Reproducibility and responsiveness of quality of life assessment and six minute walk test in elderly heart failure patients

Objective: To test the hypothesis that combined aerobic and resistance training and non-invasive ventilatory support result in additional benefits compared with combined aerobic and resistance training alone in heart failure patients. Design: A randomized, single-blind, controlled study. Setting: Cardiac rehabilitation center. Participants: A total of 46 patients with New York Heart Association class II/III heart failure were randomly assigned to a 10-week program of combined aerobic and resistance training, plus non-invasive ventilatory support ( n = 23) or combined aerobic and resistance training alone ( n = 23). Methods: Before and after intervention, results for the following were obtained: 6-minute walk test, forced vital capacity, forced expiratory volume at one second, maximal inspiratory muscle pressure, and maximal expiratory muscle pressure, with evaluation of dyspnea by the London Chest Activity of Daily Living scale, and quality of life with the Minnesota Living With Heart Failure questionnaire. Results: Of the 46 included patients, 40 completed the protocol. The combined aerobic and resistance training plus non-invasive ventilatory support, as compared with combined aerobic and resistance training alone, resulted in significantly greater benefit for dyspnea (mean change: 4.8 vs. 1.3, p = 0.004), and quality of life (mean change: 19.3 vs. 6.8, p = 0.017 ). In both groups, the 6-minute walk test improved significantly (mean change: 45.7 vs. 44.1, p = 0.924), but without a statistically significant difference. Conclusion: Non-invasive ventilatory support combined with combined aerobic and resistance training provides additional benefits for dyspnea and quality of life in moderate heart failure patients. Trial registration: ClinicalTrials.gov identifier: NCT02384798. Registered 03 April 2015.

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Quality of Life Assessment in Congestive Heart Failure: Points of View from a Cardiologist and a Psychologist

Chronic Heart Failure ◽

10.1007/978-3-642-76433-2_5 ◽

1991 ◽

pp. 41-57

Author(s):

P. G. Hugenholtz ◽

R. A. M. Erdman

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Congestive Heart Failure ◽

Life Assessment ◽

Quality Of Life Assessment ◽

Points Of View

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Abstract 17469: Comparing the Effect of CRT Implantation on Quality of Life in Older Patients Compared With Younger Patients: Systematic Review and Meta-Analysis

Circulation ◽

10.1161/circ.142.suppl_3.17469 ◽

2020 ◽

Vol 142 (Suppl_3) ◽

Author(s):

Praveen Ponnamreddy ◽

Saeed Juggan ◽

Lauren Gilstrap

Keyword(s):

Quality Of Life ◽

Older Patients ◽

Meta Analysis ◽

Nyha Class ◽

Age Group ◽

Walk Test ◽

Younger Patients ◽

Six Minute Walk Test ◽

Minute Walk

Background: CRT had been accepted as standard of care for patients with HFrEF who qualify for the therapy. The pivotal CRT trials enrolled patients significantly younger than the typical HFrEF patients seen in the community. Benefits of CRT in older HFrEF patients is largely unknown. We sought to evaluate the change in quality of life in older patients undergoing CRT in comparison to younger patients. Hypothesis: CRT implantation is associated with comparable improvements in quality of life in younger patients (age <70) and older patients (age 70 and above). Methods: PubMed, The Cochrane Library, Scopus, and Web of Science were queried for comparative effectiveness studies of CRT in older HFrEF patients. We gathered data for Quality of life measurements including improvement in NYHA class, MLHFQ, Six minute walk test. MLHFQ, Six minute walk test data was analyzed qualitatively as data was insufficient to impute Standard deviation for mean change. Changes in NYHA class was analyzed quantitatively. Random effects meta-analysis of improvement in NYHA class and relative risk (RR) is reported along with estimates of heterogeneity Results: Seven studies [n=2494 for younger group and n=1035 for older group] were included in changes in NYHA class meta-analysis. Older age group patients had similar improvement in NYHA class compared to younger age group patients. Relative risk 0.99 with 95%CI 0.93-1.06 (figure). Five studies reported Baseline and follow up MLHFQ scores for both the groups. All the five studies reported improvements in MLHFQ in both the groups. Three studies reported change in six minute walk test in meters before and after CRT implantation. All the studies reported improvement in six minute walk test both in younger and older group. Conclusions: People older than 70 years of age with heart failure with reduced ejection fraction who qualify for CRT derive similar benefits with improvement in quality of life compared to patients aged less than 70 years of age.

