Key result
Cardiac rehabilitation significantly suppressed the decline of basic activities of daily living after 1 year in older adults with heart failure (adjusted OR 0.54; 95% CI 0.36-0.82; p=0.004).
Why the study?
This study aimed to assess the usefulness of cardiac rehabilitation for older adults with heart failure who need nursing care, and to investigate its effect on cognitive function and basic activities of daily living.
Does cardiac rehabilitation prevent the decline of cognitive function and basic activities of daily living in older adults with heart failure eligible for long-term care?
Population
765 older adults with heart failure eligible for long-term care insurance
Comparison
Cardiac rehabilitation (CR [+]) vs no cardiac rehabilitation (CR [-])
Design
Retrospective cohort study
Follow-up
3 years
Authors
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CR may support cognition and function in frail HF elders needing care; hypothesis-generating, needs prospective confirmation.
Cohort (n=765)
Does cardiac rehabilitation prevent the decline of cognitive function and basic activities of daily living in older adults with heart failure eligible for long-term care?
Odds Ratio: 0.54 (95% CI 0.36–0.82)
p-value: p=0.004
Cardiac rehabilitation may help suppress the decline of basic activities of daily living, but not cognitive function, in older adults with heart failure requiring long-term care.
Asai et al. (2023) conducted a cohort in Heart failure (n=765). Cardiac rehabilitation vs. No cardiac rehabilitation was evaluated on ADL decline after 1 year (adjusted OR 0.54, 95% CI 0.36-0.82, p=0.004). Cardiac rehabilitation significantly suppressed the decline of basic activities of daily living after 1 year in older adults with heart failure (adjusted OR 0.54; 95% CI 0.36-0.82; p=0.004).
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