7 Which affects reduced aerobic power more in patients with CHD and atrial fibrillation, age or bodyweight?

BackgroundObesity is a key risk factor for atrial fibrillation (AF) and CHD patients with AF are normally older than those patients without AF. Ageing and body mass both have an impact on an individual’s aerobic functional capacity (aerobic power; VO2max/peak).AimThe aim of the study was to evaluate...

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Veröffentlicht in:Heart (British Cardiac Society) 2023-10, Vol.109 (Suppl 5), p.A3-A4
Hauptverfasser: Buckley, John P, Terada, Tasuku, Pap, Robert, Reed, Jennifer R
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creator Buckley, John P
Terada, Tasuku
Pap, Robert
Reed, Jennifer R
description BackgroundObesity is a key risk factor for atrial fibrillation (AF) and CHD patients with AF are normally older than those patients without AF. Ageing and body mass both have an impact on an individual’s aerobic functional capacity (aerobic power; VO2max/peak).AimThe aim of the study was to evaluate the proportional influences of both age and body mass on VO2 peak in CHD rehabilitation (CR) participants with and without AF.MethodsRetrospective analysis of cardiopulmonary exercise test data from previous studies, involving CR participants with and without persistent AF, were analysed in relation to age, body mass, relative VO2peak (ml/kg/min) and absolute VO2peak (ml/min). Differences between the two populations were assessed via independent T-tests with alpha set at p < .05, calculated in SPSS software version 23.ResultsCR participants with AF (n = 30; 70.7 years) vs. those without AF (n = 68; 56.9 years) were 14 years older (p
doi_str_mv 10.1136/heartjnl-2023-BACPR.6
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Ageing and body mass both have an impact on an individual’s aerobic functional capacity (aerobic power; VO2max/peak).AimThe aim of the study was to evaluate the proportional influences of both age and body mass on VO2 peak in CHD rehabilitation (CR) participants with and without AF.MethodsRetrospective analysis of cardiopulmonary exercise test data from previous studies, involving CR participants with and without persistent AF, were analysed in relation to age, body mass, relative VO2peak (ml/kg/min) and absolute VO2peak (ml/min). Differences between the two populations were assessed via independent T-tests with alpha set at p &lt; .05, calculated in SPSS software version 23.ResultsCR participants with AF (n = 30; 70.7 years) vs. those without AF (n = 68; 56.9 years) were 14 years older (p &lt;0.0001), had a greater body mass (94.6 vs 80.5 kg; p = 0.001) and a lower VO2peak (relative VO2peak: 17.8 vs 26.7 ml/kg/min; absolute VO2 peak: 1684 ml/min vs 2149 ml/min; p &lt;0.0001). The relative and absolute VO2peaks in AF participants vs non-AF participants were lower by 33% and 22%, respectively. Given that ageing is known to contribute to a 1% per year decline in aerobic power, the AF participants would already be expected to have a 14% lower VO2peak than the non-AF participants.ConclusionCompared to non-AF the age-corrected aerobic power of the AF participants explained two-thirds of their lower aerobic power. Whilst it is important to focus on weight-management of AF populations, their observed lower functional capacity was still more strongly related to their older age than their body mass. These results support the prime importance of increased physical activity over weight-loss to mitigate the loss of ‘true’ aerobic power in those with CHD and AF.</description><identifier>ISSN: 1355-6037</identifier><identifier>EISSN: 1468-201X</identifier><identifier>DOI: 10.1136/heartjnl-2023-BACPR.6</identifier><language>eng</language><publisher>London: BMJ Publishing Group LTD</publisher><subject>Bats ; Cardiac arrhythmia ; Physical fitness</subject><ispartof>Heart (British Cardiac Society), 2023-10, Vol.109 (Suppl 5), p.A3-A4</ispartof><rights>2023 Author(s) (or their employer(s)) 2023. No commercial re-use. See rights and permissions. Published by BMJ.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids></links><search><creatorcontrib>Buckley, John P</creatorcontrib><creatorcontrib>Terada, Tasuku</creatorcontrib><creatorcontrib>Pap, Robert</creatorcontrib><creatorcontrib>Reed, Jennifer R</creatorcontrib><title>7 Which affects reduced aerobic power more in patients with CHD and atrial fibrillation, age or bodyweight?</title><title>Heart (British Cardiac Society)</title><description>BackgroundObesity is a key risk factor for atrial fibrillation (AF) and CHD patients with AF are normally older than those patients without AF. Ageing and body mass both have an impact on an individual’s aerobic functional capacity (aerobic power; VO2max/peak).AimThe aim of the study was to evaluate the proportional influences of both age and body mass on VO2 peak in CHD rehabilitation (CR) participants with and without AF.MethodsRetrospective analysis of cardiopulmonary exercise test data from previous studies, involving CR participants with and without persistent AF, were analysed in relation to age, body mass, relative VO2peak (ml/kg/min) and absolute VO2peak (ml/min). Differences between the two populations were assessed via independent T-tests with alpha set at p &lt; .05, calculated in SPSS software version 23.ResultsCR participants with AF (n = 30; 70.7 years) vs. those without AF (n = 68; 56.9 years) were 14 years older (p &lt;0.0001), had a greater