scholarly journals Combined Effect of Walking and Vitamin D Intake on Patients with Heart Failure

Author(s):  
Muhammad Usama Javed ◽  
Tanzeel ur Rehman Mustafa ◽  
Sharoz Mukhtar Shah ◽  
Iza Babar ◽  
Fatima Maham Iqtidar ◽  
...  

Objective: Patients with heart failure may benefit from vitamin D treatment, according to new research (Congestive Heart Failure). Methods: In our current nonrandomized clinical research, 43 individuals with dilated cardiomyopathy who did not exhibit substantial gains in physical functioning with optimum heart failure therapy were included. Twelve weeks of weekly vitamin D supplements (200,000 IU) were added to the heart failure therapy to help improve the patient's condition. On the other hand, researchers looked at how it affected the 6-minute walk distance and pro-BNP levels. To analyses the data, we utilized SPSS version 19. Accordingly, we utilized random samples t-tests to assess the substantial role of vitamin D supplementation on pre-intervention vitamin D level, 6-minute walk distance, and pro-BNP level, respectively. Significance was defined as an alpha value less than 0.01. Results: Individuals in NYHA class II (66%) were the majority, while those in NYHA classes I, III and IV were represented by 18%, 8% and 5%, accordingly. Following 14 weeks of vitamin D treatment, the group's mean vitamin D level was increased from 17.596.57ng/ml at baseline to 32.974.65ng/ml (p0.0006). Pre-intervention mean distance travelled was 806382ft, however after the intervention it rose to 945392ft (p-value 0.07). While before the intervention, the mean per-BNP level of research participant was 1025-636, and after intervention, it had enhanced to 160-80--a statistically significant improvement (p=0.005). Conclusion: According to a decline in blood pro-BNP characterized by an increase in six-minute walk distance, vitamin D administration decreases the intensity of heart failure.

2013 ◽  
Vol 34 (suppl 1) ◽  
pp. 5888-5888
Author(s):  
M. Halbach ◽  
T. Hickethier ◽  
N. Madershahian ◽  
M. C. Brandt ◽  
D. Ladage ◽  
...  

Circulation ◽  
2015 ◽  
Vol 132 (suppl_3) ◽  
Author(s):  
Minoru Tabata ◽  
Michitaka Kato ◽  
Ryosuke Shimizu ◽  
Ayako Akiyama ◽  
Yumi Kamada ◽  
...  

Background: Patients with chronic heart failure (CHF) are frequently readmitted to the hospital. Six-minute walk distance (6MWD) is a clinical measure to assess their exercise capacity and prognosis. However, few reports documented whether the 6MWD reflects the exercise capacity and prognosis in elderly CHF patients. Purpose: This study aimed to investigate whether the 6MWD measured at the hospital discharge predicted the readmission due to decompensated CHF in early elderly and late elderly CHF patients. Methods: Patients who were admitted to the hospital were prospectively followed up for 3 years after the discharge, if they had the first hospitalization due to CHF with NYHA III or IV. Consequently, we studied 177 patients (74±6 years, 112 males) and investigated their 6MWD at the discharge and readmission over 3 years. Patients were divided into 2 groups: early elderly group (65-74 years; n=108) and late elderly group (≥75 years; n=62). We determined significant factors affecting the readmission due to CHF and their cut-off values in the two groups using multivariate logistic regression analysis and the area under the receiver operating characteristics (ROC) curve. Results: 50 % of early elderly patients and 42 % of late elderly patients were readmitted within 3 year after the discharge. The multivariate logistic regression analysis detected the 6MWD at the discharge as a significant limiting factor for readmission in the two groups (P<0.001, respectively). The odds ratio of readmission with each 10-meter decrease of 6MWD and its cut-off value were 1.34 (P<0.001) and 405 meters for the early elderly group, and 1.37 (P<0.001) and 345 meters for late elderly group, respectively (Figure). Conclusion: This study demonstrated that the 6MWD was shown as a strong predictor for readmission due to decompensated heart failure in elderly patients with CHF. The predictive cut-off values of 6MWD were 405 and 345 meters in the early elderly and late elderly patients, respectively.


Sign in / Sign up

Export Citation Format

Share Document