Assessment of functional capacity and sleep quality of patients with chronic heart failure.
Hong Kong Physiother J
; 36: 17-24, 2017 Jun.
Article
en En
| MEDLINE
| ID: mdl-30931035
ABSTRACT
BACKGROUND:
Adequate sleep improves physical and mental alertness. However, there is a dearth of empirical data on functional capacity (FC) and sleep quality (SpQ) in patients with chronic heart failure (CHF).OBJECTIVE:
This study investigated the relationship between FC and SpQ of patients with CHF and apparently healthy controls (HCs).METHODS:
This case-control study recruited 50 patients with CHF whose left ventricular ejection fraction (LVEF) was <40%, attending cardiac clinics of selected government hospitals in Osun State. Furthermore, 50 age- and sex-matched healthy individuals were recruited as controls. Socio-demographic characteristics and cardiovascular parameters were assessed. The FC (VO2 max) and SpQ were assessed using the 6-minute walk test (6-MWT) and Pittsburgh Sleep Quality Index (PSQI), respectively. Data were analysed using descriptive and inferential statistics. Alpha level was set at p < 0.05.RESULTS:
Patients had a significantly lower FC and poorer SpQ than HCs, 4.6 ± 0.5 versus 11.3 ± 1.6 mL/kg/min (t = -3.452; p = 0.001) and 8.74 ± 1.6 versus 3.8 ± 1.3 (t = -5.371; p = 0.001), respectively. HCs were about five times more likely to walk longer distance [odds ratio (OR), 4.8; confidence interval (CI), 2.0-11.1] and had a better heart rate (OR, 2.8; CI, 1.4-5.3) than patients. SpQ had a significant negative correlation with FC of patients (r = -0.362; p = 0.001) but a significant positive correlation with HCs (r = 0.481; p = 0.041). Furthermore, there were significant correlations between FC and body mass index in both groups (CHF r = 0.247, p = 0.022; HCs r = 0.321, p = 0.040).CONCLUSION:
Patients with heart failure demonstrated lower functional capacity and poorer sleep quality.
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Tipo de estudio:
Observational_studies
Idioma:
En
Revista:
Hong Kong Physiother J
Año:
2017
Tipo del documento:
Article
País de afiliación:
Nigeria