IMR Press / RCM / Volume 23 / Issue 5 / DOI: 10.31083/j.rcm2305153
Open Access Original Research
Association between Physical Activity and the Risk of Mortality and Hospitalization in Older Korean Adults with Heart Failure
Show Less
1 Division of Cardiology, Department of Internal Medicine, Yonsei University College of Medicine, 03722 Seoul, Republic of Korea
2 Division of Cardiology, CHA Bundang Medical Center, CHA University, 13497 Seongnam, Republic of Korea
3 Division of Cardiology, Department of Internal Medicine, Sangye Paik Hospital, Inje University College of Medicine, 01757 Seoul, Republic of Korea
*Correspondence: cby6908@yuhs.ac (Boyoung Joung)
These authors contributed equally.
Academic Editor: Jerome L. Fleg
Rev. Cardiovasc. Med. 2022, 23(5), 153; https://doi.org/10.31083/j.rcm2305153
Submitted: 2 December 2021 | Revised: 28 February 2022 | Accepted: 28 February 2022 | Published: 26 April 2022
(This article belongs to the Special Issue Heart Health and Aging)
Copyright: © 2022 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Regular exercise improves the functional ability and quality of life of patients with heart failure (HF). However, studies on the results of intensity of exercise in the older population are scarce, especially in the Asian population. Method and Results: A total of 8982 older people (age 65 years) with HF were selected from the Korean National Health Insurance Service-Senior database (2005–2012). Participants were stratified according to the levels of physical activity per week as follows: (1) inactive group; (2) insufficiently active group: 1–499 metabolic equivalent task minutes (MET-min)/week; (3) active group: 500–999 MET-min/week; and (4) highly active group: 1000 MET-min/week. During a median follow-up period of 3.2 years, the incidence and risk of mortality were reduced in the insufficiently active (6.7 vs. 4.2 per 100 person-years, adjusted hazard ratio [HR], 0.82; 95% confidence interval [CI], 0.71–0.94; p < 0.001), active (3.8 per 100 person-years; HR, 0.81; 95% CI, 0.70–0.95; p = 0.010), and highly active (2.4 per 100 person-years; HR, 0.52; 95% CI, 0.41–0.67; p < 0.001) groups compared to inactive patients. Conclusions: In older Asians with HF, increased physical activity reduced the risk of all-cause mortality. The mortality-reducing benefit started at a lower physical activity compared to the World Health Organization guideline (500–999 MET-min/week), and the risk decreased with more physical activity.

Keywords
exercise
heart failure
physical activity
Figures
Fig. 1.
Share
Back to top