Relationship between exercise capacity and grip strength in a cohort of older cardiac outpatients.


Journal

The Journal of sports medicine and physical fitness
ISSN: 1827-1928
Titre abrégé: J Sports Med Phys Fitness
Pays: Italy
ID NLM: 0376337

Informations de publication

Date de publication:
Oct 2022
Historique:
pubmed: 20 10 2021
medline: 6 10 2022
entrez: 19 10 2021
Statut: ppublish

Résumé

Progressive ageing of the population has highlighted the importance of the relationship between physical function and frailty in patients with chronic disease. The aim of this study was to assess the association between exercise capacity and grip strength (GS) in a cohort of older patients involved in an exercise-based secondary prevention program. Sixty-five outpatients (aged 75±6 years) were included. Exercise capacity was assessed through the estimation of maximal oxygen consumption (V̇O<inf>2peak</inf>) and the measurement of walking speed (WS). GS was evaluated in the dominant arm using a hand-held dynamometer. Patients with higher V̇O<inf>2peak</inf> and WS values exhibited significantly higher GS (P<0.01). GS was significantly related to WS (P<0.01) and V̇O<inf>2peak</inf> (P<0.01), and inversely associated with age (P<0.01). Results from linear multiple regression analysis (P<0.01) demonstrate that GS was strongly associated with WS (P<0.01) and age (P=0.01), while BMI, weekly LTPA, cardiovascular diagnosis, V̇O<inf>2peak</inf> and education were not. The evaluation of WS, V̇O<inf>2peak</inf> and GS was feasible and well tolerated. These preliminary results suggest that prescribing regular walking activity, educating subjects to perform it at higher average WS, can help to maintain physical function in older patients with cardiovascular disease.

Sections du résumé

BACKGROUND BACKGROUND
Progressive ageing of the population has highlighted the importance of the relationship between physical function and frailty in patients with chronic disease. The aim of this study was to assess the association between exercise capacity and grip strength (GS) in a cohort of older patients involved in an exercise-based secondary prevention program.
METHODS METHODS
Sixty-five outpatients (aged 75±6 years) were included. Exercise capacity was assessed through the estimation of maximal oxygen consumption (V̇O<inf>2peak</inf>) and the measurement of walking speed (WS). GS was evaluated in the dominant arm using a hand-held dynamometer.
RESULTS RESULTS
Patients with higher V̇O<inf>2peak</inf> and WS values exhibited significantly higher GS (P<0.01). GS was significantly related to WS (P<0.01) and V̇O<inf>2peak</inf> (P<0.01), and inversely associated with age (P<0.01). Results from linear multiple regression analysis (P<0.01) demonstrate that GS was strongly associated with WS (P<0.01) and age (P=0.01), while BMI, weekly LTPA, cardiovascular diagnosis, V̇O<inf>2peak</inf> and education were not.
CONCLUSIONS CONCLUSIONS
The evaluation of WS, V̇O<inf>2peak</inf> and GS was feasible and well tolerated. These preliminary results suggest that prescribing regular walking activity, educating subjects to perform it at higher average WS, can help to maintain physical function in older patients with cardiovascular disease.

Identifiants

pubmed: 34664910
pii: S0022-4707.21.13106-8
doi: 10.23736/S0022-4707.21.13106-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1404-1409

Auteurs

Andrea Raisi (A)

Center for Exercise Science and Sport, Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.

Valentina Zerbini (V)

Center for Exercise Science and Sport, Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy - valentina.zerbini@unife.it.

Jonathan Myers (J)

Division of Cardiology, VA Palo Alto Health Care, Palo Alto, CA, USA.
Stanford University School of Medicine, Stanford, CA, USA.
Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA.

Rosario Lordi (R)

Center for Exercise Science and Sport, Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.
Department of Public Health, AUSL Ferrara, Ferrara, Italy.

Tommaso Piva (T)

Center for Exercise Science and Sport, Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.

Gianni Mazzoni (G)

Center for Exercise Science and Sport, Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.
Department of Public Health, AUSL Ferrara, Ferrara, Italy.

Giovanni Grazzi (G)

Center for Exercise Science and Sport, Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.
Healthy Living for Pandemic Event Protection (HL-PIVOT) Network, Chicago, IL, USA.
Department of Public Health, AUSL Ferrara, Ferrara, Italy.

Simona Mandini (S)

Center for Exercise Science and Sport, Department of Neuroscience and Rehabilitation, University of Ferrara, Ferrara, Italy.

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Classifications MeSH