Aim: Assess upper and lower limb functions in elderly with heart failure (HF) and evaluate its relation to HF severity. Methods: Handgrip strength (HGS) in kilograms (kgs.) of both hands using handle mechanical dynamo...Aim: Assess upper and lower limb functions in elderly with heart failure (HF) and evaluate its relation to HF severity. Methods: Handgrip strength (HGS) in kilograms (kgs.) of both hands using handle mechanical dynamometer and counting the repetitions (rep.) of stand and sit on a chair during 30 seconds [the 30 seconds chair-stand test (CST)] were used in 71 elderly (≥65 years old) patients with clinically stable HF and other matched 32 healthy elderly as a control. HF was diagnosed clinically, by plasma B-Type natriuretic peptide (BNP) and by echocardiography. The New York Heart Association (NYHA) functional classification of HF was used to obtain two groups: NYHA class I-II (33 patients), and NYHA class III (38 patients). Results: Showed significant decrease in both HGS and CST score in all HF patients (9.7 ± 4.4 kgs., 8.8 ± 3.1 rep., respectively) compared to controls (77.8 ± 11 kgs., 13.5 ± 1.1 rep., respectively, p Conclusion: Upper and lower limb muscles?strength, assessed by two easy andinexpensive tests (HGS and CST), may reflect clinical severity of HF in elderly patients who cannot usually perform exercise tests. Its prognostic value requires further follow-up studies to verify.展开更多
文摘Aim: Assess upper and lower limb functions in elderly with heart failure (HF) and evaluate its relation to HF severity. Methods: Handgrip strength (HGS) in kilograms (kgs.) of both hands using handle mechanical dynamometer and counting the repetitions (rep.) of stand and sit on a chair during 30 seconds [the 30 seconds chair-stand test (CST)] were used in 71 elderly (≥65 years old) patients with clinically stable HF and other matched 32 healthy elderly as a control. HF was diagnosed clinically, by plasma B-Type natriuretic peptide (BNP) and by echocardiography. The New York Heart Association (NYHA) functional classification of HF was used to obtain two groups: NYHA class I-II (33 patients), and NYHA class III (38 patients). Results: Showed significant decrease in both HGS and CST score in all HF patients (9.7 ± 4.4 kgs., 8.8 ± 3.1 rep., respectively) compared to controls (77.8 ± 11 kgs., 13.5 ± 1.1 rep., respectively, p Conclusion: Upper and lower limb muscles?strength, assessed by two easy andinexpensive tests (HGS and CST), may reflect clinical severity of HF in elderly patients who cannot usually perform exercise tests. Its prognostic value requires further follow-up studies to verify.
文摘目的评估北京社区居民的体适能情况,比较不同性别和年龄人群的差别,寻找影响2分钟步行测试(2-minute walking test,2MWT)能力的因素。方法2020年1月至2021年7月之间,在北京万寿路社区医院、北京东高地社区医院、北京大务旺社区医院就诊患者中,招募受试者进行2MWT、双手握力、背后抓握试验、坐位体前屈测试和简易肺功能的测试。比较男性组和女性组、老年组和非老年组的差异。利用线性回归方法探索测试结果与2MWT之间的相关性。结果最终共有187位患者纳入此研究,男性26例,女性161例,平均年龄(66.31±19.56)岁。男性组握力和、用力肺活量(forced vital capacity,FVC)、1秒用力呼气容积(forced expiratory volume in one second,FEV1)明显高于女性组,而椅子坐位体前屈测试距离明显低于女性组。老年组和非老年组相比,2MWT、握力和、肺功能、背后抓握测试距离、椅子坐位体前屈测试距离均明显低于非老年组。年龄、握力和、右侧背后抓握测试距离与2MWT之间存在明显相关性。结论在社区人群中,握力和、肺功能在男性中高于女性,女性的柔韧性优于男性。老年人的2MWT、肺功能、握力和、柔韧性指标均劣于非老年人。年龄、握力和、右侧背后抓握测试距离可能与2MWT相关。
