Document Detail


Use of limb movement sensors as indicators of the level of everyday physical activity in chronic congestive heart failure.
MedLine Citation:
PMID:  1598873     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The level of everyday physical activity of patients with chronic congestive heart failure (CHF) may be an important reflection of their quality of life. Everyday physical activity is difficult to measure objectively, and may not relate to exercise capacity determined by laboratory exercise testing. A light-weight sensor worn on the wrist or ankle, which provides a cumulative record of limb movement, was evaluated. The sensor counted reliably when tested in a laboratory rig and during treadmill exercise. In 20 young normal subjects, hourly movement scores showed the expected diurnal rhythm. Twenty-four-hour movement scores in 30 patients with stable CHF were lower than in 20 age-matched control subjects (p less than 0.005). Movement scores in CHF correlated with a standard questionnaire scale assessing everyday physical activity (R = +0.72, p less than 0.001). Consecutive daily scores varied widely, but wrist and ankle scores were correlated (R greater than +0.7, p less than 0.05 in each subject), suggesting true day-to-day differences in activity rather than variability in the recording method. Recording for 5 to 6 consecutive days provides a reliable estimate of mean 24-hour movement score for a subject, and mean 24-hour scores were reproducible when subjects were retested after 8 weeks. There was a weak correlation between movement scores and exercise capacity as measured by peak oxygen consumption during maximal treadmill exercise (R = +0.42, p = 0.01). Quality-of-life score correlated with movement scores (R = +0.53, p less than 0.002) but not with peak oxygen consumption (R = +0.36; p = not significant).(ABSTRACT TRUNCATED AT 250 WORDS)
Authors:
S W Davies; S L Jordan; D P Lipkin
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of cardiology     Volume:  69     ISSN:  0002-9149     ISO Abbreviation:  Am. J. Cardiol.     Publication Date:  1992 Jun 
Date Detail:
Created Date:  1992-07-09     Completed Date:  1992-07-09     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0207277     Medline TA:  Am J Cardiol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1581-6     Citation Subset:  AIM; IM    
Affiliation:
Cardiac Department, Royal Free Hospital, London, United Kingdom.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Adult
Aged
Aged, 80 and over
Cardiac Output, Low / physiopathology
Chronic Disease
Equipment Design
Exercise Test
Extremities / physiology*
Heart Failure / physiopathology*
Humans
Middle Aged
Monitoring, Physiologic / instrumentation*
Motor Activity / physiology
Oxygen Consumption / physiology
Physical Fitness
Quality of Life
Reproducibility of Results
Transducers

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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