在心力衰竭的老年患者中,短时间的体力表现电池和心脚血管指数协会
Shinya Kanzaki1, Akihiro Ogawa1,2,3, Yuki Ikeda4
1Department of Rehabilitation, Sakura Medical Center, Toho University.
International heart journal
|September 29, 2024
概括
用心脚血管指数 (CAVI) 表示的动脉硬与老年心力衰竭患者的身体功能较差有关,通过短物理性能电池 (SPPB) 评分来衡量. 这突显了这种人群中血管健康和流动性之间的联系.
科学领域:
- 老年学是一门学科.
- 心脏病学 心脏病学
- 血管医学 血管医学
背景情况:
- 老年人的平衡功能障碍增加了跌倒和残疾的风险.
- 动脉硬是动脉样硬化的标志物,可以影响大脑功能并导致平衡问题.
- 心血管指数 (CAVI) 是衡量动脉硬性的指标,但其与心力衰竭患者平衡的联系尚不清楚.
研究的目的:
- 在老年心力衰竭患者中调查短物理性能电池 (SPPB) 评分和CAVI之间的关联.
- 在这个人口群体中探索动脉硬与身体功能之间的关系.
主要方法:
- 从心脏康复数据库 (2017-2022) 中对205名心力衰竭患者 (≥65岁) 的回顾性分析.
- 在出院前测量身体功能 (包括SPPB),身体组成和CAVI.
- 根据2019年亚洲麻症工作组指南 (SPPB总得分≤9) 定义了麻症.
主要成果:
- 45.0%的患者患有肉症.
- 与没有肉类的患者相比,CAVI显著更高 (10.4比9.8).
- SPPB分数,年龄,6分钟的步行距离,以及特定的SPPB组件时间 (并排,4米步行,5次重复的坐立) 与CAVI有关. 双人行走时间是CAVI的一个独立决定因素 (β = -0.142,P = 0.047).
结论:
- 通过CAVI测量的动脉硬与老年心力衰竭患者的体力表现较差有关.
- 这些发现表明,在这个人群中,血管健康和功能状态,特别是平衡之间存在联系.
- 进一步的研究可能会探索针对动脉硬性的干预措施,以改善心力衰竭中的身体功能.
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