Habitual physical activity levels of adults with heart failure: systematic review and meta-analysis

Cara Jordan, Sarah J. Charman, Alan Batterham, Darren Flynn, David Houghton, Linda Errington, Guy MacGowan, Leah Avery

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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.
Original languageEnglish
Number of pages6
Early online date27 Feb 2023
Publication statusE-pub ahead of print - 27 Feb 2023


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