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Sex Differences in Frequency of Instrumental Activities of Daily Living after Cardiac Rehabilitation and Its Impact on Outcomes in Patients with Heart Failure
Although instrumental activities of daily living (IADL) are included in the outcomes of cardiac rehabilitation (CR), the relationship between IADL frequency at the end of CR and outcomes between the sexes remains unclear. We aimed to investigate the differences in frequency of IADL between the sexes...
Autores principales: | , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9502306/ https://www.ncbi.nlm.nih.gov/pubmed/36135434 http://dx.doi.org/10.3390/jcdd9090289 |
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author | Nozaki, Kohei Hamazaki, Nobuaki Kamiya, Kentaro Kariya, Hidenori Uchida, Shota Noda, Takumi Ueno, Kensuke Maekawa, Emi Matsunaga, Atsuhiko Yamaoka-Tojo, Minako Ako, Junya |
author_facet | Nozaki, Kohei Hamazaki, Nobuaki Kamiya, Kentaro Kariya, Hidenori Uchida, Shota Noda, Takumi Ueno, Kensuke Maekawa, Emi Matsunaga, Atsuhiko Yamaoka-Tojo, Minako Ako, Junya |
author_sort | Nozaki, Kohei |
collection | PubMed |
description | Although instrumental activities of daily living (IADL) are included in the outcomes of cardiac rehabilitation (CR), the relationship between IADL frequency at the end of CR and outcomes between the sexes remains unclear. We aimed to investigate the differences in frequency of IADL between the sexes and its impact on the outcomes. We retrospectively investigated 490 consecutive patients who were admitted for heart failure (HF) and participated in CR post-discharge. IADL frequency was assessed using the questionnaire-based Frenchay Activities Index (FAI). The primary endpoint was all-cause death, and the secondary endpoint was a composite of all-cause death and readmission due to HF. The cut-off values of the FAI for all-cause death in the overall cohort, females, and males were 23, 22, and 23 points, respectively. After adjusting for several factors, IADL assessed using the FAI was independently associated with all-cause mortality (hazard ratio [HR]: 0.961, 95% confidence interval [CI]: 0.937–0.986) and combined events (HR: 0.968, 95% CI: 0.952–0.985), respectively. Additionally, there was no interaction between sex and all-cause mortality. In conclusion, higher IADL frequency after CR was associated with favourable outcomes in patients with HF. |
format | Online Article Text |
id | pubmed-9502306 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-95023062022-09-24 Sex Differences in Frequency of Instrumental Activities of Daily Living after Cardiac Rehabilitation and Its Impact on Outcomes in Patients with Heart Failure Nozaki, Kohei Hamazaki, Nobuaki Kamiya, Kentaro Kariya, Hidenori Uchida, Shota Noda, Takumi Ueno, Kensuke Maekawa, Emi Matsunaga, Atsuhiko Yamaoka-Tojo, Minako Ako, Junya J Cardiovasc Dev Dis Article Although instrumental activities of daily living (IADL) are included in the outcomes of cardiac rehabilitation (CR), the relationship between IADL frequency at the end of CR and outcomes between the sexes remains unclear. We aimed to investigate the differences in frequency of IADL between the sexes and its impact on the outcomes. We retrospectively investigated 490 consecutive patients who were admitted for heart failure (HF) and participated in CR post-discharge. IADL frequency was assessed using the questionnaire-based Frenchay Activities Index (FAI). The primary endpoint was all-cause death, and the secondary endpoint was a composite of all-cause death and readmission due to HF. The cut-off values of the FAI for all-cause death in the overall cohort, females, and males were 23, 22, and 23 points, respectively. After adjusting for several factors, IADL assessed using the FAI was independently associated with all-cause mortality (hazard ratio [HR]: 0.961, 95% confidence interval [CI]: 0.937–0.986) and combined events (HR: 0.968, 95% CI: 0.952–0.985), respectively. Additionally, there was no interaction between sex and all-cause mortality. In conclusion, higher IADL frequency after CR was associated with favourable outcomes in patients with HF. MDPI 2022-08-31 /pmc/articles/PMC9502306/ /pubmed/36135434 http://dx.doi.org/10.3390/jcdd9090289 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Nozaki, Kohei Hamazaki, Nobuaki Kamiya, Kentaro Kariya, Hidenori Uchida, Shota Noda, Takumi Ueno, Kensuke Maekawa, Emi Matsunaga, Atsuhiko Yamaoka-Tojo, Minako Ako, Junya Sex Differences in Frequency of Instrumental Activities of Daily Living after Cardiac Rehabilitation and Its Impact on Outcomes in Patients with Heart Failure |
title | Sex Differences in Frequency of Instrumental Activities of Daily Living after Cardiac Rehabilitation and Its Impact on Outcomes in Patients with Heart Failure |
title_full | Sex Differences in Frequency of Instrumental Activities of Daily Living after Cardiac Rehabilitation and Its Impact on Outcomes in Patients with Heart Failure |
title_fullStr | Sex Differences in Frequency of Instrumental Activities of Daily Living after Cardiac Rehabilitation and Its Impact on Outcomes in Patients with Heart Failure |
title_full_unstemmed | Sex Differences in Frequency of Instrumental Activities of Daily Living after Cardiac Rehabilitation and Its Impact on Outcomes in Patients with Heart Failure |
title_short | Sex Differences in Frequency of Instrumental Activities of Daily Living after Cardiac Rehabilitation and Its Impact on Outcomes in Patients with Heart Failure |
title_sort | sex differences in frequency of instrumental activities of daily living after cardiac rehabilitation and its impact on outcomes in patients with heart failure |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9502306/ https://www.ncbi.nlm.nih.gov/pubmed/36135434 http://dx.doi.org/10.3390/jcdd9090289 |
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