Association of pre-admission exercise habit with post-discharge outcomes for older patients with heart failure - Summary - MDSpire

Association of pre-admission exercise habit with post-discharge outcomes for older patients with heart failure

  • By

  • Taisuke Nakade

  • Daichi Maeda

  • Yuya Matsue

  • Nobuyuki Kagiyama

  • Yudai Fujimoto

  • Tsutomu Sunayama

  • Taishi Dotare

  • Kentaro Jujo

  • Kazuya Saito

  • Kentaro Kamiya

  • Hiroshi Saito

  • Yuki Ogasahara

  • Emi Maekawa

  • Masaaki Konishi

  • Takeshi Kitai

  • Kentaro Iwata

  • Hiroshi Wada

  • Takatoshi Kasai

  • Hirofumi Nagamatsu

  • Shin-ichi Momomura

  • Tohru Minamino

  • February 19, 2025

  • 0 min

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Objective:

To investigate the association between pre-hospital exercise habits and post-discharge prognosis in older adult patients with heart failure.

Key Findings:
  • 46.5% of patients reported no regular exercise habits before hospitalization.
  • Patients with exercise habits showed better physical function (greater grip strength, gait speed, and short physical performance battery scores).
  • Lower all-cause mortality was observed in patients with exercise habits (log-rank test, P = 0.019).
  • Pre-hospital exercise was associated with a lower mortality risk (hazard ratio, 0.75; 95% CI, 0.58–0.98; P = 0.035).
Interpretation:

Pre-hospital exercise habits are significantly associated with improved physical function and reduced mortality risk post-discharge in older heart failure patients.

Limitations:
  • Observational study design limits causal inferences.
  • Self-reported exercise habits may introduce bias.
Conclusion:

Regular exercise habits before hospitalization are linked to better post-discharge outcomes, emphasizing the need for risk stratification based on exercise patterns in elderly heart failure patients.

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