PMID- 36284678
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20221028
IS  - 1671-5411 (Print)
IS  - 1671-5411 (Linking)
VI  - 19
IP  - 9
DP  - 2022 Sep 28
TI  - Association between heart failure severity and mobility in geriatric patients: an 
      in-clinic study with wearable sensors.
PG  - 660-674
LID - 10.11909/j.issn.1671-5411.2022.09.010 [doi]
AB  - BACKGROUND: Individuals with heart failure (HF) frequently experience limitations 
      in mobility, but specific aspects of these limitations are not well understood. 
      This study investigated the association of HF severity, based on the New York 
      Heart Association (NYHA) classes, with digital mobility outcomes (DMOs) and 
      handgrip strength in older inpatients with HF. METHODS: For this explorative 
      analysis, hospital admission and discharge data from an ongoing, prospective 
      cohort study were used. The sample included older participants with HF and a 
      sub-sample of heart-healthy individuals. Participants were equipped with a 
      wearable inertial measurement unit (IMU) system during mobility performance 
      (balancing, sit-to-stand transfer, walking). We analyzed the association between 
      17 DMOs and HF severity with multiple linear regression models. RESULTS: The 
      total sample included 61 older participants (65-97 years of age, 55.7% female). 
      Of all DMOs, only sway path in a semi-tandem stance position (m/s(2)) showed a 
      relevant association with NYHA classes (admission: beta = -0.28, P = 0.09; 
      discharge: beta = -0.39, P = 0.02). Handgrip strength showed a trend towards a 
      significant association (admission: beta = -0.15, P = 0.10; discharge: beta = -0.15, P 
      = 0.19). CONCLUSIONS: This is to our best knowledge the first analysis on the 
      association of HF severity and IMU-based DMOs. Sway path and handgrip strength 
      may be the most promising parameters for monitoring mobility aspects in treatment 
      of HF.
CI  - (c) 2022 JGC All rights reserved; www.jgc301.com.
FAU - Braun, Tobias
AU  - Braun T
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
AD  - Department of Applied Health Sciences, Division of Physiotherapy, Hochschule fur 
      Gesundheit (University of Applied Sciences), Gesundheitscampus 6-8, 44801 Bochum, 
      Germany.
AD  - HSD Hochschule Dopfer (University of Applied Sciences), Waidmarkt 3 und 9, 50676 
      Cologne, Germany.
FAU - Wiegard, Anna
AU  - Wiegard A
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
FAU - Geritz, Johanna
AU  - Geritz J
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
FAU - Hansen, Clint
AU  - Hansen C
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
FAU - Tan, Kim Eng
AU  - Tan KE
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
FAU - Hildesheim, Hanna
AU  - Hildesheim H
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
FAU - Kudelka, Jennifer
AU  - Kudelka J
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
FAU - Maetzler, Corina
AU  - Maetzler C
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
FAU - Welzel, Julius
AU  - Welzel J
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
FAU - Romijnders, Robbin
AU  - Romijnders R
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
FAU - Maetzler, Walter
AU  - Maetzler W
AD  - Department of Neurology, Kiel University, Arnold-Heller-Strasse 3, 24105 Kiel, 
      Germany.
FAU - Bergmann, Philipp
AU  - Bergmann P
AD  - Department of Internal Medicine I, Christian-Albrechts-University of Kiel, 
      Arnold-Heller-Strasse 3, 24105 Kiel, Germany.
LA  - eng
PT  - Journal Article
PL  - China
TA  - J Geriatr Cardiol
JT  - Journal of geriatric cardiology : JGC
JID - 101237881
PMC - PMC9548060
EDAT- 2022/10/27 06:00
MHDA- 2022/10/27 06:01
PMCR- 2022/09/28
CRDT- 2022/10/26 02:06
PHST- 2022/10/26 02:06 [entrez]
PHST- 2022/10/27 06:00 [pubmed]
PHST- 2022/10/27 06:01 [medline]
PHST- 2022/09/28 00:00 [pmc-release]
AID - jgc-19-9-660 [pii]
AID - 10.11909/j.issn.1671-5411.2022.09.010 [doi]
PST - ppublish
SO  - J Geriatr Cardiol. 2022 Sep 28;19(9):660-674. doi: 
      10.11909/j.issn.1671-5411.2022.09.010.