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Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study

BACKGROUND: Heart failure (HF) is a severe and self-limiting syndrome. Its signs and symptoms are believed to predict poorer health-related quality of life scores, which are mainly influenced by deterioration in physical capacity. In the present study we try to analyze the influence of clinical and...

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Autores principales: Silva, Paula Cristina, de Almeida Neto, Omar Pereira, Resende, Elmiro Santos
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8063347/
https://www.ncbi.nlm.nih.gov/pubmed/33892726
http://dx.doi.org/10.1186/s12955-020-01634-3
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author Silva, Paula Cristina
de Almeida Neto, Omar Pereira
Resende, Elmiro Santos
author_facet Silva, Paula Cristina
de Almeida Neto, Omar Pereira
Resende, Elmiro Santos
author_sort Silva, Paula Cristina
collection PubMed
description BACKGROUND: Heart failure (HF) is a severe and self-limiting syndrome. Its signs and symptoms are believed to predict poorer health-related quality of life scores, which are mainly influenced by deterioration in physical capacity. In the present study we try to analyze the influence of clinical and socioeconomic characteristics and physical capacity on the quality of life of people with HF diagnosis. METHODS: A longitudinal study was conducted over 2 years with patients diagnosed with HF. To evaluate the patients the method of face-to-face visit and telephone monitoring was used. In the evaluations were applied: the Clinical and Socioeconomic Characterization Questionnaire, the Minnesota Living With Heart Failure Questionnaire (MLHFQ) for quality of life evaluation and the Veterans Specific Activity Questionnaire (VSAQ) for cardiopulmonary fitness analysis. Measures of central tendency, proportion, normality test, confidence intervals, comparison of data through paired Student t test and Wilcoxon or Mann Whitney test were performed and correlations were verified through Spearman coefficient. RESULTS: The study included 108 patients, most of them female (50.90%) and mean age of 66.62 ± 11.33 years. The median time of HF diagnosis was 5 ± 6 years, being Chagas’ disease the main etiologic cause for the disease (57.40%). As for the clinical condition, functional classes II (44.40%) and III (48.10%) of the New York Heart Association (NYHA) were the most frequent. There was a low cardiopulmonary fitness, with loss of capacity to perform daily activities (3 ± 1 to 3 ± 3) over the time of clinical follow-up. There was an increase in the MLHFQ instrument scores, from 50.98 ± 15.52 to 61.76 ± 19.95, over the analysis time. The analysis of correlations demonstrated that variables such as schooling, NYHA class, echocardiographic alterations and the drug profile have a significant relationship with the constructs of quality of life and physical fitness. CONCLUSION: Individuals in HF have significant impairment of cardiorespiratory capacity and tend to present worsening of QL along the evolution of the disease.
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spelling pubmed-80633472021-04-23 Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study Silva, Paula Cristina de Almeida Neto, Omar Pereira Resende, Elmiro Santos Health Qual Life Outcomes Research BACKGROUND: Heart failure (HF) is a severe and self-limiting syndrome. Its signs and symptoms are believed to predict poorer health-related quality of life scores, which are mainly influenced by deterioration in physical capacity. In the present study we try to analyze the influence of clinical and socioeconomic characteristics and physical capacity on the quality of life of people with HF diagnosis. METHODS: A longitudinal study was conducted over 2 years with patients diagnosed with HF. To evaluate the patients the method of face-to-face visit and telephone monitoring was used. In the evaluations were applied: the Clinical and Socioeconomic Characterization Questionnaire, the Minnesota Living With Heart Failure Questionnaire (MLHFQ) for quality of life evaluation and the Veterans Specific Activity Questionnaire (VSAQ) for cardiopulmonary fitness analysis. Measures of central tendency, proportion, normality test, confidence intervals, comparison of data through paired Student t test and Wilcoxon or Mann Whitney test were performed and correlations were verified through Spearman coefficient. RESULTS: The study included 108 patients, most of them female (50.90%) and mean age of 66.62 ± 11.33 years. The median time of HF diagnosis was 5 ± 6 years, being Chagas’ disease the main etiologic cause for the disease (57.40%). As for the clinical condition, functional classes II (44.40%) and III (48.10%) of the New York Heart Association (NYHA) were the most frequent. There was a low cardiopulmonary fitness, with loss of capacity to perform daily activities (3 ± 1 to 3 ± 3) over the time of clinical follow-up. There was an increase in the MLHFQ instrument scores, from 50.98 ± 15.52 to 61.76 ± 19.95, over the analysis time. The analysis of correlations demonstrated that variables such as schooling, NYHA class, echocardiographic alterations and the drug profile have a significant relationship with the constructs of quality of life and physical fitness. CONCLUSION: Individuals in HF have significant impairment of cardiorespiratory capacity and tend to present worsening of QL along the evolution of the disease. BioMed Central 2021-04-23 /pmc/articles/PMC8063347/ /pubmed/33892726 http://dx.doi.org/10.1186/s12955-020-01634-3 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis 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
Silva, Paula Cristina
de Almeida Neto, Omar Pereira
Resende, Elmiro Santos
Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title_full Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title_fullStr Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title_full_unstemmed Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title_short Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title_sort epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8063347/
https://www.ncbi.nlm.nih.gov/pubmed/33892726
http://dx.doi.org/10.1186/s12955-020-01634-3
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