Ann Rehabil Med.  2023 Oct;47(5):426-437. 10.5535/arm.23031.

Physical Activity and Activities of Daily Living in Older Adult Patients With Heart Failure Admitted for Subacute Musculoskeletal Disease

• Shimizu T
• Kanai C
• Ueda K
• Asakawa Y

• KMID: 2548401
• DOI: http://doi.org/10.5535/arm.23031

Abstract

Objective
To examine activities of daily living (ADL) and physical activity in older adults with heart failure admitted to a rehabilitation ward for subacute musculoskeletal disease.
Methods
This study included patients with musculoskeletal disease (aged ≥75 years) who were admitted to the rehabilitation ward. Data on age, ADL, and time for physical activity (metabolic equivalents [METs]) were collected. Patients were divided into groups with or without heart failure, and the differences were compared using Mann–Whitney U-test.
Results
This study included 84 musculoskeletal patients, including 25 with heart failure. The heart-failure group had similar levels of ADL independence compared to the without-heart-failure group (p=0.28) but had shorter duration of continuous and sustained physical activities and less total time (p<0.01) of light-intensity physical activity or higher.
Conclusion
Older adults with subacute musculoskeletal disease with heart failure do not necessarily require a large amount of physical activity to maintain ADL at the time of discharge. But very low physical activity may increase the risk for developing hospitalization-associated disability. Physical activity in older adults with subacute musculoskeletal disease with heart failure should be monitored separately from ADL.

Keyword

Activities of daily living; Heart failure; Aged; Sedentary behavior; Musculoskeletal disease

Figure

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  Fig. 1. This image presents a flowchart of study participant selection. IQR, interquartile range; BMI, body mass index; FIM, Functional Independent Measure; NYHA, New York Heart Association; min, minimum; max, maximum.

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