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QUALITY OF LIFE ASSESSMENT IN THE HEART FAILURE PATIENTS TAKING STANDARD MEDICAL CARE IN TEACHING HOSPITAL

Asian Journal of Pharmaceutical and Clinical Research ◽

10.22159/ajpcr.2019.v12i12.35396 ◽

2019 ◽

pp. 166-169

Author(s):

PRIYANKA SHARMa ◽

MD SAYEED AKHTAR ◽

FAUZIA TABASSUM ◽

NIMISHA TANDON ◽

ANSHU NANDA

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Standard Care ◽

Life Assessment ◽

Social Psychological ◽

Quality Of Life Assessment ◽

Psychological Disturbances ◽

Domains Of Life ◽

Health Questionnaires

Objective: This study was aimed to assess the quality of life (QoL) of the subjects having congestive heart failure (HF) under different domains of life, such as physical, psychological, and social domains, and they started taking the standard care treatment. Methods: The questionnaire-based prospective study was designed to assess the effects of the HF in different domains of life such as social, psychological, physical, or mental. After getting consent from the subjects, health questionnaire was provided to a total of 60 subjects. Results: We found drastic improvements in 24% of total HF cases in terms of physical debility, whereas only 15% patients reported none of the complications during taking standard care therapy. Total 32.5% patients aware of the treatment took and to whom contact in an emergency. Psychological disturbances and life satisfaction were observed in 16.66% and 33.33% cases suffering from HF. Patient compliance means personal life, as well as medication adherence, was observed in only 53.33%. Conclusions: The results obtained from the responses given by the patients in the health questionnaires demonstrated that the HF patients’ needs awareness regarding the therapy precautions that improving the QoL of patients.

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Effects of Exercise Training versus Attention on Plasma B-type Natriuretic Peptide, 6-Minute Walk Test and Quality of Life in Individuals with Heart Failure

Cardiopulmonary Physical Therapy Journal ◽

10.1097/01823246-201223040-00004 ◽

2012 ◽

Vol 23 (4) ◽

pp. 19-25 ◽

Cited By ~ 14

Author(s):

Joseph F. Norman ◽

Bunny J. Pozehl ◽

Kathleen A. Duncan ◽

Melody A. Hertzog ◽

Steven K. Krueger

Keyword(s):

Quality Of Life ◽

Heart Failure ◽

Exercise Training ◽

Natriuretic Peptide ◽

Walk Test ◽

6 Minute Walk Test ◽

Minute Walk

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Confirming a beneficial effect of the six-minute walk test on exercise confidence in patients with heart failure

European Journal of Cardiovascular Nursing ◽

10.1177/1474515119876784 ◽

2019 ◽

Vol 19 (2) ◽

pp. 165-171 ◽

Cited By ~ 1

Author(s):

SR Toukhsati ◽

S Mathews ◽

A Sheed ◽

I Freijah ◽

L Moncur ◽

...

Keyword(s):

Heart Failure ◽

Mixed Model ◽

Moderate Intensity ◽

Future Research ◽

Walk Test ◽

Clinical Tool ◽

Moderate Intensity Exercise ◽

Heart Failure Patients ◽

Six Minute Walk Test ◽

Minute Walk

Background: Low confidence to exercise is a barrier to engaging in exercise in heart failure patients. Participating in low to moderate intensity exercise, such as the six-minute walk test, may increase exercise confidence. Aim: To compare the effects of a six-minute walk test with an educational control condition on exercise confidence in heart failure patients. Methods: This was a prospective, quasi-experimental design whereby consecutive adult patients attending an out-patient heart failure clinic completed the Exercise Confidence Scale prior to and following involvement in the six-minute walk test or an educational control condition. Results: Using a matched pairs, mixed model design ( n=60; 87% male; Mage=58.87±13.16), we identified a significantly greater improvement in Total exercise confidence ( F(1,54)=4.63, p=0.036, partial η2=0.079) and Running confidence ( F(1,57)=4.21, p=0. 045, partial η2=0.069) following the six-minute walk test compared to the educational control condition. These benefits were also observed after adjustment for age, gender, functional class and depression. Conclusion: Heart failure patients who completed a six-minute walk test reported greater improvement in exercise confidence than those who read an educational booklet for 10 min. The findings suggest that the six-minute walk test may be used as a clinical tool to improve exercise confidence. Future research should test these results under randomized conditions and examine whether improvements in exercise confidence translate to greater engagement in exercise behavior.

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