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The effect of physical activity level on the severity of diastolic dysfunction

BACKGROUND: Diastolic dysfunction (DD) is a risk factor for cardiovascular events in patients undergoing non-cardiac surgeries. Investigators aimed to assess the effect of physical activity level on the diastolic function of the left ventricle (LV) in patients attending the preoperative visit. METHO...

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Autores principales: Ashraf, Ali, Rimaz, Siamak, Seddighinejad, Abbas, karimi, Amin, Hassanzadeh-Rad, Afagh, Gholipour, Mahboobeh, Motiei, Mahsa, Yazdanipour, Mohammad Ali, Rimaz, Sheida
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311756/
https://www.ncbi.nlm.nih.gov/pubmed/37391808
http://dx.doi.org/10.1186/s13102-023-00689-1
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author Ashraf, Ali
Rimaz, Siamak
Seddighinejad, Abbas
karimi, Amin
Hassanzadeh-Rad, Afagh
Gholipour, Mahboobeh
Motiei, Mahsa
Yazdanipour, Mohammad Ali
Rimaz, Sheida
author_facet Ashraf, Ali
Rimaz, Siamak
Seddighinejad, Abbas
karimi, Amin
Hassanzadeh-Rad, Afagh
Gholipour, Mahboobeh
Motiei, Mahsa
Yazdanipour, Mohammad Ali
Rimaz, Sheida
author_sort Ashraf, Ali
collection PubMed
description BACKGROUND: Diastolic dysfunction (DD) is a risk factor for cardiovascular events in patients undergoing non-cardiac surgeries. Investigators aimed to assess the effect of physical activity level on the diastolic function of the left ventricle (LV) in patients attending the preoperative visit. METHODS: This analytic cross-sectional study was conducted on 228 patients referred to Poursina hospital from November 2021 to March 2022. To define the physical activity level, we used the short form of the International Physical Activity Questionnaire (IPAQ). We categorized patients into inactive, minimally active, and health-enhancing physical activity groups. We also divided participants into three groups based on their daily sitting time. Also, echocardiographic parameters were calculated. The diastolic function of LV was evaluated, and its grading was defined from mild (grade1) to severe (grade 3). RESULTS: Results showed that patients with DD had significantly higher age and lower levels of education (P < 0.001 and P = 0.005, respectively). After assessing echocardiographic parameters, we found that E/e’, TR Velocity, left atrial volume index, and pulmonary artery pressure had a statistically significant inverse relationship with physical activity level (P < 0.001 for all). Comparing physical activity level of subgroups showed that in HEPA (health-enhancing physical activity), the chance of developing grade 2 or 3 DD was reduced by 97% compared to the inactive group (OR = 0.03, P < 0.001). Still, there was no significant difference between the inactive and minimally active groups (P = 0.223). CONCLUSIONS: This study showed an inverse relationship between physical activity level and DD of the LV in a sample of 228 individuals attending the Anesthesia Clinic, independent of potentially confounding variables.Therefore, due to lower rate of DD in patients who are physically active, we can expect lower occurrence rate of cardiovascular events during surgery.
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spelling pubmed-103117562023-07-01 The effect of physical activity level on the severity of diastolic dysfunction Ashraf, Ali Rimaz, Siamak Seddighinejad, Abbas karimi, Amin Hassanzadeh-Rad, Afagh Gholipour, Mahboobeh Motiei, Mahsa Yazdanipour, Mohammad Ali Rimaz, Sheida BMC Sports Sci Med Rehabil Research BACKGROUND: Diastolic dysfunction (DD) is a risk factor for cardiovascular events in patients undergoing non-cardiac surgeries. Investigators aimed to assess the effect of physical activity level on the diastolic function of the left ventricle (LV) in patients attending the preoperative visit. METHODS: This analytic cross-sectional study was conducted on 228 patients referred to Poursina hospital from November 2021 to March 2022. To define the physical activity level, we used the short form of the International Physical Activity Questionnaire (IPAQ). We categorized patients into inactive, minimally active, and health-enhancing physical activity groups. We also divided participants into three groups based on their daily sitting time. Also, echocardiographic parameters were calculated. The diastolic function of LV was evaluated, and its grading was defined from mild (grade1) to severe (grade 3). RESULTS: Results showed that patients with DD had significantly higher age and lower levels of education (P < 0.001 and P = 0.005, respectively). After assessing echocardiographic parameters, we found that E/e’, TR Velocity, left atrial volume index, and pulmonary artery pressure had a statistically significant inverse relationship with physical activity level (P < 0.001 for all). Comparing physical activity level of subgroups showed that in HEPA (health-enhancing physical activity), the chance of developing grade 2 or 3 DD was reduced by 97% compared to the inactive group (OR = 0.03, P < 0.001). Still, there was no significant difference between the inactive and minimally active groups (P = 0.223). CONCLUSIONS: This study showed an inverse relationship between physical activity level and DD of the LV in a sample of 228 individuals attending the Anesthesia Clinic, independent of potentially confounding variables.Therefore, due to lower rate of DD in patients who are physically active, we can expect lower occurrence rate of cardiovascular events during surgery. BioMed Central 2023-06-30 /pmc/articles/PMC10311756/ /pubmed/37391808 http://dx.doi.org/10.1186/s13102-023-00689-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Ashraf, Ali
Rimaz, Siamak
Seddighinejad, Abbas
karimi, Amin
Hassanzadeh-Rad, Afagh
Gholipour, Mahboobeh
Motiei, Mahsa
Yazdanipour, Mohammad Ali
Rimaz, Sheida
The effect of physical activity level on the severity of diastolic dysfunction
title The effect of physical activity level on the severity of diastolic dysfunction
title_full The effect of physical activity level on the severity of diastolic dysfunction
title_fullStr The effect of physical activity level on the severity of diastolic dysfunction
title_full_unstemmed The effect of physical activity level on the severity of diastolic dysfunction
title_short The effect of physical activity level on the severity of diastolic dysfunction
title_sort effect of physical activity level on the severity of diastolic dysfunction
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10311756/
https://www.ncbi.nlm.nih.gov/pubmed/37391808
http://dx.doi.org/10.1186/s13102-023-00689-1
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