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Does cognitive function affect functional capacity and perceived fatigue severity after exercise in patients with
Dilara Saklıca1, Naciye Vardar-Yağlı1, Ahmet Hakan Ateş2
1Faculty of Physical Therapy and Rehabilitation, Department of Cardiorespiratory Physiotherapy and Rehabilitation, Hacettepe University, Ankara, Turkey.
Cognitive function significantly impacts exercise capacity and fatigue in coronary artery disease (CAD) patients. Enhancing cognitive abilities may improve rehabilitation outcomes in cardiac patients.
Area of Science:
- Cardiology
- Neuroscience
- Rehabilitation Medicine
Background:
- Exercise-based cardiac rehabilitation is crucial for coronary artery disease (CAD) patients.
- Cognitive function is essential for successful rehabilitation.
- Coronary microvascular dysfunction can impair cerebral blood flow and cognitive performance.
Purpose of the Study:
- To investigate the influence of cognitive function on functional capacity in CAD patients.
- To examine the relationship between cognitive function and fatigue perception in CAD patients.
Main Methods:
- Fifty CAD patients were assessed for comorbidities, CAD risk factors, cognitive performance (Montreal Cognitive Assessment [MoCA]), functional capacity (Incremental Shuttle Walk Test [ISWT]), and exercise-induced fatigue.
- Data analysis focused on correlations between MoCA scores, ISWT performance, and fatigue perception.
Main Results:
- A strong positive correlation was found between MoCA scores and ISWT performance (r=0.83, p<0.001).
- A strong inverse relationship existed between CRF and MoCA scores (r=-0.95, p<0.001).
- MoCA scores positively correlated with differences in fatigue perception (r=0.88, p<0.001).
Conclusions:
- Cognitive function plays a critical role in determining functional capacity and managing fatigue in CAD patients.
- Cognitive interventions may serve as a valuable addition to physiotherapy programs for cardiac patients.
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