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Erschienen in: Heart and Vessels 5/2020

04.11.2019 | Original Article

Factors limiting habitual exercise in patients with chronic heart failure: a multicenter prospective cohort study

verfasst von: Soichiro Tadaki, Yasuhiko Sakata, Yutaka Miura, Kotaro Nochioka, Masanobu Miura, Satoshi Miyata, Masanori Asakura, Kazunori Shimada, Takeshi Yamamoto, Yoshihiro Fukumoto, Toshiaki Kadokami, Satoshi Yasuda, Toshiro Miura, Shin-ichi Ando, Masafumi Yano, Masafumi Kitakaze, Hiroyuki Daida, Hiroaki Shimokawa

Erschienen in: Heart and Vessels | Ausgabe 5/2020

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Abstract

Physical activity (PA) in the daily life is strongly related to prognosis in patients with or at high risk of heart failure (HF). However, factors limiting habitual exercise and their prognostic impacts remain unknown in HF patients. We sent questionnaires asking factors limiting habitual exercise in the daily life to 8370 patients with Stage A/B/C/D HF in our nationwide registry and received valid responses from 4935 patients (mean age 71.8 years, 71.0% male). Among the 5 components consisting of “busyness”, “weak will”, “dislike, “socioeconomic reasons” and “diseases” in the questionnaires, “busyness” (34.5%) and “diseases” (34.7%) were the most frequently reported factors limiting habitual exercise, while “socioeconomic reasons” were the least (15.3%). Multiple Cox proportional hazard models indicated that “busyness”and “diseases” were associated with better (hazard ratio (HR) 0.53, 95% confidence interval (CI) 0.39–0.72, P < 0.001) and worse prognosis (HR 1.57, 95% CI 1.21–1.98, P < 0.001), respectively, while other components were not. Furthermore, it was noted that, while prognostic relevance of “busyness” limiting exercise did not differ by age or sex, negative impact of “diseases” was particularly evident in patients with age < 75 years (P for interaction < 0.01). Factors limiting habitual exercise were associated with “busyness” and “diseases”, but not with “weak will”, “dislike, or “socioeconomic reasons”. While “busyness” was associated with better prognosis regardless of age and sex, “diseases” was associated with worse prognosis in younger populations. Thus, physicians may pay more attentions to the reasons that limit exercise in the daily lives of HF patients rather than the low amount of exercise itself.
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Metadaten
Titel
Factors limiting habitual exercise in patients with chronic heart failure: a multicenter prospective cohort study
verfasst von
Soichiro Tadaki
Yasuhiko Sakata
Yutaka Miura
Kotaro Nochioka
Masanobu Miura
Satoshi Miyata
Masanori Asakura
Kazunori Shimada
Takeshi Yamamoto
Yoshihiro Fukumoto
Toshiaki Kadokami
Satoshi Yasuda
Toshiro Miura
Shin-ichi Ando
Masafumi Yano
Masafumi Kitakaze
Hiroyuki Daida
Hiroaki Shimokawa
Publikationsdatum
04.11.2019
Verlag
Springer Japan
Erschienen in
Heart and Vessels / Ausgabe 5/2020
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-019-01529-4

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