手握强度与心力衰竭患者再入院,死亡率和运动能力的关联
Soohyung Park1, Se Hyun Park2, Jieun Lee1
1Cardiovascular Center, Division of Cardiology, Department of Internal Medicine, Korea University Guro Hospital, Seoul, Korea.
Journal of aging and physical activity
|March 5, 2025
概括
心力衰竭患者的手握强度 (HGS) 是运动能力的关键指标. 较低的HGS预测HF患者再入院和全因死亡的风险更高.
科学领域:
- 心脏病学 心脏病学
- 临床医学 临床医学
- 运动生理学 运动生理学
背景情况:
- 心力衰竭 (HF) 与骨肌肉强度和运动能力的降低有关,这会对患者的预后产生负面影响.
- 手握强度 (HGS) 是整体肌肉强度的潜在指标.
研究的目的:
- 调查手握强度 (HGS) 在被诊断为心力衰竭 (HF) 的患者的临床影响.
- 确定HGS是否可以预测HF患者的不良结果,例如医院再入院和全因死亡率.
主要方法:
- 分析了2015年至2020年期间接受心脏康复治疗的173名患者队列.
- 基线HGS使用手持式动力表测量;记录了6分钟的步行测试距离和代谢等价物.
- 主要结局是HF再入院和所有原因死亡的组合.
主要成果:
- 鉴定出HGS的切线值为24.9公斤,用于预测主要结果 (AUC:0.702,p <.001).
- 较低的HGS与HF再入院或因任何原因死亡的风险增加显著相关 (HR 6.44,p < .001).
- HGS与6分钟步行测试距离 (r = .564) 和代谢等效 (r = .419) 显示出强烈的正相关性.
结论:
- 手握强度是心力衰竭患者运动能力的有价值指标.
- 在患有HF的个体中,HGS是重新入院和全因死亡率的重要预测因素.
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