kazufumi
AU - Nakanishi, Michio
AU - Ono, Rei
AU - Yamamoto, Kazuya
AU - Suzuki, Yuji
AU - Fukui, Noriyuki
AU - Yanagi, Hidetoshi
AU - Konishi, Harumi
AU - Yanase, Masanobu
AU - Fukushima, Norihide
N1 - Publisher Copyright:
© 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd
PY - 2018/2
Y1 - 2018/2
N2 - Purpose: Although cardiac rehabilitation is recommended for patients early after heart transplantation (HTx), adequate exercise effect cannot always be obtained, partly because in patients with chronic heart failure, exercise capacity is reduced due to malnutrition while waiting for HTx. This study aimed to investigate the relationships between exercise capacity and clinical variables, including nutritional indicators, early after HTx. Patients and Methods: Forty-three HTx recipients were studied. The mean age at HTx was 38 ± 14 years, and 86% were male. We assessed the relationships between peak oxygen uptake (VO2) and clinical variables, including plasma B-type natriuretic peptide (BNP), isometric knee extensor muscle strength (KEMS), and nutritional indicators within 1 week of their respective discharges. Results: Peak VO2 correlated positively with isometric KEMS (r =.63, P <.0001) and negatively with BNP level (r = −.37, P =.015). Of the nutritional indicators, only cholinesterase levels had a significant relationship with peak VO2 (r =.34, P =.028), whereas the Geriatric Nutritional Risk Index and the Controlling Nutritional Status scores did not. In multiple linear regression analysis, cholinesterase levels and isometric KEMS were independent predictors of peak VO2. Conclusion: Cholinesterase levels predicted exercise capacity early after HTx.
AB - Purpose: Although cardiac rehabilitation is recommended for patients early after heart transplantation (HTx), adequate exercise effect cannot always be obtained, partly because in patients with chronic heart failure, exercise capacity is reduced due to malnutrition while waiting for HTx. This study aimed to investigate the relationships between exercise capacity and clinical variables, including nutritional indicators, early after HTx. Patients and Methods: Forty-three HTx recipients were studied. The mean age at HTx was 38 ± 14 years, and 86% were male. We assessed the relationships between peak oxygen uptake (VO2) and clinical variables, including plasma B-type natriuretic peptide (BNP), isometric knee extensor muscle strength (KEMS), and nutritional indicators within 1 week of their respective discharges. Results: Peak VO2 correlated positively with isometric KEMS (r =.63, P <.0001) and negatively with BNP level (r = −.37, P =.015). Of the nutritional indicators, only cholinesterase levels had a significant relationship with peak VO2 (r =.34, P =.028), whereas the Geriatric Nutritional Risk Index and the Controlling Nutritional Status scores did not. In multiple linear regression analysis, cholinesterase levels and isometric KEMS were independent predictors of peak VO2. Conclusion: Cholinesterase levels predicted exercise capacity early after HTx.
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U2 - 10.1111/ctr.13170
DO - 10.1111/ctr.13170
M3 - Article
C2 - 29194762
AN - SCOPUS:85041139137
SN - 0902-0063
VL - 32
JO - Clinical Transplantation
JF - Clinical Transplantation
IS - 2
M1 - e13170
ER -
