Assessment of functional capacity and sleep quality of patients with chronic heart failure.

Journal: Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao

Volume: 36

Issue: 

Year of Publication: 

Affiliated Institutions:  Department of Medical Rehabilitation, College of Health Sciences, Obafemi Awolowo University, Ile-Ife, Nigeria.

Abstract summary 

Adequate sleep improves physical and mental alertness. However, there is a dearth of empirical data on functional capacity (FC) and sleep quality (SpQ) in patients with chronic heart failure (CHF).This study investigated the relationship between FC and SpQ of patients with CHF and apparently healthy controls (HCs).This case-control study recruited 50 patients with CHF whose left ventricular ejection fraction (LVEF) was <40%, attending cardiac clinics of selected government hospitals in Osun State. Furthermore, 50 age- and sex-matched healthy individuals were recruited as controls. Socio-demographic characteristics and cardiovascular parameters were assessed. The FC (VO max) and SpQ were assessed using the 6-minute walk test (6-MWT) and Pittsburgh Sleep Quality Index (PSQI), respectively. Data were analysed using descriptive and inferential statistics. Alpha level was set at < 0.05.Patients had a significantly lower FC and poorer SpQ than HCs, 4.6 ± 0.5 versus 11.3 ± 1.6 mL/kg/min ( = -3.452; = 0.001) and 8.74 ± 1.6 versus 3.8 ± 1.3 ( = -5.371; = 0.001), respectively. HCs were about five times more likely to walk longer distance [odds ratio (OR), 4.8; confidence interval (CI), 2.0-11.1] and had a better heart rate (OR, 2.8; CI, 1.4-5.3) than patients. SpQ had a significant negative correlation with FC of patients ( = -0.362; = 0.001) but a significant positive correlation with HCs ( = 0.481; = 0.041). Furthermore, there were significant correlations between FC and body mass index in both groups (CHF: = 0.247, = 0.022; HCs: = 0.321, = 0.040).Patients with heart failure demonstrated lower functional capacity and poorer sleep quality.

Authors & Co-authors:  Awotidebe Taofeek O TO Adeyeye Victor O VO Adedoyin Rufus A RA Ogunyemi Suraj A SA Oke Kayode I KI Ativie Rita N RN Adeola Goodness B GB Akindele Mukadas O MO Balogun Michael O MO

Study Outcome 

Source Link: Visit source

Statistics
Citations :  Bleumink G.S.,Knetsch AM,Sturkenboom MC,Straus SM,Hofman A,Deckers JW. Quantifying the heart failure epidemic: prevalence, incidence rate, lifetime risk and prognosis of heart failure. The Rotterdam Study. Eur Heart J 2004;25:1614–1619.
Authors :  9
Identifiers
Doi : 10.1016/j.hkpj.2016.10.001
SSN : 1013-7025
Study Population
Male,Female
Mesh Terms
Other Terms
chronic heart failure;functional capacity;healthy control;sleep quality
Study Design
Descriptive Study,Cross Sectional Study
Study Approach
Country of Study
Publication Country
Singapore