Dataset related to: The Impact of Cardiac Rehabilitation on Activities of Daily Life in Elderly Patients With Heart Failure

Dataset related to the article:

Paneroni M, Scalvini S, Corrà U, Lovagnini M, Maestri R, Mazza A, Raimondo R, Agostoni P, La Rovere MT. The Impact of Cardiac Rehabilitation on Activities of Daily Life in Elderly Patients With Heart Failure. Front Physiol. 2022;12:785501. doi: 10.3389/fphys.2021.785501.

Background: In elderly chronic heart failure (HF) patients, activities of daily living (ADLs) require the use of a high proportion of patients' peak aerobic capacity, heart rate, and ventilation. Objectives: To assess the effects of short-term comprehensive cardiac rehabilitation (CR) on the metabolic requirement of ADLs in elderly patients with chronic HF. Methods: The study population comprised 99 elderly chronic HF patients (mean age 72 ± 5 years, 80% male, 61% ejection fraction <40%, mean NT-proBNP 2,559 ± 4,511 pg/ml) participating in a short-term (mean days 19 ± 7) residential CR program. Before and after CR, participants, while wearing a portable ergospirometer, performed a standardized ADL battery: ADL1 (getting dressed), ADL2 (folding 8 towels), ADL3 (putting away 6 bottles), ADL4 (making a bed), ADL5 (sweeping the floor for 4 min), ADL6 (climbing 1 flight of stairs carrying a 1.5 Kg load), and ADL7 (a standard 6-min walking test). Results: After CR, task-related oxygen uptake did not change in any of the domestic ADLs. Notably, there was a significant decrease in the cumulative time required to perform ADLs (ADL 1-4 and ADL6; from 412 ± 147 to 388 ± 141 s, p = 0.001) and a reduction in maximal heart rate in ADL1 and 3 (p = 0.005 and p = 0.027, respectively). Changes occurred in the 6MWT with an increase in oxygen uptake (p = 0.005) and in the distance covered (p < 0.001) and a significant decrease in the Borg scale of dyspnea (p = 0.004). Conclusion: Elderly patients with chronic heart failure who are engaged in a short-term residential CR program improve the performance of routine ADLs.

本数据集关联如下学术论文：
Paneroni M, Scalvini S, Corrà U, Lovagnini M, Maestri R, Mazza A, Raimondo R, Agostoni P, La Rovere MT. 《心脏康复对老年慢性心力衰竭患者日常生活活动的影响》. Front Physiol. 2022;12:785501. doi: 10.3389/fphys.2021.785501.

背景：老年慢性心力衰竭（chronic heart failure, HF）患者完成日常生活活动（activities of daily living, ADLs）时，需动用自身较高比例的峰值有氧代谢能力、心率与通气量。

研究目标：评估短期综合心脏康复（cardiac rehabilitation, CR）对老年慢性HF患者完成ADLs的代谢需求的影响。

方法：本研究纳入99名老年慢性HF患者（平均年龄72±5岁，男性占比80%，左室射血分数<40%者占61%，平均NT-proBNP水平为2559±4511 pg/ml），所有受试者均参与为期19±7天的短期住院式CR项目。在CR干预前后，受试者佩戴便携式心肺运动测试仪（portable ergospirometer）完成标准化ADLs组合测试，具体包括：ADL1（穿衣）、ADL2（折叠8条毛巾）、ADL3（收纳6个瓶子）、ADL4（整理床铺）、ADL5（清扫地板4分钟）、ADL6（携带1.5kg重物爬1层楼梯）以及ADL7（标准6分钟步行试验（6-min walking test, 6MWT））。

结果：CR干预后，各项日常ADLs任务相关的摄氧量无显著变化。值得注意的是，受试者完成ADLs（ADL1-4及ADL6）的累计时长显著缩短（从412±147秒降至388±141秒，p=0.001），且ADL1与ADL3中的最大心率显著降低（分别为p=0.005与p=0.027）。6MWT相关指标出现改善：摄氧量升高（p=0.005）、步行距离增加（p<0.001），同时Borg呼吸困难量表（Borg scale of dyspnea）评分显著降低（p=0.004）。

结论：参与短期住院式CR项目的老年慢性心力衰竭患者，其日常ADLs的完成能力得到改善。