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Activities of daily living at different levels of renal function in elderly hospitalized heart failure patients

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Abstract

Background

Renal function (RF) and activities of daily living (ADL) are risk factors for heart failure (HF) patients.

Aims

We evaluated differences in motor and cognitive ADL in relation to RF in elderly hospitalized HF patients.

Methods

Participants were selected from 414 consecutive hospitalized HF patients based on certain criteria. We investigated patient characteristics including Functional Independence Measure (FIM) and estimated glomerular filtration rate (eGFR). Subjects were divided into three groups by RF level and analyzed with one-way ANOVA and Chi-square tests and two-way ANCOVA and multiple comparison tests.

Results

Of the 414 patients, 165 met the inclusion criteria (high RF: 41, moderate RF: 84, low RF: 40). There were significant differences between the three groups in age, eGFR, hemoglobin level, mobility, cognitive function, and length of hospital stay (p < 0.05). Motor FIM showed an interaction between term and group, and cognitive FIM showed a main effect on the group (p < 0.05). In the multiple comparisons, motor FIM of all groups indicated significant recovery, but it was significantly lower after 1 week in the low RF versus moderate/high RF groups (p < 0.05). Cognitive FIM showed no significant recovery in the low RF group; the FIM score after 2 weeks was significantly lower than that in the moderate/high RF groups (p < 0.05).

Conclusions

In elderly hospitalized HF patients, the motor ADL recovery process in the low RF group was delayed compared to the high RF group. Cognitive ADL in hospitalized HF patients is difficult to recover, especially in those with low RF.

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Author information

Authors and Affiliations

  1. Kokura Rehabilitation College, Kitakyushu, Japan

    Masahiro Kitamura

  2. Department of International Health, Kobe University Graduates School of Health Sciences, 10-2 Tomogaoka 7-chome Suma, Kobe, 654-0142, Japan

    Masahiro Kitamura & Kazuhiro P. Izawa

  3. Department of Rehabilitation, Shinyukuhashi Hospital, Yukuhashi, Japan

    Hiroki Taniue, Yumi Mimura, Yuichi Ikeda & Hitomi Nagashima

  4. Department of Health and Exercise Science, Healthy Exercise and Lifestyle Program S, Wake Forest University, Winston-Salem, NC, USA

    Peter H. Brubaker

Authors
  1. Masahiro Kitamura
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  2. Kazuhiro P. Izawa
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  3. Hiroki Taniue
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  4. Yumi Mimura
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  5. Yuichi Ikeda
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  6. Hitomi Nagashima
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  7. Peter H. Brubaker
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Corresponding author

Correspondence to Kazuhiro P. Izawa.

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The participants received oral explanations of the research procedures from the researchers.

Conflict of interest

There are no conflicts of interest to report in relation to this study.

Ethical approval

This study was approved by the Kokura Rehabilitation College Institutional Committee.

Informed consent

Informed consent was obtained from each patient.

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Kitamura, M., Izawa, K.P., Taniue, H. et al. Activities of daily living at different levels of renal function in elderly hospitalized heart failure patients. Aging Clin Exp Res 30, 45–51 (2018). https://doi.org/10.1007/s40520-017-0739-2

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  • DOI: https://doi.org/10.1007/s40520-017-0739-2

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