Exploring the factors associated with decreased dynamic balance ability in older patients with heart failure

Etsuko Mori, Yoichiro Aoyagi, Yuji Kono, Hitoshi Asai, Hidehito Tomita, Hideo Izawa

研究成果: ジャーナルへの寄稿学術論文査読

抄録

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.

本文言語英語
ページ(範囲)139-143
ページ数5
ジャーナルHeart and Lung: Journal of Acute and Critical Care
58
DOI
出版ステータス出版済み - 01-03-2023

All Science Journal Classification (ASJC) codes

  • 呼吸器内科
  • 集中医療医学
  • 循環器および心血管医学

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