PMID- 21285472 OWN - NLM STAT- MEDLINE DCOM- 20110308 LR - 20191112 IS - 1063-8652 (Print) IS - 1063-8652 (Linking) VI - 19 IP - 1 DP - 2011 Jan TI - Association of physical activity and prognostic parameters in elderly patients with heart failure. PG - 1-15 AB - OBJECTIVE: Assessment of habitual physical activity (PA) in patients with heart failure. METHODS: This study included 50 patients with heart failure (61.9 +/- 4.0 yr). Seven days of PA were assessed by questionnaire (AQ), pedometer, and accelerometer and correlated with prognostic markers including VO(2peak), percent left-ventricular ejection fraction, N-terminal pro-B-type natriuretic peptide, and New York Heart Association (NYHA) functional class. RESULTS: Accelerometry showed a stronger correlation with VO(2peak) and NYHA class (R = .73 and R = -.68; p < .001) than AQ (R = .58 and R = -.65; p < .001) or pedometer (R = .52 and R = -.50; p < .001). In the multivariable regression model accelerometry was the only consistent independent predictor of VO(2peak) (p = .002). Moreover, when its accuracy of prediction was tested, 59% of NYHA I and 95% of NYHA III patients were correctly classified into their assigned NYHA classes based on their accelerometer activity. CONCLUSION: PA assessed by accelerometer is significantly associated with exercise capacity in patients with heart failure and is predictive of disease severity. The data suggests that PA monitoring can aid in evaluating clinical status. FAU - Jehn, Melissa AU - Jehn M AD - Institute of Exercise and Health Sciences, University of Basel, Basel, Switzerland. FAU - Schmidt-Trucksass, Arno AU - Schmidt-Trucksass A FAU - Hanssen, Henner AU - Hanssen H FAU - Schuster, Tibor AU - Schuster T FAU - Halle, Martin AU - Halle M FAU - Koehler, Friedrich AU - Koehler F LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Aging Phys Act JT - Journal of aging and physical activity JID - 9415639 RN - 0 (Biomarkers) SB - IM MH - Aged MH - Biomarkers MH - Discriminant Analysis MH - Ergometry/*instrumentation MH - *Exercise MH - *Exercise Tolerance MH - Female MH - Heart Failure/*rehabilitation MH - Humans MH - Male MH - Middle Aged MH - Monitoring, Ambulatory/*instrumentation MH - Multivariate Analysis MH - Predictive Value of Tests MH - Regression Analysis MH - Severity of Illness Index MH - *Surveys and Questionnaires EDAT- 2011/02/03 06:00 MHDA- 2011/03/09 06:00 CRDT- 2011/02/03 06:00 PHST- 2011/02/03 06:00 [entrez] PHST- 2011/02/03 06:00 [pubmed] PHST- 2011/03/09 06:00 [medline] AID - 10.1123/japa.19.1.1 [doi] PST - ppublish SO - J Aging Phys Act. 2011 Jan;19(1):1-15. doi: 10.1123/japa.19.1.1.