PMID- 30866679
OWN - NLM
STAT- MEDLINE
DCOM- 20200707
LR  - 20210502
IS  - 1873-1953 (Electronic)
IS  - 1474-5151 (Print)
IS  - 1474-5151 (Linking)
VI  - 18
IP  - 5
DP  - 2019 Jun
TI  - The relationship between physical activity and appetite in patients with heart 
      failure: A prospective observational study.
PG  - 410-417
LID - 10.1177/1474515119836567 [doi]
AB  - INTRODUCTION: Physical activity and appetite are important components for 
      maintaining health. Yet, the association between physical activity and appetite 
      in heart failure (HF) populations is not completely understood. The aim of the 
      present study was to investigate the relationship between physical activity, 
      functional capacity, and appetite in patients with HF. METHODS: This was a 
      prospective observational study. In total, 186 patients diagnosed with HF, New 
      York Heart Association (NYHA) class II-IV (mean age 70.7, 30% female), were 
      included. Physical activity was measured using a multi-sensor actigraph for seven 
      days and with a self-reported numeric rating scale. Physical capacity was 
      measured by the six-minute walk test. Appetite was measured using the Council on 
      Nutrition Appetite Questionnaire. Data were collected at inclusion and after 18 
      months. A series of linear regression analyses, adjusted for age, NYHA class, and 
      B-type natriuretic peptide were conducted. RESULTS: At baseline, higher levels of 
      physical activity and functional capacity were significantly associated with a 
      higher level of appetite in the unadjusted models. In the adjusted models, number 
      of steps ( p = 0.019) and the six-minute walk test ( p = 0.007) remained 
      significant. At the 18-month follow-up, all physical activity variables and 
      functional capacity were significantly associated with appetite in the unadjusted 
      regression models. In the adjusted models, number of steps ( p = 0.001) and 
      metabolic equivalent daily averages ( p = 0.040) remained significant. 
      CONCLUSION: A higher level of physical activity measured by number of steps/day 
      was associated with better self-reported appetite, both at baseline and the 
      18-month follow-up. Further research is needed to establish causality and explore 
      the intertwined relationship between activity and appetite in patients with HF.
FAU - Andreae, Christina
AU  - Andreae C
AD  - 1 Department of Medical and Health Sciences, Division of Nursing Science, 
      Linkoping University, Sweden.
AD  - 2 Centre for Clinical Research Sormland, Uppsala University, Eskilstuna, Sweden.
FAU - Arestedt, Kristofer
AU  - Arestedt K
AD  - 3 Faculty of Health and Life Sciences, Linnaeus University, Kalmar, Sweden.
AD  - 4 The Research Section, Region Kalmar County, Sweden.
FAU - Evangelista, Lorraine
AU  - Evangelista L
AD  - 5 Sue and Bill Gross School of Nursing, University of California, Irvine, USA.
FAU - Stromberg, Anna
AU  - Stromberg A
AD  - 1 Department of Medical and Health Sciences, Division of Nursing Science, 
      Linkoping University, Sweden.
AD  - 5 Sue and Bill Gross School of Nursing, University of California, Irvine, USA.
AD  - 6 Department of Cardiology, Linkoping University, Sweden.
LA  - eng
GR  - R01 HL093466/HL/NHLBI NIH HHS/United States
GR  - R21 AG053162/AG/NIA NIH HHS/United States
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
DEP - 20190313
PL  - England
TA  - Eur J Cardiovasc Nurs
JT  - European journal of cardiovascular nursing
JID - 101128793
SB  - IM
MH  - Aged
MH  - Exercise/*physiology/*psychology
MH  - Exercise Tolerance/*physiology
MH  - Feeding and Eating Disorders/*etiology
MH  - Female
MH  - Heart Failure/*complications
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Self Report
MH  - Surveys and Questionnaires
PMC - PMC8087199
MID - NIHMS1696326
OTO - NOTNLM
OT  - Appetite
OT  - heart failure
OT  - physical activity
COIS- Declaration of conflicting interests None declared.
EDAT- 2019/03/15 06:00
MHDA- 2020/07/08 06:00
PMCR- 2021/04/30
CRDT- 2019/03/15 06:00
PHST- 2019/03/15 06:00 [pubmed]
PHST- 2020/07/08 06:00 [medline]
PHST- 2019/03/15 06:00 [entrez]
PHST- 2021/04/30 00:00 [pmc-release]
AID - 10.1177/1474515119836567 [doi]
PST - ppublish
SO  - Eur J Cardiovasc Nurs. 2019 Jun;18(5):410-417. doi: 10.1177/1474515119836567. 
      Epub 2019 Mar 13.