TY - JOUR
T1 - Exploring the factors associated with decreased dynamic balance ability in older patients with heart failure
AU - Mori, Etsuko
AU - Aoyagi, Yoichiro
AU - Kono, Yuji
AU - Asai, Hitoshi
AU - Tomita, Hidehito
AU - Izawa, Hideo
N1 - Publisher Copyright:
© 2022 Elsevier Inc.
PY - 2023/3/1
Y1 - 2023/3/1
N2 - Background: Older patients with heart failure (HF) have a higher prevalence of frailty and poorer dynamic balance ability than other community-dwelling older adults. However, the association of frailty and other clinical characteristics with dynamic balance ability in these patients remains unclear. Objectives: We aimed to determine the clinical characteristics associated with decreased dynamic balance ability in older patients with HF. Methods: This observational study included patients aged ≥65 years who could walk independently and were admitted to our university hospitals to undergo a cardiac rehabilitation. The timed up and go test (TUG) was used to evaluate dynamic balance ability. Pearson's and Spearman's correlation analyses were performed to determine the relationships between TUG scores and clinical characteristics. A multiple regression model based on the forced entry method was used to determine independent predictors of TUG scores. Results: Of the 183 participants in this study (94 women; mean age, 82.5 ± 8.1 years), 116 (61.7%) had frailty. Pearson's and Spearman's correlation analyses revealed that age, frailty, sex, knee extensor muscle strength, maximum calf circumference, and Mini-Mental State Examination–Japanese version (MMSE–J) score were significantly correlated with TUG score (p < 0.001). Further, multiple regression analysis showed that age (p < 0.001), frailty (p = 0.041), knee extensor muscle strength (p = 0.002), and MMSE–J score (p = 0.048) were independent predictors of TUG scores. Conclusion: Multiple factors, including age, frailty, knee extensor muscle weakness, and cognitive function impairment are independently associated with decreased dynamic balance ability in older patients with HF.
AB - Background: Older patients with heart failure (HF) have a higher prevalence of frailty and poorer dynamic balance ability than other community-dwelling older adults. However, the association of frailty and other clinical characteristics with dynamic balance ability in these patients remains unclear. Objectives: We aimed to determine the clinical characteristics associated with decreased dynamic balance ability in older patients with HF. Methods: This observational study included patients aged ≥65 years who could walk independently and were admitted to our university hospitals to undergo a cardiac rehabilitation. The timed up and go test (TUG) was used to evaluate dynamic balance ability. Pearson's and Spearman's correlation analyses were performed to determine the relationships between TUG scores and clinical characteristics. A multiple regression model based on the forced entry method was used to determine independent predictors of TUG scores. Results: Of the 183 participants in this study (94 women; mean age, 82.5 ± 8.1 years), 116 (61.7%) had frailty. Pearson's and Spearman's correlation analyses revealed that age, frailty, sex, knee extensor muscle strength, maximum calf circumference, and Mini-Mental State Examination–Japanese version (MMSE–J) score were significantly correlated with TUG score (p < 0.001). Further, multiple regression analysis showed that age (p < 0.001), frailty (p = 0.041), knee extensor muscle strength (p = 0.002), and MMSE–J score (p = 0.048) were independent predictors of TUG scores. Conclusion: Multiple factors, including age, frailty, knee extensor muscle weakness, and cognitive function impairment are independently associated with decreased dynamic balance ability in older patients with HF.
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U2 - 10.1016/j.hrtlng.2022.11.016
DO - 10.1016/j.hrtlng.2022.11.016
M3 - Article
C2 - 36512879
AN - SCOPUS:85143664783
SN - 0147-9563
VL - 58
SP - 139
EP - 143
JO - Heart and Lung
JF - Heart and Lung
ER -