Frailty phenotype in heart failure: A condition that transcends age

Data de publicação: Data Ahead of Print:

Autores da FMUP

  • Emilia Da Conceição Torres Dias Moreira

    Autor

  • Luís Filipe Ribeiro De Azevedo

    Autor

  • Lia Paula Nogueira Sousa Fernandes

    Autor

  • José Carlos De Magalhães Silva Cardoso

    Autor

Participantes de fora da FMUP

  • Valdiviesso, R
  • Martins, S
  • Ataíde, R
  • Borges, N

Unidades de investigação

Abstract

Introduction and objectives: Studies on younger frail and pre-frail subjects suffering from heart failure (HF) are scarce, except for those focusing on the critically ill. This work aims to describe differences between younger (<65 years) and older (>= 65 years) pre-frail and frail HF outpatients regarding their nutritional, functional and clinical statuses.Methods: In this cross-sectional study, a sample of 99 HF frail and pre-frail patients (aged 24-81 years, 38.4% women, 21.2% frail, 59.6% <65 years) was recruited from an HF outpatients' clinic in northern Portugal. Muscle mass was estimated from mid-upper arm muscle circumference. Weight status was assessed using body mass index. Hand grip strength and gait speed were measured. Medical records were reviewed. Associations between participants' characteristics and age were calculated using binary logistic regression.Results: Age was associated with hand grip strength (OR=0.90), gait speed (OR=0.01) and dia-betes (OR=4.95). Obesity, muscle mass or heart failure functional classes were not associated with age categories.Conclusion: There is an overall lack of differentiation between younger and older HF patients with the frailty phenotype. Therefore, frailty phenotype should be assessed in all patients, regardless of age. Hand grip strength seems to be a good predictor for older age and more studies are needed to define age-specific hand grip strength cut-offs for HF populations. (c) 2023 Sociedade Portuguesa de Cardiologia. Published by Elsevier Espan similar to a, S.L.U. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).

Dados da publicação

ISSN/ISSNe:
0870-2551, 2174-2030

Revista Portuguesa de Cardiologia  Sociedade Portuguesa De Cardiologia

Tipo:
Article
Páginas:
225-234
Link para outro recurso:
www.scopus.com

Citações Recebidas na Web of Science: 1

Citações Recebidas na Scopus: 1

Documentos

  • Não há documentos

Filiações mostrar / ocultar

Keywords

  • Heart failure; Frailty phenotype; Hand grip strength; Gait speed; Type 2 diabetes; mellitus

Financiamento

Proyectos asociados

Real-world Dapagliflozin Treatment in Patients With Heart Failure in Portugal (EVOLUTION) - NCT05465213

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Estudo Observacional Comercial (EVOLUTION) . AstraZeneca . 2023

A Research Study to Look at How Ziltivekimab Works Compared to Placebo in People With Cardiovascular Disease, Chronic Kidney Disease and Inflammation (ZEUS) - NCT05021835

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Ensaio Clínico Comercial (ZEUS) . Novo Nordisk . 2022

Bioavailability of EPA + DHA Enriched Canned Tuna and Its Acute Effects on Cardiovascular Risk Markers, in Healthy Human Volunteers (FUNCTIONALTUNA) - NCT03742492

Investigador Principal: Luís Filipe Ribeiro de Azevedo

Ensaio Clínico Académico (FUNCTIONALTUNA) . CINTESIS . 2019

Registo global de insuficiência cardíaca congestiva.

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Estudo Observacional Académico (IC_Congestiva) . 2019

Saúde mental em doentes críticos COVID-19: Implementação de um programa de monitorização activa e suporte pós-alta.

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Observacional Académico (MAPA) . 2020

This Study Tests Empagliflozin in Patients With Chronic Heart Failure With Preserved Ejection Fraction (HFpEF). The Study Looks at How Far Patients Can Walk in 6 Minutes and at Their Heart Failure Symptoms (EMPERIAL) - NCT03448406

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Ensaio Clínico Comercial (EMPERIAL) . Boehringer Ingelheim . 2020

Envolva-se com o seu coração: Promoção da adesão terapêutica com um sistema de telemonitorização para pessoas com insuficiência cardíaca crónica. (AdHeart)

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Estudo de Intervenção Académico (AdHeart) . FCT . 2019

Sacubitril/Valsartan in everyday clinical practice: the experience of a heart failure clinic

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Estudo Clínico Académico (Sacubitril/Valsartan) . 2020

Bipolar Disorder in pediatric patients: a nationwide retrospective study from 2000 to 2015

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico (Bipolar Disorder) . 2021

Predictive factors of Cognitive Impairment in Heart Failure patients

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico . 2021

Bipolar Disorder and Medical Comorbidities: a Portuguese Population-based Observational Retrospective study (2008-2015)

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico (Bipolar Disorde) . 2021

Anxiety in Heart Failure Patients and its Association with Socio-demographic and Clinical Characteristics: a cross-sectional study

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico . 2021

Predictive Factors of Depression in Heart Failure Patients

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico (Depression HF) . 2021

Diabetes e Depressão numa amostra de idosos hospitalizados: comparação sociodemográfica e clínica entre doentes com e sem diabetes

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico . 2021

Défice cognitivo em sobreviventes de COVID-19 grave

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico . 2022

Perturbação do sono no período peri-parto: O papel das intervenções não farmacológicas

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico . 2022

Telemedicine in Heart Failure management

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Estudo Clínico Académico . 2022

The impact of depression in Alzheimer’s disease hospitalized patients: a nationwide study

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico (Alzheimer’s disease) . 2022

Hospitalizations and obstetric outcomes of women with bipolar disorder in Portuguese public hospitals: a nationwide characterization study

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico (Obstetric outcomes) . 2022

The Influence of Bipolar Disorder on Stroke Hospitalizations: A nationwide study using Real-world Data

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico (Bipolar Disorder) . 2022

Depressive symptoms in critically ill COVID-19 survivors and its association with physical symptoms and health-relate quality of life

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico . 2022

Can Progress Tests Improve Medical Students’ ECG Interpretation Skills? A Feasibility Trial.

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Ensaio Clínico Académico (ECG) . 2022

Impact of Depression on Chronic Obstructive Pulmonary Disease Hospitalization Outcomes: Findings from a Portuguese Nationwide Study

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico . 2022

Trend of depression and its association with sociodemographic and clinical factors among multiple myeloma hospitalizations – a Portuguese nationwide study from 2000 to 2015

Investigador Principal: Lia Paula Nogueira Sousa Fernandes

Estudo Clínico Académico . 2020

Avaliação da aorta ascendente em doentes operados a tetralogia de Fallot: implicações no follow-up clínico e imagiológico

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Estudo Clínico Académico . 2020

Hyperkalemia as a limiting factor of Neurohormonal Blockade/Modulation in everyday clinical practice

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Estudo Clínico Académico . 2020

Health Tecnology Assessment of Nutrition an Food Productd - The Scientific Evidence Behind Health Claims

Investigador Principal: Luís Filipe Ribeiro de Azevedo

Estudo Clínico Académico . 2020

Comparative effectiveness of opioid therapy for the long term management of chronic non cancer pain

Investigador Principal: Luís Filipe Ribeiro de Azevedo

Estudo Clínico Académico . 2020

Reversão da remodelagem ventricular na miocardiopatia dilatada idiopática

Investigador Principal: José Carlos de Magalhães Silva Cardoso

Estudo Clínico Académico . 2019

Citar a publicação

Partilhar a publicação