Abstract
Objective To conduct a systematic review and meta-analysis to quantify habitual physical activity levels of heart failure (HF) patients and assess quality of reporting of device-assessed physical activity (PA).
Methods Eight electronic databases were searched up to 17th November 2021. Data on study and population characteristics, method of PA measurement, and PA metrics were extracted. A random effects meta-analysis (restricted maximum likelihood with Knapp-Hartung standard error adjustment) was conducted.
Results Seventy-five studies were included in the review (n=7,775 HF patients). Meta-analysis was restricted to mean steps per day, encompassing 27-studies (n=1,720 HF patients). Pooled mean steps per day was 5,040 (95% CI; 4,272 to 5,807). The 95% prediction interval for mean steps per day in a future study was 1,262 to 8,817. Meta-regression at the study level revealed that a 10-year increment in mean age of patients was associated with 1,121 fewer steps per day (95% CI: 258 to 1,984).
Conclusion HF patients are a low-active population. These findings have implications for the way in which PA is targeted in HF patients, and interventions should focus on addressing the age-related decline observed as well as increasing PA to improve HF symptoms and quality of life.
Methods Eight electronic databases were searched up to 17th November 2021. Data on study and population characteristics, method of PA measurement, and PA metrics were extracted. A random effects meta-analysis (restricted maximum likelihood with Knapp-Hartung standard error adjustment) was conducted.
Results Seventy-five studies were included in the review (n=7,775 HF patients). Meta-analysis was restricted to mean steps per day, encompassing 27-studies (n=1,720 HF patients). Pooled mean steps per day was 5,040 (95% CI; 4,272 to 5,807). The 95% prediction interval for mean steps per day in a future study was 1,262 to 8,817. Meta-regression at the study level revealed that a 10-year increment in mean age of patients was associated with 1,121 fewer steps per day (95% CI: 258 to 1,984).
Conclusion HF patients are a low-active population. These findings have implications for the way in which PA is targeted in HF patients, and interventions should focus on addressing the age-related decline observed as well as increasing PA to improve HF symptoms and quality of life.
| Original language | English |
|---|---|
| Number of pages | 6 |
| Journal | Heart |
| Early online date | 27 Feb 2023 |
| DOIs | |
| Publication status | E-pub ahead of print - 27 Feb 2023 |