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The Influence of Exercise Tolerance on Quality of Life Among Patients with Heart Failure

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Abstract

The purpose of this study was to explore the influence of exercise tolerance on quality of life (QOL) among patients with heart failure (HF). A descriptive correlational design was used to guide the study. Forty-nine participants who met the selection criteria were enrolled at a medical center in Taipei. Data were collected by using the Short-Form 36 and treadmill tests including an exercise intensity-increasing test and duration-increasing test. The results revealed the mean scores of QOL in terms of physical functioning and mental functioning were 66.99 and 68.82, respectively. The average peak V O 2 (exercise intensity tolerance) was 4.65 mets. The average exercise duration tolerances were 768.55, 1717.04 and 1923.48 s for reaching 50% heart rate reserve (HRR), 90% HRR, and completing the whole test, respectively. Patients whose exercise intensity tolerance was ≧ 5 mets or whose exercise duration tolerance was ≧ 1800 s had better physical functioning, but a significant difference in mental functioning was not observed between the two groups. The findings of the study support the view that exercise testing is safe, feasible, and effective in evaluating exercise tolerance, and that both exercise duration and exercise intensity tolerance were important factors in determining QOL, particularly in physical functioning, for HF patients.

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References

  1. Burns RB, McCarthy EP, Moskowitz MA, et al. Outcomes for older men and women with congestive heart failure. J Am Geriatr Soc 1997; 45: 276-280.

    Google Scholar 

  2. Keteyian SJ, Brawner CA, Schairer JR. Exercise testing and training of patients with heart failure due to left ventricular systolic dysfunction. J Cardiopulm Rehab 1997; 17: 19-28.

    Google Scholar 

  3. Franciosa JA, Park M, Levine TB. Lack of correlation between exercise capacity and indexes of resting left ventricular performance in HF. Am J Cardiol 1981; 47: 33-39.

    Google Scholar 

  4. Gorkin L, Norvell NK, Rosen RC, et al. Assessment of QOL as observed form the baseline data of the Studies of Left Ventricular Dysfunction (SOLVD) trial quality-of life substudy. Am J Cardiol 1993; 71: 1069-1073.

    Google Scholar 

  5. Mayou R, Blackwood R, Bryant B, Garnham J. Cardiac failure: Symptoms and functional status. J Psychosom Res 1991; 35: 399-407.

    Google Scholar 

  6. Oka RK, Stotts NA, Dae MW, et al. Daily physical activity levels in congestive heart failure. Am J Cardiol 1993; 71: 1025-1029.

    Google Scholar 

  7. Smith RF, Johnson G, Ziesche S, et al. Functional capacity in heart failure: Comparison of methods for assessment and their relation to other indexes of heart failure. The V-HeFt VA Cooperative Studies Group. Circulation 1993; 87: 88-93.

    Google Scholar 

  8. Dracup K, Walden JA, Stevenson LW, Brecht M. Quality of life in patients with advanced heart failure. J Heart Lung Transplant 1992; 11: 273-279.

    Google Scholar 

  9. Jennings GL, Esler MD. Circulatory regulation at rest and exercise and the functional assessment of patients with congestive heart failure. Circulation 1990; 81: 5-13.

    Google Scholar 

  10. Lipkin DP, Perrins J, Poole-Wilson PA. Respiratory gas exchange in the assessment of patients with impaired ventricular function. Br Heart J 1985; 54: 321-328.

    Google Scholar 

  11. Dunselman PHJM, Kuntze CE, Bruggen AV, et al. Value of New York Heart Association classification radionuclide ventriculography and cardiopulmonary exercise tests for selection of patients for congestive heart failure studies. Am Heart J 1988; 116: 1475-1483.

    Google Scholar 

  12. American College of Sports Medicine. Guidelines for Exercise Testing and Prescription, 3rd ed. Philadelphia: Lea & Febiger, 1986.

    Google Scholar 

  13. Borg G. Psychophysical bases of perceived exertion. Med Sci Sports Exerc 1982; 14: 377-381.

    Google Scholar 

  14. Ware JE, Spherboure CD. The MOS 36-item Short-Form Health Survey (SF-36): Conceptual framework and item selection. Med Care 1992; 30: 473-483.

    Google Scholar 

  15. Medical Outcomes Trust. How to Score the Medical Outcomes Trust, SF-36 Health Survey. Boston: Medical Outcomes Trust, 1994.

    Google Scholar 

  16. Shih SC, Chiou HC, Tsai JC, Ou LJ, Jeng C. Comparison of effectiveness between duration-increased and intensity-increased exercise training programs among heart failure patients. Formosan J Med 2003; 5: 20-29.

