Association between instrumental activities of daily living with the change in left ventricular function in older patients with cardiovascular disease
Left ventricular dysfunction is a pathophysiologic characteristic of heart failure. Impaired instrumental activities of daily living are associated with an elevated risk of mortality and heart failure in older adults. Nevertheless, the relationship between these activities and left ventricular funct...
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| Veröffentlicht in: | Heart and vessels 2021-09, Vol.36 (9), p.1298-1305 |
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| creator | Kariya, Hidenori Yamaoka-Tojo, Minako Obara, Shinichi Noda, Chiharu Matsunaga, Atsuhiko Ako, Junya |
| description | Left ventricular dysfunction is a pathophysiologic characteristic of heart failure. Impaired instrumental activities of daily living are associated with an elevated risk of mortality and heart failure in older adults. Nevertheless, the relationship between these activities and left ventricular function changes remains unclear. We determined whether instrumental activities of daily living are associated with subsequent left ventricular function changes in older cardiovascular disease patients. This retrospective cohort study included 383 outpatients with cardiovascular disease (74.5 ± 5.3 years, 273 males). Patients were divided according to the Frenchay activities index tertile and followed for six months after cardiovascular disease diagnosis. The left ventricular ejection fraction and annular early diastolic velocity (
e
′) were measured for left ventricular systolic and diastolic function, respectively, at baseline and after one year. After adjusting for confounders, changes in the left ventricular ejection fraction were not significantly different. However, changes in the
e
′ in the highest tertile group were significantly greater than in other groups. In the general linear model with multiple regression analysis, Frenchay activities index independently predicted the absolute change in the
e
′. In older cardiovascular disease patients, higher instrumental activities of daily living were associated with preserved left ventricular relaxation. |
| doi_str_mv | 10.1007/s00380-021-01812-3 |
| format | Article |
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e
′) were measured for left ventricular systolic and diastolic function, respectively, at baseline and after one year. After adjusting for confounders, changes in the left ventricular ejection fraction were not significantly different. However, changes in the
e
′ in the highest tertile group were significantly greater than in other groups. In the general linear model with multiple regression analysis, Frenchay activities index independently predicted the absolute change in the
e
′. In older cardiovascular disease patients, higher instrumental activities of daily living were associated with preserved left ventricular relaxation.</description><identifier>ISSN: 0910-8327</identifier><identifier>EISSN: 1615-2573</identifier><identifier>DOI: 10.1007/s00380-021-01812-3</identifier><identifier>PMID: 33683410</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Activities of Daily Living ; Aged ; Biomedical Engineering and Bioengineering ; Cardiac Surgery ; Cardiology ; Cardiovascular disease ; Cardiovascular diseases ; Cardiovascular Diseases - diagnosis ; Congestive heart failure ; Diastole ; Ejection fraction ; Female ; Heart failure ; Heart Failure - diagnosis ; Humans ; Male ; Medicine ; Medicine & Public Health ; Multiple regression analysis ; Older people ; Original Article ; Regression models ; Retrospective Studies ; Stroke Volume ; Vascular Surgery ; Ventricle ; Ventricular Dysfunction, Left - diagnosis ; Ventricular Function, Left</subject><ispartof>Heart and vessels, 2021-09, Vol.36 (9), p.1298-1305</ispartof><rights>Springer Japan KK, part of Springer Nature 2021</rights><rights>2021. Springer Japan KK, part of Springer Nature.</rights><rights>Springer Japan KK, part of Springer Nature 2021.