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Consistency in Measuring Physical Activities and Regular Exercises and Their Relationship with Exercise Capacity and Quality of Life in Patients with Heart Failure

심부전 환자의 신체활동과 규칙적 운동에 대한 측정의 일관성 및 운동역량과 삶의 질과의 관련성

  • Lee, Haejung (College of Nursing, Pusan National University) ;
  • Jin, Hyekyung (College of Nursing, Pusan National University) ;
  • Park, Jina (College of Nursing, Pusan National University) ;
  • Chun, Kook Jin (Department of Internal Medicine, College of Medicine, Pusan National University) ;
  • Kim, Jong Hyun (Department of Internal Medicine, BHS Hanseo Hospital)
  • Received : 2014.08.21
  • Accepted : 2014.11.13
  • Published : 2014.11.28

Abstract

Purpose: In order to examine whether daily physical activity (DPA) can be considered the same as a regular exercise (RE) in patients with Heart Failure (HF), we examined the relationship between RE and DPA, and we explored the relationship of RE and DPA with exercise capacity and quality of life (QOL) in patients with HF. Methods: This cross-sectional, correlational study utilized pretest data (N=136) of a long-term intervention study. Data of the parent study were collected from May 1st to September 26th, 2013. Measures included questions about regular exercise, International Physical Activity Questionnaire, a 6-Minute Walk Test (6MWT), and the Kansas City Cardiomyopathy Questionnaire (KCCQ). The data were analyzed using descriptive analysis, Chi-square test, and ANOVA using the SPSS 21.0 program. Results: There were inconsistencies in measures between RE and DPA. About 42.0% of the participants engaging in health enhancing physical activity did not consider themselves to be regular exercisers. Depending on the levels of RE and DPA, significant differences in 6MWT and QOL were observed. Conclusion: RE is more likely to be related to the health status of patients with HF. Deliberate assessment and cautious interpretation of DPA in patients with HF is needed.

