PURPOSE: Poor mental health (MH) is common in chronic heart failure (CHF) patients. No studies have reported a relation between MH status and objectively measured physical activity (PA) in CHF patients. The study aim was to determine self-reported MH-related differences associated with PA and target values of PA for improved MH in CHF outpatients. METHODS: We divided 243 CHF outpatients (mean age 57.1 years) into two groups according to MH assessed by Short Form-36 score: high-MH (≥68 points) group (n = 148) and poor-MH (<68 points) group (n = 95). Average step count (steps) and energy expenditure on PA (EE) (kcal) per day for 1 week of PA were assessed by an accelerometer and compared between groups. PA resulting in high MH was determined by the receiver-operating characteristic (ROC) analysis. RESULTS: PA correlated positively with MH in all patients (steps: r = 0.46, p < 0.001; EE: r = 0.43, p < 0.001). After adjusting for patient characteristics, steps and EE were significantly lower in the poor-MH versus high-MH group (5020.1 ± 280.7 versus 7174.1 ± 221.5 steps, p < 0.001; 133.9 ± 10.8 versus 215.9 ± 8.4 kcal, p < 0.001). Cut-off values of 5590.8 steps and 141.1 kcal were determined as PA target values associated with improved MH. CONCLUSIONS: Poor MH status may reduce PA. Attaining PA target values may improve MH status of CHF outpatients.
PURPOSE: Poor mental health (MH) is common in chronic heart failure (CHF) patients. No studies have reported a relation between MH status and objectively measured physical activity (PA) in CHFpatients. The study aim was to determine self-reported MH-related differences associated with PA and target values of PA for improved MH in CHF outpatients. METHODS: We divided 243 CHF outpatients (mean age 57.1 years) into two groups according to MH assessed by Short Form-36 score: high-MH (≥68 points) group (n = 148) and poor-MH (<68 points) group (n = 95). Average step count (steps) and energy expenditure on PA (EE) (kcal) per day for 1 week of PA were assessed by an accelerometer and compared between groups. PA resulting in high MH was determined by the receiver-operating characteristic (ROC) analysis. RESULTS: PA correlated positively with MH in all patients (steps: r = 0.46, p < 0.001; EE: r = 0.43, p < 0.001). After adjusting for patient characteristics, steps and EE were significantly lower in the poor-MH versus high-MH group (5020.1 ± 280.7 versus 7174.1 ± 221.5 steps, p < 0.001; 133.9 ± 10.8 versus 215.9 ± 8.4 kcal, p < 0.001). Cut-off values of 5590.8 steps and 141.1 kcal were determined as PA target values associated with improved MH. CONCLUSIONS: Poor MH status may reduce PA. Attaining PA target values may improve MH status of CHF outpatients.
Authors: Tomas Vetrovsky; Cain C T Clark; Maria Cristina Bisi; Michal Siranec; Ales Linhart; James J Tufano; Michael J Duncan; Jan Belohlavek Journal: ESC Heart Fail Date: 2020-07-03
Authors: Sofie Rath Mortensen; Peter Lund Kristensen; Anders Grøntved; Mathias Ried-Larsen; Cathrine Lau; Søren T Skou Journal: BMJ Open Diabetes Res Care Date: 2022-08
Authors: Lars Bo Jørgensen; Alessio Bricca; Anna Bernhardt; Carsten B Juhl; Lars Hermann Tang; Sofie Rath Mortensen; Jonas Ahler Eriksen; Sisse Walløe; Søren T Skou Journal: PLoS One Date: 2022-10-12 Impact factor: 3.752