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-bd34f18c001d3441bab8e2fcb48f91870d4fe7ec4c47709688e3f17550ff853a3</citedby><cites>FETCH-LOGICAL-c399t-bd34f18c001d3441bab8e2fcb48f91870d4fe7ec4c47709688e3f17550ff853a3</cites><orcidid>0000-0003-3890-3777</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00380-021-01812-3$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00380-021-01812-3$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,780,784,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/33683410$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kariya, Hidenori</creatorcontrib><creatorcontrib>Yamaoka-Tojo, Minako</creatorcontrib><creatorcontrib>Obara, Shinichi</creatorcontrib><creatorcontrib>Noda, Chiharu</creatorcontrib><creatorcontrib>Matsunaga, Atsuhiko</creatorcontrib><creatorcontrib>Ako, Junya</creatorcontrib><title>Association between instrumental activities of daily living with the change in left ventricular function in older patients with cardiovascular disease</title><title>Heart and vessels</title><addtitle>Heart Vessels</addtitle><addtitle>Heart Vessels</addtitle><description>Left ventricular dysfunction is a pathophysiologic characteristic of heart failure. Impaired instrumental activities of daily living are associated with an elevated risk of mortality and heart failure in older adults. Nevertheless, the relationship between these activities and left ventricular function changes remains unclear. We determined whether instrumental activities of daily living are associated with subsequent left ventricular function changes in older cardiovascular disease patients. This retrospective cohort study included 383 outpatients with cardiovascular disease (74.5 ± 5.3 years, 273 males). Patients were divided according to the Frenchay activities index tertile and followed for six months after cardiovascular disease diagnosis. The left ventricular ejection fraction and annular early diastolic velocity (
e
′) were measured for left ventricular systolic and diastolic function, respectively, at baseline and after one year. After adjusting for confounders, changes in the left ventricular ejection fraction were not significantly different. However, changes in the
e
′ in the highest tertile group were significantly greater than in other groups. In the general linear model with multiple regression analysis, Frenchay activities index independently predicted the absolute change in the
e
′. In older cardiovascular disease patients, higher instrumental activities of daily living were associated with preserved left ventricular relaxation.</description><subject>Activities of Daily Living</subject><subject>Aged</subject><subject>Biomedical Engineering and Bioengineering</subject><subject>Cardiac Surgery</subject><subject>Cardiology</subject><subject>Cardiovascular disease</subject><subject>Cardiovascular diseases</subject><subject>Cardiovascular Diseases - diagnosis</subject><subject>Congestive heart failure</subject><subject>Diastole</subject><subject>Ejection fraction</subject><subject>Female</subject><subject>Heart failure</subject><subject>Heart Failure - diagnosis</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Multiple regression analysis</subject><subject>Older people</subject><subject>Original Article</subject><subject>Regression models</subject><subject>Retrospective Studies</subject><subject>Stroke Volume</subject><subject>Vascular Surgery</subject><subject>Ventricle</subject><subject>Ventricular Dysfunction, Left - diagnosis</subject><subject>Ventricular Function, Left</subject><issn>0910-8327</issn><issn>1615-2573</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2021</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kcFuFSEUhonR2NvWF3BhSNx0M3qAYWCWTdOqSRM3dk0Y5tBLM5e5AnObvkifV9qpmrhwBeF8_3_O4SfkPYNPDEB9zgBCQwOcNcA04414RTasY7LhUonXZAM9g0YLro7Icc53AEz2rH9LjoTotGgZbMjjec6zC7aEOdIByz1ipCHmkpYdxmInal0Jh1ACZjp7OtowPdCpvsRbeh_KlpYtUre18Rarjk7oCz1UZQpumWyifonu2bwW52nERPe1WQXyKnc2jWE-2LziY8hoM56SN95OGd-9nCfk5uryx8XX5vr7l28X59eNE31fmmEUrWfa1c3qrWWDHTRy74ZW-55pBWPrUaFrXasU9J3WKDxTUoL3WgorTsjZ6rtP888FczG7kB1Ok404L9nwtu8BOgGioh__Qe_mJcU6neFSKi0Z72Sl-Eq5NOec0Jt9CjubHgwD85SaWVMzNTXznJp5sv7wYr0MOxz_SH7HVAGxArmW6k-nv73_Y_sLIBmlng</recordid><startdate>20210901</startdate><enddate>20210901</enddate><creator>Kariya, Hidenori</creator><creator>Yamaoka-Tojo, Minako</creator><creator>Obara, Shinichi</creator><creator>Noda, Chiharu</creator><creator>Matsunaga, Atsuhiko</creator><creator>Ako, Junya</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QO</scope><scope>8FD</scope><scope>FR3</scope><scope>K9.