    Google Scholar 

  17. McHorney CA, Ware JE, Raczek AE. The MOS 36-item short-form health survey (SF-36): Psychometric and clinical tests off validity in measuring physical and mental health constructs. Med Care 1993; 31: 247-263.

    Google Scholar 

  18. Hildebrand DR. Statistical thinking for behavioral scientists. Boston: Duxbury Press, 1986.

    Google Scholar 

  19. Jeng C. Immediate serum glucose response and long-term effects of aerobic exercise in type II diabetes patients: A pilot study. Nurs Res ROC 1999; 7: 29-40.

    Google Scholar 

  20. Jenkinson C, Jenkinson D, Shepperd S, et al. Evaluation of treatment for congestive heart failure in patients aged 60 years and older using generic measures of health status (SF-36 and COOP charts). Age Ageing 1997; 26: 7-13.

    Google Scholar 

  21. Kraemer MD, Kubo SH, Rector TS, et al. Pulmonary and peripheral vascular factors are important determinants of peak exercise oxygen uptake in patients with heart failure. J Am Coll Cardiol 1993; 21: 641-648.

    Google Scholar 

  22. Lipkin DP, Canepa-Anson R, Stephens MR, Poole-Wilson PA. Factors determining symptoms in heart failure: Comparison of fast and slow exercise tests. Br Heart J 1986; 55: 439-445.

    Google Scholar 

  23. Wilson JR, Martin JL, Schwartz D, Ferraro N. Exercise tolerance in patients with chronic heart failure: Role of impaired skeletal muscle nutritive flow. Circulation 1984; 69: 1079-1087.

    Google Scholar 

  24. Dipietro L, Caspersen CJ, Ostfeld AM, Nadel ER. A survey for assessing physical activity among older adults. Med Sci Sports Exerc 1992; 25: 628-642.

    Google Scholar 

  25. Davies SW, Jordan SL, Lipkin DP. Use of movement sensors as indicators of the level of everyday physical activity in chronic congestive heart failure. Am J Cardiol 1992; 69: 1581-1586.

    Google Scholar 

  26. Wilson JR, Mancini DM. Factors contributing to exercise limitation of heart failure. J Am Coll Cardiol 1993; 22: 93A-98A.

    Google Scholar 

  27. Kavanagh T, Myers MG, Baigrie RS, et al. Quality of life and cardiorespiratory function in chronic heart failure: Effects of 12-month aerobic training. Heart 1996; 76: 42-49.

    Google Scholar 

  28. Meyer K, Schwaibold M, Westbrook S, et al. Effects of exercise training and activity restriction on 6-minute walking test performance in patients with chronic heart failure. Am Heart J 1997; 133: 447-453.

    Google Scholar 

  29. Willenheimer R, Erhardt L, Cline C, et al. Exercise training in heart failure improves quality of life and exercise capacity. Eur Heart J 1998; 19: 774-781.

    Google Scholar 

  30. Tyni-Lenne R, Gorden A, Jansson E, et al. Skeletal muscle endurance training improves peripheral oxidative capacity, exercise tolerance, and health-related quality of life in women with chronic congestive heart failure secondary to either ischemic caradiomyopathy or idiopathic dilated cardiomyopathy. Am J Cardiol 1997; 80: 1025-1029.

    Google Scholar 

  31. Meyer K, Stengele E, Westbrook S, et al. Influence of different exercise protocols on functional capacity and symptoms in patients with chronic heart failure. Med Sci Sports Exerc 1996; 28: 1081-1086.

    Google Scholar 

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Authors and Affiliations

  1. School of Nursing, Taipei Medical University, Taipei, Taiwan, ROC

    Chii Jeng

  2. Taipei Veterans General Hospital, Taipei, Taiwan, ROC

    Mei-Hsing Yang

  3. Division of Cardiovascular Medicine, Taipei Medical University affiliated Taipei Wan Fang Hospital, Taipei, Taiwan, ROC

    Pao-Lo Chen

  4. Deh Yu College of Nursing Management, Taipei, Taiwan, ROC

    Chiung-Hua Ho

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  1. Chii Jeng
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  2. Mei-Hsing Yang
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  3. Pao-Lo Chen
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  4. Chiung-Hua Ho
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Jeng, C., Yang, MH., Chen, PL. et al. The Influence of Exercise Tolerance on Quality of Life Among Patients with Heart Failure. Qual Life Res 13, 925–932 (2004). https://doi.org/10.1023/B:QURE.0000025604.15624.82

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  • DOI: https://doi.org/10.1023/B:QURE.0000025604.15624.82

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