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Heart & Lung
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Relationships between exercise capacity and anxiety, depression, and cognition in patients with heart failure

Authors: Oronzo Chialà; Ercole Vellone; Leonie Klompstra; Giorgio Alberto Ortali; Anna Strömberg; Tiny Jaarsma;

Relationships between exercise capacity and anxiety, depression, and cognition in patients with heart failure

Abstract

Symptoms of anxiety, depression, and cognitive impairment are common in heart failure (HF) patients, but there are inconsistencies in the literature regarding their relationship and effects on exercise capacity.The aim of this study was to explore the relationships between exercise capacity and anxiety, depression, and cognition in HF patients.This was a secondary analysis on the baseline data of the Italian subsample (n = 96) of HF patients enrolled in the HF-Wii study. Data was collected with the 6-minute walk test (6MWT), Hospital Anxiety and Depression Scale, and Montreal Cognitive Assessment.The HF patients walked an average of 222 (SD 114) meters on the 6MWT. Patients exhibited clinically elevated anxiety (48%), depression (49%), and severe cognitive impairment (48%). Depression was independently associated with the distance walked on the 6MWT.The results of this study reinforced the role of depression in relation to exercise capacity and call for considering strategies to reduce depressive symptoms to improve outcomes of HF patients.

Keywords

Pulmonary and Respiratory Medicine, Male, Anxiety; Cognitive impairment; Depression; Exercise capacity; Heart failure; Pulmonary and Respiratory Medicine; Critical Care and Intensive Care Medicine; Cardiology and Cardiovascular Medicine, 150, Heart failure, Walk Test, Anxiety, Critical Care and Intensive Care Medicine, CLINICHE E PEDIATRICHE, Cognition, Kardiologi och kardiovaskulära sjukdomar, Exercise capacity, Humans, Cognitive Dysfunction, Aged, Heart Failure, Exercise Tolerance, Settore MED/45 - SCIENZE INFERMIERISTICHE GENERALI, Depression, Middle Aged, Cognitive impairment, Italy, Settore MED/11 - MALATTIE DELL'APPARATO CARDIOVASCOLARE, Heart failure; Exercise capacity; Anxiety; Depression; Cognitive impairment, Female, Cardiology and Cardiovascular Medicine, Cardiology and Cardiovascular Disease

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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
51
Top 1%
Top 10%
Top 10%
Green
bronze