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Association of Multiple Cardiovascular Risk Factors with Musculoskeletal Function in Acute Coronary Syndrome Ward
Gabriel Parisotto1, Luis Felipe Fonseca Reis1, Mauricio Sant'Anna Junior2
1Postgraduate Program of Rehabilitation Sciences, Augusto Motta University Center/UNISUAM, Rio de Janeiro 21032-060, Brazil.
Healthcare (Basel, Switzerland)
|April 13, 2023
Summary
This study found that alcohol consumption and smoking are strongly linked to cardiovascular disease risk factors in hospitalized patients. Musculoskeletal function, including handgrip and respiratory strength, is associated with these risk factors.
Area of Science:
- Cardiology
- Physiology
- Public Health
Background:
- Musculoskeletal function is crucial for recovery in patients with acute coronary syndrome.
- Cardiovascular disease risk factors are prevalent in this population.
- The interplay between risk factors and muscle strength needs further investigation.
Purpose of the Study:
- To explore the association between multiple cardiovascular disease risk factors and musculoskeletal function in adults hospitalized for acute coronary syndrome.
- To identify which risk factors have the strongest link to impaired muscle strength.
Main Methods:
- Sixty-nine inpatients with acute coronary syndrome were assessed for stress, smoking, alcoholism, hypertension, diabetes mellitus, and obesity.
- Musculoskeletal function was measured using predicted values of handgrip strength (HGS-D%), maximal inspiratory pressure (MIP%), and maximal expiratory pressure (MEP%).
- Statistical analysis was performed to determine associations after adjusting for age and sex.
Main Results:
- Drinking habits showed the strongest linear association with the total number of cardiovascular disease risk factors (ß = 0.110, p < 0.001), followed by smoking load (ß = 0.028, p = 0.009).
- Handgrip strength (HGS-D%) was associated with mean blood pressure (ß = 0.019, p = 0.048).
- Maximal inspiratory pressure (MIP%) was associated with mean blood pressure (ß = 0.025, p = 0.013).
- Maximal expiratory pressure (MEP%) was associated with drinking habits (ß = 0.009, p = 0.013) and body mass index (ß = 0.008, p = 0.035).
Conclusions:
- Peripheral and respiratory muscle strength in adults hospitalized for acute coronary syndrome are significantly associated with cardiovascular disease risk factors.
- Alcohol consumption and smoking are key modifiable risk factors impacting muscle strength in this patient group.
- Clinical assessment of muscle strength should consider the presence of cardiovascular risk factors for comprehensive patient management.
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