Frailty Syndrome, Quality of Life, Valve Heart Disease
Conditions
Keywords
Cardiac rehabilitation, Exercise training, Resistance training, Balance training, Physical capacity, Valve surgery, Valve intervention, Functional capacity
Brief summary
The aim of the study is to evaluate the short- and medium-term effectiveness of additional moderate dynamic resistance and balance training to the CR-program of old adults after valve surgery or intervention compared to usual care-CR.
Interventions
OTHERAdditional balance and resistance training
Additional exercise program with balance and resistance training three times per week. After completion participants are encouraged to continue exercise training at home according to recommendations and will receive control calls every two weeks.
Sponsors
Lithuanian University of Health Sciences
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
65 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patients after valve surgery and/or intervention * Age 65 years and older * Ability to start CR within 4 weeks after surgery, * 6-minute walk distance (6-MWD) ≥100- ≤350 m (1) * Patient's agreement to participate in the study.
Exclusion criteria
* Diseases in the musculoskeletal system or other organs complicating physical activity and exercise training; * Exercise-limiting comorbidities (primarily orthopedic and neurological conditions that would exclude individuals from participating in CR according to study protocol), including chronic heart failure New York Heart Association Class IV, hemoglobin less than 9 g/dL, wound healing disturbance, cognitive or linguistic deficits.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Quality of life by questionnaire Quality of Life: Cardiac Index | Baseline | Quality of Life: Cardiac Index in units on the scale, 15-33 the higher score, the better quality of life |
| Physical performance by Short Physical Perfromance Battery (SPPB) | Baseline | The short physical performance battery (SPPB) is a group of measures that combines the results of the gait speed, chair stand and balance tests.The scores range from 0 (worst performance) to 12 (best performance). |
| Physical performance by 5 meters walking test (5MWT) | Baseline | 5MWT is a gate speed test measured by meters per second. |
| Functional capacity by six minutes walking test (6MWT) | Baseline | 6MWT measured by meters |
| Quality of life by questionnaire Short Form Survey SF-36 | Baseline | 0-100%, the higher score, the better quality of life. The SF-36 measures eight scales: physical functioning (PF), role physical (RP), bodily pain (BP), general health (GH), vitality (VT), social functioning (SF), role emotional (RE), and mental health (MH) in units on the scale |
| Quality of life by questionnaire Minnesota living with heart failure (Minesota HF) | Baseline | Minesota HF questionnaire in units on the scale, 0-105, the the lower score, the better quality of life |
| Quality of life by questionnaire EQ-5D | Baseline | EQ-5D in units on the scale, 0-10, the higher score, the better quality of life |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Frailty level by 5MWT | baseline | Frailty measured by 5MWT - \<0,6 m/s - frail, 0,7-0,99 m/s - pre-frail, 1,0 m/s and more - robust |
| Physical activity by International physical activity questionnaire (IPAQ) | 3 months | IPAQ in units on the scale |
| Cardiopulmonary exercise capacity by maximal oxygen consumption (peakVO2) | Baseline | PeakVO2 measured with spiroergometry by millilitres of oxygen per kilogram of body mass per minute |
| Cardiopulmonary exercise capacity by maximal load (maxWatt) | Baseline | Maximal load measured with spiroergometry by maximal watts |
| Muscular strength by one repetition maximum test (1RM) | baseline | 1RM test for leg extension measured by kilograms |
| Frailty level by SPPB score | baseline | Frailty measured by SPPB score - 0-7 - frail, 8-9 - pre-frail, 10-12 robust. |
Countries
Lithuania
Outcome results
None listed