活动追踪器在心力衰竭患者的有效性与保存的射出小部分
Benjamin Kogelschatz1, Brittany A Penn2, Ashlynn J Leavitt2
1Internal Medicine, University of Utah Health, Salt Lake City, USA.
Cureus
|August 22, 2024
概括
像Fitbits这样的活动追踪器可以帮助监测心力衰竭患者的身体活动,这些患者有保存的喷射分数 (HFpEF). 在HFpEF中,每天的步数与改善的生活质量和功能状态相关.
科学领域:
- 心脏病学 心脏病学
- 数字健康数字健康
- 患者监测 患者监测
背景情况:
- 保存喷射分数 (HFpEF) 的心力衰竭是一种复杂的综合征,患病率和死亡率高.
- 高血压,糖尿病和肥胖等并发症在HFpEF中很普遍,并且与疾病机制有关.
- 改变生活方式,包括减肥和身体活动,可以改善HFpEF的风险因素和功能结果.
研究的目的:
- 观察HFpEF患者的日常体力活动.
- 为了确定使用活动追踪器是否可以提高HFpEF患者的功能状态.
主要方法:
- 一年来使用Fitbit记录每天步骤的57名HFpEF患者的前性分析.
- 患者在基线和3,6和12个月进行了评估,包括六分钟步行测试 (6MWT) 和堪萨斯城心肌病问卷-12 (KCCQ-12).
- 使用Pearson的r相关性来评估关联.
主要成果:
- 49名患者完成了这项研究;平均年龄为68.1岁,平均BMI为36.4kg/m2.
- 在一年内,没有观察到每日步数的显著变化 (p=0.06).
- 在6MWT距离 (p=0.002) 和总KCCQ-12分数 (p=0.005) 中发现了显著的增加. 每日步数与6MWT和KCCQ-12物理限制得分有很强的相关性.
结论:
- 惠比特技术提供了一种方便的实时监测HFpEF患者身体活动的方法.
- 使用Fitbit来跟踪每天的步骤可以提高这个人群的与健康有关的生活质量.
- 每日步数作为HFpEF中6分钟步行距离的有价值的替代品.
更多相关视频
05:51Assessing the Accuracy of Fitness Smartwatch Data for Cardiovascular and Physical Activity Monitoring: A Validation Study in Digital Health
Published on: February 21, 2025
397
04:20Integration of Brain Tissue Saturation Monitoring in Cardiopulmonary Exercise Testing in Patients with Heart Failure
Published on: October 1, 2019
5.8K
相关概念视频
01:22Heart Failure Drugs: β-Blockers
324
β-adrenergic antagonists, commonly known as β-blockers, block the effects of sympathetic neurotransmitters such as noradrenaline (NA) and adrenaline (ADR). They have several beneficial effects in heart failure treatment. They reduce heart rate, the force of contraction, and cardiac muscle relaxation. They also slow the atrial-ventricular conduction rate and raise the threshold for arrhythmias. The concentration of β-blockers determines their effects on bronchodilation,...
324
01:26Heart Failure Drugs: Inhibitors of Renin-Angiotensin System
405
The activation of the sympathetic nervous system and the renin-angiotensin-aldosterone system (RAAS) contributes to cardiac remodeling, and inhibiting the RAAS is a pharmacological target in heart failure management. As a result, neurohumoral modulation is a crucial treatment principle for managing heart failure. This approach involves using medications like ACE inhibitors (ACEIs), angiotensin receptor blockers (ARBs), β-blockers, mineralocorticoid receptor antagonists (MRAs), and neutral...
405
01:17Pathophysiology of Heart Failure
1.5K
Heart failure (HF) is a progressive syndrome involving ventricles that leads to inadequate cardiac output. It can be classified based on location and output or ejection fraction. Ejection fraction (EF) is an essential measurement in the diagnosis and surveillance of HF. Reduced EF corresponds to systolic heart failure (HFrEF). However, HF with preserved ejection fraction (HFpEF) is becoming increasingly prevalent. Also known as diastolic HF, this form of HF is related to aging. The...
1.5K
01:30Pulse rhythm
775
Pulse rhythm refers to the pattern of pulsations within specific intervals, offering valuable insights into the regularity or irregularity of the heart's beats as observed through the pattern of pulsation within specific intervals. A regular pulse exhibits a consistent heart rate with uniform waveforms and pulsation force, variations of which can be classified as normal, weak, or bounding.
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
Conversely, an irregular pulse pattern is termed dysrhythmia, stemming from disruptions in cardiac...
775
01:20Exercise and Cardiovascular Response
751
Exercise significantly impacts cardiovascular response, which is crucial for understanding patient health and designing effective treatment plans.
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
Light to moderate physical activity initiates a series of interconnected responses in the body. The heart rate modestly increases in anticipation of the workout, followed by widespread vasodilation as oxygen consumption by skeletal muscles increases. This results in decreased peripheral resistance, increased capillary blood flow, and accelerated...
751
01:17Exercise and Cardiac Output
946
Regular physical activity is essential for maintaining cardiovascular health, with aerobic exercises being particularly effective. According to the American Heart Association, 150 minutes of moderate to intense aerobic exercise per week is recommended for a healthy heart. Aerobic activities may include brisk walking, running, bicycling, cross-country skiing, and swimming, ideally performed three to five times per week.
Sustained exercise increases the muscles' oxygen demand, which can be...
Sustained exercise increases the muscles' oxygen demand, which can be...
946