body mass (94.6 vs 80.5 kg; p = 0.001) and a lower VO2peak (relative VO2peak: 17.8 vs 26.7 ml/kg/min; absolute VO2 peak: 1684 ml/min vs 2149 ml/min; p &lt;0.0001). The relative and absolute VO2peaks in AF participants vs non-AF participants were lower by 33% and 22%, respectively. Given that ageing is known to contribute to a 1% per year decline in aerobic power, the AF participants would already be expected to have a 14% lower VO2peak than the non-AF participants.ConclusionCompared to non-AF the age-corrected aerobic power of the AF participants explained two-thirds of their lower aerobic power. Whilst it is important to focus on weight-management of AF populations, their observed lower functional capacity was still more strongly related to their older age than their body mass. These results support the prime importance of increased physical activity over weight-loss to mitigate the loss of ‘true’ aerobic power in those with CHD and AF.</description><subject>Bats</subject><subject>Cardiac arrhythmia</subject><subject>Physical fitness</subject><issn>1355-6037</issn><issn>1468-201X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><recordid>eNotjctKw0AYhQdRsFYfQfjBralzy0yykhqvUFCkoLsyk_xppqSZOJlS3LnxRX0SA7o6H4ePcwg5Z3TGmFBXDZoQN12bcMpFcjMvXl5n6oBMmFTZ2LH3w5FFmiaKCn1MToZhQymVeaYmZKt_vr7fGlc2YOoayzhAwGpXYgUGg7euhN7vMcDWBwTXQW-iw27U9i42UDzegulGNwZnWqidDa5tR8V3l2DWCD6A9dXnHt26iden5Kg27YBn_zkly_u7ZfGYLJ4fnor5Iul1qhKjMp0LyqzinKU1cmq1pEzbUnCVM6UEtZxJQ7HCNDOcYprnjKGoJa9KxcWUXPzN9sF_7HCIq43fhW58XPFMCy65kEr8AgkvXUU</recordid><startdate>20231001</startdate><enddate>20231001</enddate><creator>Buckley, John P</creator><creator>Terada, Tasuku</creator><creator>Pap, Robert</creator><creator>Reed, Jennifer R</creator><general>BMJ Publishing Group LTD</general><scope>K9.</scope></search><sort><creationdate>20231001</creationdate><title>7 Which affects reduced aerobic power more in patients with CHD and atrial fibrillation, age or bodyweight?</title><author>Buckley, John P ; Terada, Tasuku ; Pap, Robert ; Reed, Jennifer R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p756-a6879301b62215fe20b74017bc326916630b214a0ede58a20e59911e3f42dc623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Bats</topic><topic>Cardiac arrhythmia</topic><topic>Physical fitness</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Buckley, John P</creatorcontrib><creatorcontrib>Terada, Tasuku</creatorcontrib><creatorcontrib>Pap, Robert</creatorcontrib><creatorcontrib>Reed, Jennifer R</creatorcontrib><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><jtitle>Heart (British Cardiac Society)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Buckley, John P</au><au>Terada, Tasuku</au><au>Pap, Robert</au><au>Reed, Jennifer R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>7 Which affects reduced aerobic power more in patients with CHD and atrial fibrillation, age or bodyweight?</atitle><jtitle>Heart (British Cardiac Society)</jtitle><date>2023-10-01</date><risdate>2023</risdate><volume>109</volume><issue>Suppl 5</issue><spage>A3</spage><epage>A4</epage><pages>A3-A4</pages><issn>1355-6037</issn><eissn>1468-201X</eissn><abstract>BackgroundObesity is a key risk factor for atrial fibrillation (AF) and CHD patients with AF are normally older than those patients without AF. Ageing and body mass both have an impact on an individual’s aerobic functional capacity (aerobic power; VO2max/peak).AimThe aim of the study was to evaluate the proportional influences of both age and body mass on VO2 peak in CHD rehabilitation (CR) participants with and without AF.MethodsRetrospective analysis of cardiopulmonary exercise test data from previous studies, involving CR participants with and without persistent AF, were analysed in relation to age, body mass, relative VO2peak (ml/kg/min) and absolute VO2peak (ml/min). Differences between the two populations were assessed via independent T-tests with alpha set at p &lt; .05, calculated in SPSS software version 23.ResultsCR participants with AF (n = 30; 70.7 years) vs. those without AF (n = 68; 56.9 years) were 14 years older (p &lt;0.0001), had a greater body mass (94.6 vs 80.5 kg; p = 0.001) and a lower VO2peak (relative VO2peak: 17.8 vs 26.7 ml/kg/min; absolute VO2 peak: 1684 ml/min vs 2149 ml/min; p &lt;0.0001). The relative and absolute VO2peaks in AF participants vs non-AF participants were lower by 33% and 22%, respectively. Given that ageing is known to contribute to a 1% per year decline in aerobic power, the AF participants would already be expected to have a 14% lower VO2peak than the non-AF participants.ConclusionCompared to non-AF the age-corrected aerobic power of the AF participants explained two-thirds of their lower aerobic power. Whilst it is important to focus on weight-management of AF populations, their observed lower functional capacity was still more strongly related to their older age than their body mass. These results support the prime importance of increased physical activity over weight-loss to mitigate the loss of ‘true’ aerobic power in those with CHD and AF.</abstract><cop>London</cop><pub>BMJ Publishing Group LTD</pub><doi>10.1136/heartjnl-2023-BACPR.6</doi><oa>free_for_read</oa></addata></record>
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subjects Bats
Cardiac arrhythmia
Physical fitness
title 7 Which affects reduced aerobic power more in patients with CHD and atrial fibrillation, age or bodyweight?
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