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Characteristics and Related Factors of One-year Transition in Exercise Tolerance Following an Emergency Declaration due to the Coronavirus Disease 2019 Pandemic in Patients on Phase III Cardiac Rehabilitation
Objective: This study aimed to understand the long-term transition of exercise tolerance in patients on phase III cardiac rehabilitation (CR) and clarify the characteristics of patients with a high risk of declined exercise tolerance during the first emergency declaration. Methods: Patients who part...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Japanese Society of Physical Therapy
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445121/ https://www.ncbi.nlm.nih.gov/pubmed/37621572 http://dx.doi.org/10.1298/ptr.E10232 |
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author | KITAYAMA, Tatsuro TSUJI, Taishi MIKAMI, Kenta USUI, Naoto EMORI, Ryo MARUYAMA, Yasuyuki HARADA, Tadanori |
author_facet | KITAYAMA, Tatsuro TSUJI, Taishi MIKAMI, Kenta USUI, Naoto EMORI, Ryo MARUYAMA, Yasuyuki HARADA, Tadanori |
author_sort | KITAYAMA, Tatsuro |
collection | PubMed |
description | Objective: This study aimed to understand the long-term transition of exercise tolerance in patients on phase III cardiac rehabilitation (CR) and clarify the characteristics of patients with a high risk of declined exercise tolerance during the first emergency declaration. Methods: Patients who participated in phase III outpatient CR before the first emergency declaration and those who performed cardiopulmonary exercise testing were at ≥2-time points: before and at 3 or 12 months post-emergency declaration. Exercise tolerance transition at 3-time points was analyzed, and whether different social background factors affected the peak oxygen uptake (V̇O(2)) transition method remains to be examined. Results: A total of 101 (median age 74.0 years, 69% men), and both peak V̇O(2) and anaerobic threshold (AT) significantly declined from pre-declaration to 3 months post-declaration but recovered to levels likely similar from pre-declaration at 12 months (peak V̇O(2): from 17.3 to 16.7 to 18.7 mL/min/kg; AT: from 11.8 to 11.2 to 11.6 mL/min/kg). Further, patients with multiple comorbidities at pre-declaration had a significantly lower peak V̇O(2) at 3 months (−1.0 mL/min/kg, p = 0.025) and it remained significantly low in those with a slower gait speed at 12 months after lifting the emergency declaration (−2.5 mL/min/kg, p = 0.009). Conclusion: The emergency declaration declined the exercise tolerance in patients on phase III CR but improved to pre- declaration levels over time, but more likely declined in patients with multiple comorbidities during pre-declaration and those with low-gait speeds were less likely to improve their declined exercise tolerance. |
format | Online Article Text |
id | pubmed-10445121 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Japanese Society of Physical Therapy |
record_format | MEDLINE/PubMed |
spelling | pubmed-104451212023-08-24 Characteristics and Related Factors of One-year Transition in Exercise Tolerance Following an Emergency Declaration due to the Coronavirus Disease 2019 Pandemic in Patients on Phase III Cardiac Rehabilitation KITAYAMA, Tatsuro TSUJI, Taishi MIKAMI, Kenta USUI, Naoto EMORI, Ryo MARUYAMA, Yasuyuki HARADA, Tadanori Phys Ther Res Original Article Objective: This study aimed to understand the long-term transition of exercise tolerance in patients on phase III cardiac rehabilitation (CR) and clarify the characteristics of patients with a high risk of declined exercise tolerance during the first emergency declaration. Methods: Patients who participated in phase III outpatient CR before the first emergency declaration and those who performed cardiopulmonary exercise testing were at ≥2-time points: before and at 3 or 12 months post-emergency declaration. Exercise tolerance transition at 3-time points was analyzed, and whether different social background factors affected the peak oxygen uptake (V̇O(2)) transition method remains to be examined. Results: A total of 101 (median age 74.0 years, 69% men), and both peak V̇O(2) and anaerobic threshold (AT) significantly declined from pre-declaration to 3 months post-declaration but recovered to levels likely similar from pre-declaration at 12 months (peak V̇O(2): from 17.3 to 16.7 to 18.7 mL/min/kg; AT: from 11.8 to 11.2 to 11.6 mL/min/kg). Further, patients with multiple comorbidities at pre-declaration had a significantly lower peak V̇O(2) at 3 months (−1.0 mL/min/kg, p = 0.025) and it remained significantly low in those with a slower gait speed at 12 months after lifting the emergency declaration (−2.5 mL/min/kg, p = 0.009). Conclusion: The emergency declaration declined the exercise tolerance in patients on phase III CR but improved to pre- declaration levels over time, but more likely declined in patients with multiple comorbidities during pre-declaration and those with low-gait speeds were less likely to improve their declined exercise tolerance. Japanese Society of Physical Therapy 2023-04-27 2023 /pmc/articles/PMC10445121/ /pubmed/37621572 http://dx.doi.org/10.1298/ptr.E10232 Text en ©2023 Japanese Society of Physical Therapy https://creativecommons.org/licenses/by/4.0/This work is licensed under a Creative Commons Attribution International License (https://creativecommons.org/licenses/by/4.0/) . |
spellingShingle | Original Article KITAYAMA, Tatsuro TSUJI, Taishi MIKAMI, Kenta USUI, Naoto EMORI, Ryo MARUYAMA, Yasuyuki HARADA, Tadanori Characteristics and Related Factors of One-year Transition in Exercise Tolerance Following an Emergency Declaration due to the Coronavirus Disease 2019 Pandemic in Patients on Phase III Cardiac Rehabilitation |
title | Characteristics and Related Factors of One-year Transition in Exercise Tolerance Following an Emergency Declaration due to the Coronavirus Disease 2019 Pandemic in Patients on Phase III Cardiac Rehabilitation |
title_full | Characteristics and Related Factors of One-year Transition in Exercise Tolerance Following an Emergency Declaration due to the Coronavirus Disease 2019 Pandemic in Patients on Phase III Cardiac Rehabilitation |
title_fullStr | Characteristics and Related Factors of One-year Transition in Exercise Tolerance Following an Emergency Declaration due to the Coronavirus Disease 2019 Pandemic in Patients on Phase III Cardiac Rehabilitation |
title_full_unstemmed | Characteristics and Related Factors of One-year Transition in Exercise Tolerance Following an Emergency Declaration due to the Coronavirus Disease 2019 Pandemic in Patients on Phase III Cardiac Rehabilitation |
title_short | Characteristics and Related Factors of One-year Transition in Exercise Tolerance Following an Emergency Declaration due to the Coronavirus Disease 2019 Pandemic in Patients on Phase III Cardiac Rehabilitation |
title_sort | characteristics and related factors of one-year transition in exercise tolerance following an emergency declaration due to the coronavirus disease 2019 pandemic in patients on phase iii cardiac rehabilitation |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10445121/ https://www.ncbi.nlm.nih.gov/pubmed/37621572 http://dx.doi.org/10.1298/ptr.E10232 |
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