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RELATIONSHIPS AMONG MEASURES OF PHYSICAL FITNESS IN ADULT PATIENTS WITH HEART FAILURE
Univ Roma Tor Vergata, Italy.
Univ Roma Tor Vergata, Italy.
Linköping University, Department of Social and Welfare Studies, Division of Nursing Science. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-7493-0353
Casa Cura Villa della Querce Nemi, Italy.
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2019 (English)In: Journal of Rehabilitation Medicine, ISSN 1650-1977, E-ISSN 1651-2081, Vol. 51, no 8, p. 607-615Article in journal (Refereed) Published
Abstract [en]

Objectives: To describe the relationships among 3 measures of physical fitness (exercise capacity, muscle function and functional capacity) in patients with heart failure, and to determine whether these measures are influenced by impairment of movement. Methods: Secondary analysis of baseline data from the Italian subsample (n= 96) of patients with heart failure enrolled in a randomized controlled trial, the HF-Wii study. Exercise capacity was measured with the 6-min walk test, muscle function was measured with the unilateral isotonic heel-lift, bilateral isometric shoulder abduction and unilateral isotonic shoulder flexion, and functional capacity was measured with the Duke Activity Status Index. Principal component analysis was used to detect covariance of the data. Results: Exercise capacity correlated with all of the tests related to muscle function (r=0.691-0.423, pamp;lt; 0.001) and functional capacity (r = 0.531). Moreover, functional capacity correlated with muscle function (r=0.482-0.393). Principal component analysis revealed the bidimensional structure of these 3 measures, thus accounting for 58% of the total variance in the variables measured. Conclusion: Despite the correlations among exercise capacity, muscle function and functional capacity, these measures loaded on 2 different factors. The use of a wider range of tests will help clinicians to perform a more tailored assessment of physical fitness, especially in those patients with heart failure who have impairment of movement.

Place, publisher, year, edition, pages
FOUNDATION REHABILITATION INFORMATION , 2019. Vol. 51, no 8, p. 607-615
Keywords [en]
heart failure; physical fitness; exercise capacity; muscle function; functional capacity; movement impairment; rehabilitation
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:liu:diva-160400DOI: 10.2340/16501977-2574ISI: 000483931500008PubMedID: 31233184OAI: oai:DiVA.org:liu-160400DiVA, id: diva2:1353551
Note

Funding Agencies|Swedish National Science Council [K2013-69X-22302-01-3, 2016-01390]; Swedish Heart and Lung Association [E085/12, E120/15]; Swedish Heart-Lung Foundation [20130340, 20160439]; Vardal Foundation [2014-0018]; Medical Research Council of Southeast Sweden [FORSS 474681]; Swedish Research Council for Health, Working Life, and Welfare (VR-FORTE) [2014-4100]

Available from: 2019-09-23 Created: 2019-09-23 Last updated: 2019-11-28

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Klompstra, LeonieStrömberg, AnnaJaarsma, Tiny
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Division of Nursing ScienceFaculty of Medicine and Health SciencesDivision of Nursing ScienceDepartment of Cardiology in Linköping
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