The difference in determinant factor of six-minute walking distance between sarcopenic and non-sarcopenic elderly patients with heart failure

Yuji Kono, Hideo Izawa, Yoichiro Aoyagi, Ayako Ishikawa, Tsubasa Sugiura, Etsuko Mori, Sayano Ueda, Wakaya Fujiwara, Mutsuharu Hayashi, Eiichi Saito

Research output: Contribution to journalArticle

Abstract

Background: The purpose of this study was to identify the factors determining exercise capacity in elderly patients with heart failure (HF) with and without sarcopenia. Methods: We studied 186 consecutive patients with HF who met the criteria of being >60 years, with no physical disability. During hospitalization, we measured the 6-min walking distance (6MWD) and other physical functional parameters and evaluated echocardiographic and laboratory measurements indicating the severity of HF. First, we divided patients into two groups (the sarcopenia group and the nonsarcopenia group) according to the presence of sarcopenia defined as fulfilling more than or equal to two criteria—body mass index <18.5, walking speed <0.8 m/s, and grip strength <26 kg in males, or <18 kg in females. Then the association between the 6MWD and the clinical variables mentioned above was analyzed by univariate and multiple logistic regression analyses. Results: The sarcopenia group comprised 77 patients (41.2%). In univariate analysis, age, grip strength, walking speed, and knee extensor muscle strength were significantly correlated with the 6MWD (p < 0.05), whereas other clinical parameters were not. In multivariate analysis, walking speed was selected as an independent factor determining the 6MWD in both groups; however, knee extensor muscle strength was selected as an independent factor determining the 6MWD only in the sarcopenia group. Conclusion: We demonstrated that knee extensor muscle strength was an independent factor determining exercise capacity—especially in elderly patients with HF with sarcopenia, and provided useful information in terms of exercise prescription.

Original languageEnglish
JournalJournal of cardiology
DOIs
Publication statusPublished - 01-01-2019

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Sarcopenia
Walking
Heart Failure
Muscle Strength
Knee
Hand Strength
Exercise
Prescriptions
Hospitalization
Multivariate Analysis
Logistic Models
Regression Analysis
Walking Speed

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

Cite this

@article{94cb4317e47b4541a859616e271e22d6,
title = "The difference in determinant factor of six-minute walking distance between sarcopenic and non-sarcopenic elderly patients with heart failure",
abstract = "Background: The purpose of this study was to identify the factors determining exercise capacity in elderly patients with heart failure (HF) with and without sarcopenia. Methods: We studied 186 consecutive patients with HF who met the criteria of being >60 years, with no physical disability. During hospitalization, we measured the 6-min walking distance (6MWD) and other physical functional parameters and evaluated echocardiographic and laboratory measurements indicating the severity of HF. First, we divided patients into two groups (the sarcopenia group and the nonsarcopenia group) according to the presence of sarcopenia defined as fulfilling more than or equal to two criteria—body mass index <18.5, walking speed <0.8 m/s, and grip strength <26 kg in males, or <18 kg in females. Then the association between the 6MWD and the clinical variables mentioned above was analyzed by univariate and multiple logistic regression analyses. Results: The sarcopenia group comprised 77 patients (41.2{\%}). In univariate analysis, age, grip strength, walking speed, and knee extensor muscle strength were significantly correlated with the 6MWD (p < 0.05), whereas other clinical parameters were not. In multivariate analysis, walking speed was selected as an independent factor determining the 6MWD in both groups; however, knee extensor muscle strength was selected as an independent factor determining the 6MWD only in the sarcopenia group. Conclusion: We demonstrated that knee extensor muscle strength was an independent factor determining exercise capacity—especially in elderly patients with HF with sarcopenia, and provided useful information in terms of exercise prescription.",
author = "Yuji Kono and Hideo Izawa and Yoichiro Aoyagi and Ayako Ishikawa and Tsubasa Sugiura and Etsuko Mori and Sayano Ueda and Wakaya Fujiwara and Mutsuharu Hayashi and Eiichi Saito",
year = "2019",
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day = "1",
doi = "10.1016/j.jjcc.2019.07.002",
language = "English",
journal = "Journal of Cardiology",
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The difference in determinant factor of six-minute walking distance between sarcopenic and non-sarcopenic elderly patients with heart failure. / Kono, Yuji; Izawa, Hideo; Aoyagi, Yoichiro; Ishikawa, Ayako; Sugiura, Tsubasa; Mori, Etsuko; Ueda, Sayano; Fujiwara, Wakaya; Hayashi, Mutsuharu; Saito, Eiichi.

