Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study

Abstract Background Heart failure (HF) is a severe and self-limiting syndrome. Its signs and symptoms are believed to predict poorer health-related quality of life scores, which are mainly influenced by deterioration in physical capacity. In the present study we try to analyze the influence of clini...

Full description

Bibliographic Details
Main Authors: Paula Cristina Silva, Omar Pereira de Almeida Neto, Elmiro Santos Resende
Format: Article
Language:English
Published: BMC 2021-04-01
Series:Health and Quality of Life Outcomes
Subjects:
Online Access:https://doi.org/10.1186/s12955-020-01634-3
id doaj-1af24338d14f412895c60dfb49db10e2
record_format Article
spelling doaj-1af24338d14f412895c60dfb49db10e22021-04-25T11:19:56ZengBMCHealth and Quality of Life Outcomes1477-75252021-04-011911910.1186/s12955-020-01634-3Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal studyPaula Cristina Silva0Omar Pereira de Almeida Neto1Elmiro Santos Resende2Health Sciences, Federal University of Uberlândia. CVHealth Care, Faculty of Medicine, Federal University of UberlândiaCardiology, Faculty of Medicine, Federal University of UberlândiaAbstract Background Heart failure (HF) is a severe and self-limiting syndrome. Its signs and symptoms are believed to predict poorer health-related quality of life scores, which are mainly influenced by deterioration in physical capacity. In the present study we try to analyze the influence of clinical and socioeconomic characteristics and physical capacity on the quality of life of people with HF diagnosis. Methods A longitudinal study was conducted over 2 years with patients diagnosed with HF. To evaluate the patients the method of face-to-face visit and telephone monitoring was used. In the evaluations were applied: the Clinical and Socioeconomic Characterization Questionnaire, the Minnesota Living With Heart Failure Questionnaire (MLHFQ) for quality of life evaluation and the Veterans Specific Activity Questionnaire (VSAQ) for cardiopulmonary fitness analysis. Measures of central tendency, proportion, normality test, confidence intervals, comparison of data through paired Student t test and Wilcoxon or Mann Whitney test were performed and correlations were verified through Spearman coefficient. Results The study included 108 patients, most of them female (50.90%) and mean age of 66.62 ± 11.33 years. The median time of HF diagnosis was 5 ± 6 years, being Chagas’ disease the main etiologic cause for the disease (57.40%). As for the clinical condition, functional classes II (44.40%) and III (48.10%) of the New York Heart Association (NYHA) were the most frequent. There was a low cardiopulmonary fitness, with loss of capacity to perform daily activities (3 ± 1 to 3 ± 3) over the time of clinical follow-up. There was an increase in the MLHFQ instrument scores, from 50.98 ± 15.52 to 61.76 ± 19.95, over the analysis time. The analysis of correlations demonstrated that variables such as schooling, NYHA class, echocardiographic alterations and the drug profile have a significant relationship with the constructs of quality of life and physical fitness. Conclusion Individuals in HF have significant impairment of cardiorespiratory capacity and tend to present worsening of QL along the evolution of the disease.https://doi.org/10.1186/s12955-020-01634-3Heart FailureQuality of lifePhysical limitationCardiorespiratory function
collection DOAJ
language English
format Article
sources DOAJ
author Paula Cristina Silva
Omar Pereira de Almeida Neto
Elmiro Santos Resende
spellingShingle Paula Cristina Silva
Omar Pereira de Almeida Neto
Elmiro Santos Resende
Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
Health and Quality of Life Outcomes
Heart Failure
Quality of life
Physical limitation
Cardiorespiratory function
author_facet Paula Cristina Silva
Omar Pereira de Almeida Neto
Elmiro Santos Resende
author_sort Paula Cristina Silva
title Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title_short Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title_full Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title_fullStr Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title_full_unstemmed Epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
title_sort epidemiological profile, cardiopulmonary fitness and health-related quality of life of patients with heart failure: a longitudinal study
publisher BMC
series Health and Quality of Life Outcomes
issn 1477-7525
publishDate 2021-04-01
description Abstract Background Heart failure (HF) is a severe and self-limiting syndrome. Its signs and symptoms are believed to predict poorer health-related quality of life scores, which are mainly influenced by deterioration in physical capacity. In the present study we try to analyze the influence of clinical and socioeconomic characteristics and physical capacity on the quality of life of people with HF diagnosis. Methods A longitudinal study was conducted over 2 years with patients diagnosed with HF. To evaluate the patients the method of face-to-face visit and telephone monitoring was used. In the evaluations were applied: the Clinical and Socioeconomic Characterization Questionnaire, the Minnesota Living With Heart Failure Questionnaire (MLHFQ) for quality of life evaluation and the Veterans Specific Activity Questionnaire (VSAQ) for cardiopulmonary fitness analysis. Measures of central tendency, proportion, normality test, confidence intervals, comparison of data through paired Student t test and Wilcoxon or Mann Whitney test were performed and correlations were verified through Spearman coefficient. Results The study included 108 patients, most of them female (50.90%) and mean age of 66.62 ± 11.33 years. The median time of HF diagnosis was 5 ± 6 years, being Chagas’ disease the main etiologic cause for the disease (57.40%). As for the clinical condition, functional classes II (44.40%) and III (48.10%) of the New York Heart Association (NYHA) were the most frequent. There was a low cardiopulmonary fitness, with loss of capacity to perform daily activities (3 ± 1 to 3 ± 3) over the time of clinical follow-up. There was an increase in the MLHFQ instrument scores, from 50.98 ± 15.52 to 61.76 ± 19.95, over the analysis time. The analysis of correlations demonstrated that variables such as schooling, NYHA class, echocardiographic alterations and the drug profile have a significant relationship with the constructs of quality of life and physical fitness. Conclusion Individuals in HF have significant impairment of cardiorespiratory capacity and tend to present worsening of QL along the evolution of the disease.
topic Heart Failure
Quality of life
Physical limitation
Cardiorespiratory function
url https://doi.org/10.1186/s12955-020-01634-3
work_keys_str_mv AT paulacristinasilva epidemiologicalprofilecardiopulmonaryfitnessandhealthrelatedqualityoflifeofpatientswithheartfailurealongitudinalstudy
AT omarpereiradealmeidaneto epidemiologicalprofilecardiopulmonaryfitnessandhealthrelatedqualityoflifeofpatientswithheartfailurealongitudinalstudy
AT elmirosantosresende epidemiologicalprofilecardiopulmonaryfitnessandhealthrelatedqualityoflifeofpatientswithheartfailurealongitudinalstudy
_version_ 1721509792061587456