</scope><scope>P64</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0003-3890-3777</orcidid></search><sort><creationdate>20210901</creationdate><title>Association between instrumental activities of daily living with the change in left ventricular function in older patients with cardiovascular disease</title><author>Kariya, Hidenori ; Yamaoka-Tojo, Minako ; Obara, Shinichi ; Noda, Chiharu ; Matsunaga, Atsuhiko ; Ako, Junya</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-bd34f18c001d3441bab8e2fcb48f91870d4fe7ec4c47709688e3f17550ff853a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Activities of Daily Living</topic><topic>Aged</topic><topic>Biomedical Engineering and Bioengineering</topic><topic>Cardiac Surgery</topic><topic>Cardiology</topic><topic>Cardiovascular disease</topic><topic>Cardiovascular diseases</topic><topic>Cardiovascular Diseases - diagnosis</topic><topic>Congestive heart failure</topic><topic>Diastole</topic><topic>Ejection fraction</topic><topic>Female</topic><topic>Heart failure</topic><topic>Heart Failure - diagnosis</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Multiple regression analysis</topic><topic>Older people</topic><topic>Original Article</topic><topic>Regression models</topic><topic>Retrospective Studies</topic><topic>Stroke Volume</topic><topic>Vascular Surgery</topic><topic>Ventricle</topic><topic>Ventricular Dysfunction, Left - diagnosis</topic><topic>Ventricular Function, Left</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kariya, Hidenori</creatorcontrib><creatorcontrib>Yamaoka-Tojo, Minako</creatorcontrib><creatorcontrib>Obara, Shinichi</creatorcontrib><creatorcontrib>Noda, Chiharu</creatorcontrib><creatorcontrib>Matsunaga, Atsuhiko</creatorcontrib><creatorcontrib>Ako, Junya</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Biotechnology Research Abstracts</collection><collection>Technology Research Database</collection><collection>Engineering Research Database</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>MEDLINE - Academic</collection><jtitle>Heart and vessels</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kariya, Hidenori</au><au>Yamaoka-Tojo, Minako</au><au>Obara, Shinichi</au><au>Noda, Chiharu</au><au>Matsunaga, Atsuhiko</au><au>Ako, Junya</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Association between instrumental activities of daily living with the change in left ventricular function in older patients with cardiovascular disease</atitle><jtitle>Heart and vessels</jtitle><stitle>Heart Vessels</stitle><addtitle>Heart Vessels</addtitle><date>2021-09-01</date><risdate>2021</risdate><volume>36</volume><issue>9</issue><spage>1298</spage><epage>1305</epage><pages>1298-1305</pages><issn>0910-8327</issn><eissn>1615-2573</eissn><abstract>Left ventricular dysfunction is a pathophysiologic characteristic of heart failure. Impaired instrumental activities of daily living are associated with an elevated risk of mortality and heart failure in older adults. Nevertheless, the relationship between these activities and left ventricular function changes remains unclear. We determined whether instrumental activities of daily living are associated with subsequent left ventricular function changes in older cardiovascular disease patients. This retrospective cohort study included 383 outpatients with cardiovascular disease (74.5 ± 5.3 years, 273 males). Patients were divided according to the Frenchay activities index tertile and followed for six months after cardiovascular disease diagnosis. The left ventricular ejection fraction and annular early diastolic velocity (
e
′) were measured for left ventricular systolic and diastolic function, respectively, at baseline and after one year. After adjusting for confounders, changes in the left ventricular ejection fraction were not significantly different. However, changes in the
e
′ in the highest tertile group were significantly greater than in other groups. In the general linear model with multiple regression analysis, Frenchay activities index independently predicted the absolute change in the
e
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| subjects | Activities of Daily Living Aged Biomedical Engineering and Bioengineering Cardiac Surgery Cardiology Cardiovascular disease Cardiovascular diseases Cardiovascular Diseases - diagnosis Congestive heart failure Diastole Ejection fraction Female Heart failure Heart Failure - diagnosis Humans Male Medicine Medicine & Public Health Multiple regression analysis Older people Original Article Regression models Retrospective Studies Stroke Volume Vascular Surgery Ventricle Ventricular Dysfunction, Left - diagnosis Ventricular Function, Left |
| title | Association between instrumental activities of daily living with the change in left ventricular function in older patients with cardiovascular disease |
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