In: Journal of cardiology, 01.01.2019.

Research output: Contribution to journalArticle

TY - JOUR

T1 - The difference in determinant factor of six-minute walking distance between sarcopenic and non-sarcopenic elderly patients with heart failure

AU - Kono, Yuji

AU - Izawa, Hideo

AU - Aoyagi, Yoichiro

AU - Ishikawa, Ayako

AU - Sugiura, Tsubasa

AU - Mori, Etsuko

AU - Ueda, Sayano

AU - Fujiwara, Wakaya

AU - Hayashi, Mutsuharu

AU - Saito, Eiichi

PY - 2019/1/1

Y1 - 2019/1/1

N2 - Background: The purpose of this study was to identify the factors determining exercise capacity in elderly patients with heart failure (HF) with and without sarcopenia. Methods: We studied 186 consecutive patients with HF who met the criteria of being >60 years, with no physical disability. During hospitalization, we measured the 6-min walking distance (6MWD) and other physical functional parameters and evaluated echocardiographic and laboratory measurements indicating the severity of HF. First, we divided patients into two groups (the sarcopenia group and the nonsarcopenia group) according to the presence of sarcopenia defined as fulfilling more than or equal to two criteria—body mass index <18.5, walking speed <0.8 m/s, and grip strength <26 kg in males, or <18 kg in females. Then the association between the 6MWD and the clinical variables mentioned above was analyzed by univariate and multiple logistic regression analyses. Results: The sarcopenia group comprised 77 patients (41.2%). In univariate analysis, age, grip strength, walking speed, and knee extensor muscle strength were significantly correlated with the 6MWD (p < 0.05), whereas other clinical parameters were not. In multivariate analysis, walking speed was selected as an independent factor determining the 6MWD in both groups; however, knee extensor muscle strength was selected as an independent factor determining the 6MWD only in the sarcopenia group. Conclusion: We demonstrated that knee extensor muscle strength was an independent factor determining exercise capacity—especially in elderly patients with HF with sarcopenia, and provided useful information in terms of exercise prescription.

AB - Background: The purpose of this study was to identify the factors determining exercise capacity in elderly patients with heart failure (HF) with and without sarcopenia. Methods: We studied 186 consecutive patients with HF who met the criteria of being >60 years, with no physical disability. During hospitalization, we measured the 6-min walking distance (6MWD) and other physical functional parameters and evaluated echocardiographic and laboratory measurements indicating the severity of HF. First, we divided patients into two groups (the sarcopenia group and the nonsarcopenia group) according to the presence of sarcopenia defined as fulfilling more than or equal to two criteria—body mass index <18.5, walking speed <0.8 m/s, and grip strength <26 kg in males, or <18 kg in females. Then the association between the 6MWD and the clinical variables mentioned above was analyzed by univariate and multiple logistic regression analyses. Results: The sarcopenia group comprised 77 patients (41.2%). In univariate analysis, age, grip strength, walking speed, and knee extensor muscle strength were significantly correlated with the 6MWD (p < 0.05), whereas other clinical parameters were not. In multivariate analysis, walking speed was selected as an independent factor determining the 6MWD in both groups; however, knee extensor muscle strength was selected as an independent factor determining the 6MWD only in the sarcopenia group. Conclusion: We demonstrated that knee extensor muscle strength was an independent factor determining exercise capacity—especially in elderly patients with HF with sarcopenia, and provided useful information in terms of exercise prescription.

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DO - 10.1016/j.jjcc.2019.07.002

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