Relationships between exercise capacity and anxiety, depression, and cognition in patients with heart failure

Oronzo Chialà; Ercole Vellone; Leonie Klompstra; Giorgio Alberto Ortali; Anna Strömberg; Tiny Jaarsma

doi:10.1016/j.hrtlng.2018.07.010

Relationships between exercise capacity and anxiety, depression, and cognition in patients with heart failure

Oronzo Chialà, Ercole Vellone, Leonie Klompstra, Giorgio Alberto Ortali, Anna Strömberg, Tiny Jaarsma

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Symptoms of anxiety, depression, and cognitive impairment are common in heart failure (HF) patients, but there are inconsistencies in the literature regarding their relationship and effects on exercise capacity.

OBJECTIVES: The aim of this study was to explore the relationships between exercise capacity and anxiety, depression, and cognition in HF patients.

METHODS: This was a secondary analysis on the baseline data of the Italian subsample (n = 96) of HF patients enrolled in the HF-Wii study. Data was collected with the 6-minute walk test (6MWT), Hospital Anxiety and Depression Scale, and Montreal Cognitive Assessment.

RESULTS: The HF patients walked an average of 222 (SD 114) meters on the 6MWT. Patients exhibited clinically elevated anxiety (48%), depression (49%), and severe cognitive impairment (48%). Depression was independently associated with the distance walked on the 6MWT.

CONCLUSIONS: The results of this study reinforced the role of depression in relation to exercise capacity and call for considering strategies to reduce depressive symptoms to improve outcomes of HF patients.

Original language	English
Pages (from-to)	465-470
Number of pages	6
Journal	Heart & lung : the journal of critical care
Volume	47
Issue number	5
DOIs	https://doi.org/10.1016/j.hrtlng.2018.07.010
Publication status	Published - 9 Aug 2018
Externally published	Yes

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10.1016/j.hrtlng.2018.07.010

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title = "Relationships between exercise capacity and anxiety, depression, and cognition in patients with heart failure",

abstract = "BACKGROUND: Symptoms of anxiety, depression, and cognitive impairment are common in heart failure (HF) patients, but there are inconsistencies in the literature regarding their relationship and effects on exercise capacity.OBJECTIVES: The aim of this study was to explore the relationships between exercise capacity and anxiety, depression, and cognition in HF patients.METHODS: This was a secondary analysis on the baseline data of the Italian subsample (n = 96) of HF patients enrolled in the HF-Wii study. Data was collected with the 6-minute walk test (6MWT), Hospital Anxiety and Depression Scale, and Montreal Cognitive Assessment.RESULTS: The HF patients walked an average of 222 (SD 114) meters on the 6MWT. Patients exhibited clinically elevated anxiety (48\%), depression (49\%), and severe cognitive impairment (48\%). Depression was independently associated with the distance walked on the 6MWT.CONCLUSIONS: The results of this study reinforced the role of depression in relation to exercise capacity and call for considering strategies to reduce depressive symptoms to improve outcomes of HF patients.",

author = "Oronzo Chial{\`a} and Ercole Vellone and Leonie Klompstra and Ortali, \{Giorgio Alberto\} and Anna Str{\"o}mberg and Tiny Jaarsma",

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doi = "10.1016/j.hrtlng.2018.07.010",

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T1 - Relationships between exercise capacity and anxiety, depression, and cognition in patients with heart failure

AU - Chialà, Oronzo

AU - Vellone, Ercole

AU - Klompstra, Leonie

AU - Ortali, Giorgio Alberto

AU - Strömberg, Anna

AU - Jaarsma, Tiny

PY - 2018/8/9

Y1 - 2018/8/9

N2 - BACKGROUND: Symptoms of anxiety, depression, and cognitive impairment are common in heart failure (HF) patients, but there are inconsistencies in the literature regarding their relationship and effects on exercise capacity.OBJECTIVES: The aim of this study was to explore the relationships between exercise capacity and anxiety, depression, and cognition in HF patients.METHODS: This was a secondary analysis on the baseline data of the Italian subsample (n = 96) of HF patients enrolled in the HF-Wii study. Data was collected with the 6-minute walk test (6MWT), Hospital Anxiety and Depression Scale, and Montreal Cognitive Assessment.RESULTS: The HF patients walked an average of 222 (SD 114) meters on the 6MWT. Patients exhibited clinically elevated anxiety (48%), depression (49%), and severe cognitive impairment (48%). Depression was independently associated with the distance walked on the 6MWT.CONCLUSIONS: The results of this study reinforced the role of depression in relation to exercise capacity and call for considering strategies to reduce depressive symptoms to improve outcomes of HF patients.

AB - BACKGROUND: Symptoms of anxiety, depression, and cognitive impairment are common in heart failure (HF) patients, but there are inconsistencies in the literature regarding their relationship and effects on exercise capacity.OBJECTIVES: The aim of this study was to explore the relationships between exercise capacity and anxiety, depression, and cognition in HF patients.METHODS: This was a secondary analysis on the baseline data of the Italian subsample (n = 96) of HF patients enrolled in the HF-Wii study. Data was collected with the 6-minute walk test (6MWT), Hospital Anxiety and Depression Scale, and Montreal Cognitive Assessment.RESULTS: The HF patients walked an average of 222 (SD 114) meters on the 6MWT. Patients exhibited clinically elevated anxiety (48%), depression (49%), and severe cognitive impairment (48%). Depression was independently associated with the distance walked on the 6MWT.CONCLUSIONS: The results of this study reinforced the role of depression in relation to exercise capacity and call for considering strategies to reduce depressive symptoms to improve outcomes of HF patients.

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DO - 10.1016/j.hrtlng.2018.07.010

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SN - 0147-9563

VL - 47

SP - 465

EP - 470

JO - Heart & lung : the journal of critical care

JF - Heart & lung : the journal of critical care

IS - 5

ER -

Relationships between exercise capacity and anxiety, depression, and cognition in patients with heart failure

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