Key result
High anxiety and depression symptoms are linked to significantly worse functional mobility and exercise capacity.
Why the study?
There have been no reports on the associations of cardiac rehabilitation with psychological condition and detailed physical activities evaluated on the same day.
Do high anxiety and depression symptoms correlate with worse physical performance in cardiovascular outpatients undergoing cardiac rehabilitation?
Cross-Sectional (n=100)
No
Do high anxiety and depression symptoms correlate with worse physical performance in cardiovascular outpatients undergoing cardiac rehabilitation?
Psychological conditions like anxiety and depression are strongly correlated with reduced exercise tolerance and physical mobility in patients undergoing cardiac rehabilitation.
Answers are grounded in this paper and cite their sources.
High anxiety/depression symptoms were associated with poorer mobility in cardiac rehab outpatients; hypothesis-generating for psychological interventions to improve physical performance.
Background: Cardiac rehabilitation (CR) combined with stress management training has been shown to be associated with fewer clinical events than CR alone. However, there have been no reports on the associations of CR with the psychological condition and detailed physical activities evaluated on the same day. Method: One hundred outpatients who participated in a CR program were graded on the hospital anxiety and depression scale (HADS). We divided them into a high HADS group (n = 32) and a normal HADS group (n = 68) and investigated by whole patients, ischemic heart disease (IHD) patients, and heart failure patients. Results: Overall, the patient age was 70.5 ± 9.6 years, the percentage of males was 73.0%, and the body mass index was 23.4 (21.7–26.0) kg/m2. In the high HADS group, overall functional mobility was poor and the distance in a two-minute walking test was short. Especially in IHD patients, the high HADS group showed high fat mass in body composition and low exercise tolerance and ventilator equivalents in cardiopulmonary exercise test. Conclusions: Depression and anxiety involved poor physical performance in CR outpatients and particularly involved low exercise tolerance in IHD patients. To evaluate accurate physical performance, it is necessary to investigate psychological condition.
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Sakamoto et al. (2022) conducted a cross-sectional in Cardiovascular disease undergoing cardiac rehabilitation (n=100). High anxiety and depression symptoms (HADS score ≥8) vs. Normal anxiety and depression symptoms (HADS scores ≤7) was evaluated on Physical performance (Timed Up-and-Go test and 2-minute walking test distance) (p=0.01). High anxiety and depression symptoms were significantly associated with poorer functional mobility (slower TUG time) and shorter 2-minute walking test distances compared to normal psychological conditions.
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