PMID- 26784733 OWN - NLM STAT- MEDLINE DCOM- 20171211 LR - 20171211 IS - 1932-751X (Electronic) IS - 1932-7501 (Linking) VI - 36 IP - 3 DP - 2016 May-Jun TI - Using the Human Activity Profile to Assess Functional Performance in Heart Failure. PG - 180-5 LID - 10.1097/HCR.0000000000000162 [doi] AB - PURPOSE: To investigate (1) the validity of using the Human Activity Profile (HAP) in patients with heart failure (HF) to estimate functional capacity; (2) the association between the HAP and 6-Minute Walk Test (6MWT) distance; and (3) the ability of the HAP to differentiate between New York Heart Association (NYHA) functional classes. METHODS: In a cross-sectional study, we evaluated 62 clinically stable patients with HF (mean age, 47.98 years; NYHA class I-III). Variables included maximal functional capacity as measured by peak oxygen uptake ((Equation is included in full-text article.)O2) using a cardiopulmonary exercise test (CPET), peak (Equation is included in full-text article.)O2 as estimated by the HAP, and exercise capacity as measured by the 6MWT. RESULTS: The difference between the measured (CPET) and estimated (HAP) peak (Equation is included in full-text article.)O2 against the average values showed a bias of 2.18 mL/kg/min (P = .007). No agreement was seen between these measures when applying the Bland-Altman method. Peak (Equation is included in full-text article.)O2 in the HAP showed a moderate association with the 6MWT distance (r = 0.62; P < .0001). Peak (Equation is included in full-text article.)O2 in the HAP was able to statistically differentiate NYHA functional classes I, II, and III (P < .05). CONCLUSIONS: The estimated peak (Equation is included in full-text article.)O2 using the HAP was not concordant with the gold standard CPET measure. On the contrary, the HAP was able to differentiate NYHA functional class associated with the 6MWT distance; therefore, the HAP is a useful tool for assessing functional performance in patients with HF. FAU - Ribeiro-Samora, Giane Amorim AU - Ribeiro-Samora GA AD - Rehabilitation Sciences Graduate Program (Drs Ribeiro-Samora, Pereira, and Britto and Mss Vieira, Rodrigues, Carvalho, and Montemezzo), Department of Physical Therapy (Drs Pereira and Britto), and Division of Cardiology and Cardiovascular Surgery, University Hospital (Ms de Alencar), Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. FAU - Pereira, Danielle Aparecida Gomes AU - Pereira DA FAU - Vieira, Otavia Alves AU - Vieira OA FAU - de Alencar, Maria Clara Noman AU - de Alencar MC FAU - Rodrigues, Roseane Santo AU - Rodrigues RS FAU - Carvalho, Maria Luiza Vieira AU - Carvalho ML FAU - Montemezzo, Dayane AU - Montemezzo D FAU - Britto, Raquel Rodrigues AU - Britto RR LA - eng PT - Journal Article PL - United States TA - J Cardiopulm Rehabil Prev JT - Journal of cardiopulmonary rehabilitation and prevention JID - 101291247 SB - IM MH - Adult MH - Cross-Sectional Studies MH - Exercise Tolerance MH - Female MH - *Health Status MH - Heart Failure/*physiopathology MH - *Human Activities MH - Humans MH - Male MH - Middle Aged MH - Oxygen Consumption MH - *Surveys and Questionnaires MH - Walk Test EDAT- 2016/01/20 06:00 MHDA- 2017/12/12 06:00 CRDT- 2016/01/20 06:00 PHST- 2016/01/20 06:00 [entrez] PHST- 2016/01/20 06:00 [pubmed] PHST- 2017/12/12 06:00 [medline] AID - 10.1097/HCR.0000000000000162 [doi] PST - ppublish SO - J Cardiopulm Rehabil Prev. 2016 May-Jun;36(3):180-5. doi: 10.1097/HCR.0000000000000162.