Keywords

References

  1. Ades, P. A., Keteyian, S. J., Balady, G. J., Houston-Miller, N., Kitzman, D. W., Mancini, D. M., et al. (2013). Cardiac rehabilitation exercise and self-care for chronic heart failure. JACC: Heart Failure, 1, 540-547. http://dx.doi.org/10.1016/j.jchf.2013.09.002
  2. Ainsworth, B. E., Bassett, D. R. Jr., Strath, S. J., Swartz, A. M., O'Brien, W. L., Thompson, R. W., et al. (2000). Comparison of three methods for measuring the time spent in physical activity. Medicine and Science in Sports and Exercise, 32(9 Suppl), S457-64. https://doi.org/10.1097/00005768-200009001-00004
  3. American Heart Association. (2011). Classes of heart failure, 2014, retrieved from http://www.heart.org/HEARTORG/Conditions/HeartFailure/AboutHeartFailure/Classes-of-Heart-Failure_UCM_306328_Article.jsp
  4. Arslan, S., Erol, M. K., Gundogdu, F., Sevimli, S., Aksakal, E., Senocak, H., et al. (2007). Prognostic value of 6-minute walk test in stable outpatients with heart failure. Texas Heart Institute Journal/from the Texas Heart Institute of St. Luke's Episcopal Hospital, Texas Children's Hospital, 34(2), 166-169.
  5. Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1985). Physical activity, exercise, and physical fitness: Definitions and distinctions for health-related research. Public Health Reports (Washington, D.C.: 1974), 100(2), 126-131.
  6. Cho, S. W., Sim, S. Y., & Nam, S. N. (2012). The effect of body composition, pulmonary fuction, and physical fitness in sedentary office worker by exercise. The Korean Society of Living Environmental System, 19(3), 336-343.
  7. Chrysohoou, C., Tsitsinakis, G., Vogiatzis, I., Cherouveim, E., Antoniou, C., Tsiantilas, A., et al. (2014). High intensity, interval exercise improves quality of life of patients with chronic heart failure: A randomized controlled trial. QJM: Monthly Journal of the Association of Physicians, 107(1), 25-32. http://dx.doi.org/10.1093/qjmed/hct194
  8. Clark, A. P., McDougall, G., Riegel, B., Joiner-Rogers, G., Innerarity, S., Meraviglia, M., et al. (2014). Health status and self-care outcomes after an education-support intervention for people with chronic heart failure. Journal of Cardiovascular Nursing, Epub ahead of print. http://dx.doi.org/10.1097/JCN.0000000000000169
  9. Craig, C. L., Marshall, A. L., Sjostrom, M., Bauman, A. E., Booth, M. L., Ainsworth, B. E., et al. (2003). International physical activity questionnaire: 12-country reliability and validity. Medicine and Science in Sports and Exercise, 35(8), 1381-1395. https://doi.org/10.1249/01.MSS.0000078924.61453.FB
  10. Davies, E. J., Moxham, T., Rees, K., Singh, S., Coats, A. J., Ebrahim, S., et al. (2010). Exercise training for systolic heart failure: Cochrane systematic review and meta-analysis. European Journal of Heart Failure, 12(7), 706-715. http://dx.doi.org/10.1093/eurjhf/hfq056
  11. Dontje, M. L., van der Wal, M. H., Stolk, R. P., Brugemann, J., Jaarsma, T., Wijtvliet, P. E., et al. (2014). Daily physical activity in stable heart failure patients. The Journal of Cardiovascular Nursing, 29(3), 218-226.
  12. European Society of Cardiology, Corra, U., Piepoli, M. F., Carre, F., Heuschmann, P., Hoffmann, U., et al. (2010). Secondary prevention through cardiac rehabilitation: Physical activity counselling and exercise training: Key components of the position paper from the cardiac rehabilitation section of the european association of cardiovascular prevention and rehabilitation. European Heart Journal, 31(16), 1967-1974. http://dx.doi.org/10.1093/eurheartj/ehq236
  13. Garin, O., Ferrer, M., Pont, A., Rué, M., Kotzeva, A., Wiklund, I., et al. (2009). Disease-specific health-related quality of life questionnaires for heart failure: A systematic review with meta-analyses. Quality of Life Research, 18, 71-85. http://dx.doi.org/10.1007/s11136-008-9416-4
  14. Garland, T. Jr., Schutz, H., Chappell, M. A., Keeney, B. K., Meek, T. H., Copes, L. E., et al. (2011). The biological control of voluntary exercise, spontaneous physical activity and daily energy expenditure in relation to obesity: Human and rodent perspectives. The Journal of Experimental Biology, 214(Pt 2), 206-229. http://dx.doi.org/10.1242/jeb.048397
  15. Green, C. P., Porter, C. B., Bresnahan, D. R., & Spertus, J. A. (2000). Development and evaluation of the kansas city cardiomyopathy questionnaire: A new health status measure for heart failure. Journal of the American College of Cardiology, 35(5), 1245-1255. https://doi.org/10.1016/S0735-1097(00)00531-3
  16. Han, S. J. (2004). A study on the relations between physical exercise and quality of life in middle-aged adults. Journal of Korean Public Health Nursing, 18(1), 14-26.
  17. Heart Failure Society of America, Lindenfeld, J., Albert, N. M., Boehmer, J. P., Collins, S. P., Ezekowitz, J. A., et al. (2010). HFSA 2010 comprehensive heart failure practice guideline. Journal of Cardiac Failure, 16(6), e1-194. http://dx.doi.org/10.1016/j.cardfail.2010.04.004
  18. Izawa, K. P., Watanabe, S., Oka, K., Hiraki, K., Morio, Y., Kasahara, Y., et al. (2011). Physical activity in relation to exercise capacity in chronic heart failure patients. International Journal of Cardiology, 152(1), 152-153. https://doi.org/10.1016/j.ijcard.2011.07.069
  19. Jin, Y. Y., Ahn, E. S., & Kang, H. S. (2011). The test of validity using an accelerometer for the assessment of physical activity-related energy expenditure. Journal of Korean Society for the Study of Obesity, 20(4), 185-192. https://doi.org/10.7570/kjo.2011.20.4.185
  20. Kim, S. M., & Lee, H. J. (2013). Effects of motivational interviewing on disease-related knowledge, depression, self-care, and quality of life in patients with heart failure. Journal of the Korean Gerontological Nursing, 15(2), 143-154.
  21. Koltyn, K. F. (2001) The association between physical activity and quality of life in older women. Women's Health Issues, 11(6), 471-480. https://doi.org/10.1016/S1049-3867(01)00128-1
  22. Lee, H. J., Lim, Y. J., Jung, H. Y., & Park, H. K. (2011). Sleep disturbance, physical activity and health related quality of life in patients with chronic obstructive pulmonary disease. Journal of the Korean Gerontological Society, 31(3), 607-621.
  23. Lipkin, D. P., Scriven, A. J., Crake, T., & Poole-Wilson, P. A. (1986). Six minute walking test for assessing exercise capacity in chronic heart failure. British Medical Journal (Clinical Research Ed.), 292(6521), 653-655. https://doi.org/10.1136/bmj.292.6521.653
  24. Oh, J. Y., Yang, Y. J., Kim, B. S., & Kang, J. H. (2007). Validity and reliability of korean version of international physical activity questionnaire (IPAQ) short form. Journal of the Korean Academy on Family Medicine, 28(7), 532-541.
  25. Park, I. H., Lee, G. B., Cho, S. I., Kim, Y. S., Lee, S. W., Lee, W. H., et al. (2009). Development of physical activity questionnaire for Korean adults. Korean Journal of Sport Science, 20(2), 400-416. https://doi.org/10.24985/kjss.2009.20.2.400
  26. Piepoli, M. F., Conraads, V., Corra, U., Dickstein, K., Francis, D. P., Jaarsma, T., et al. (2011). Exercise training in heart failure: From theory to practice. A consensus document of the heart failure association and the european association for cardiovascular prevention and rehabilitation. European Journal of Heart Failure, 13(4), 347-357. http://dx.doi.org/10.1093/eurjhf/hfr017
  27. Pocock, S. J., Wang, D., Pfeffer, M. A., Yusuf, S., McMurray, J. J. V., Swedberg, K. B., et al. (2006). Predictors of mortality and morbidity in patients with chronic heart failure. European Heart Journal, 27(1), 65-75. http://dx.doi.org/10.1093/eurheartj/ehi555
  28. Tabet, J. Y., Meurin, P., Driss, A. B., Weber, H., Renaud, N., Grosdemouge, A., et al. (2009). Benefits of exercise training in chronic heart failure. Archives of Cardiovascular Diseases, 102(10), 721-730. http://dx.doi.org/10.1016/j.acvd.2009.05.011
  29. Tung, H. H., Jan, M. S., Lin, C. Y., Chen, S. C., & Huang, H. C. (2012). Mediating role of daily physical activity on quality of life in patients with heart failure. The Journal of Cardiovascular Nursing, 27(1), 16-23. http://dx.doi.org/10.1097/JCN.0b013e318211284b
  30. van den Berg-Emons, H., Bussmann, J., Balk, A., Keijzer-Oster, D., & Stam, H. (2001). Level of activities associated with mobility during everyday life in patients with chronic congestive heart failure as measured with an "activity monitor". Physical Therapy, 81(9), 1502-1511. https://doi.org/10.1093/ptj/81.9.1502

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