Muscle oxygenation, physical capacity, and quality of life in male heart failure patients

Authors

DOI:

https://doi.org/10.5585/23.2024.26178

Keywords:

Walk test, Near-Infrared spectroscopy, Quality of life

Abstract

Objective: To verify peripheral muscle oxygenation and quality of life (QoL) in male patients with heart failure (HF) during a submaximal physical capacity test.
Methods: Cross-sectional study, in individuals with HF, functional class II or III, left ventricular ejection fraction <45%, divided into sedentary group (SG) and cardiovascular rehabilitation group (CRG). QoL was assessed by the Minnesota Living with Heart Failure Questionnaire, muscle oxygenation by near-infrared spectroscopy before, during and after the six-minute walk test. Inferential statistical tests were used with a significance level of 5%, according to the normality test. The correlation analysis was performed through the Spearman correlation test.
Results: There were inversely proportional results between physical aspects of QoL and oxyhemoglobin in the SG group. The distance covered was greater for CRG. We noted a significant increase in oxyhemoglobin post-test for CRG.
Conclusions: Oxygen measurements correlate with physical aspects related to QoL in individuals with heart failure and the dynamics of peripheral muscle oxygenation in the most appropriate kinetic subjects.

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Author Biographies

Ana Inês Gonzáles, Santa Catarina State University

Post-graduate Program in Human Movement Sciences, Center of Health Sciences and Sports, Santa Catarina State University

Daiane Pereira Lima, Santa Catarina State University

Ph.D. in the Graduate Program in Human Movement Sciences, Physical Therapist.

Yolanda Gonçalves da Silva Fontes, Santa Catarina State University

Post-graduate Program in Human Movement Sciences, Center of Health Sciences and Sports, Santa Catarina State University

Anelise Sonza, Santa Catarina State University

Post-graduate Program in Human Movement Sciences, Center of Health Sciences and Sports, Santa Catarina State University

Tales de Carvalho, Santa Catarina State University

Post-graduate Program in Human Movement Sciences, Center of Health Sciences and Sports, Santa Catarina State University

References

Belardinelli R, Lacalaprice F, Purcaro A, Perna G. Effects of short-term moderate exercise training on sexual function in male patients with chronic stable heart failure. Int J Cardiol. 2005, 101(1): 83-90. doi: 10.1016/j.ijcard.2004.05.020

Mascolo A, Mauro G, Capetta D et al. Current and future therapeutic perspective in chronic heart failure. Pharmacol Res. 2022 Jan:175:106035.

doi: 10.1016/j.phrs.2021.106035. Epub 2021 Dec 13.

Comitê Coordenador da Diretriz de Insuficiência Cardíaca. Diretriz Brasileira de Insuficiência Cardíaca Crônica e Aguda. Arq Bras Cardiol. 2018; 111(3):436-539. doi: 10.5935/abc.20180190

Vlachopoulos C, Jackson G, Stefanadis C, Montosi P. Erectile dysfunction in the cardiovascular patient. Eur Heart J. 2013, 34(27): 2034-2046. doi: 10.1093/eurheartj/eht112

Witte K.K, Clark A. L. Why does chronic heart failure cause breathlessness and fatigue? Prog Cardiovas Dis. 2007, 49(5): 366-384. doi: 10.1016/j.pcad.2006.10.003

Fuertes-kenneally F, Manresa-Rocamora A, Blaso-Peres C et al. Effects and Optimal Dose of Exercise on Endothelial Function in Patients with Heart Failure: A Systematic Review and Meta-Analysis. Sports Med Open. 2023 Dec; 9: 8.

Published online 2023 Feb 4. doi: 10.1186/s40798-023-00553-z.

Linke A, Adams V, Schulze PC, Erbs S, Gielen S, Fiehn E et al. Antioxidative effects of exercise training in patients with chronic heart failure: Increase in radical scavenger enzyme activity in skeletal muscle. Circulation. 2005, 111(14): 1763-1770. doi: 10.1161/01.CIR.0000165503.08661.E5

Meyer K, Laederach-Hofmann K. Effects of a comprehensive rehabilitation program on quality of life in patients with chronic heart failure. Prog Cardiovasc Nurs. 2003, 18(4): 169-76. doi: 10.1111/j.0889-7204.2003.03013.x

Van Beekvelt MCP, Colier WN, Wevers RA, Engelen V. Performance of near-infrared spectroscopy in measuring local O 2 consumption and blood flow in skeletal muscle. J Appli Physiol. 2001, 90(2): 511-519. doi: 10.1152/jappl.2001.90.2.511

Carvalho EEV, Costa DC, Crescêncio JC, Santi GL, Papa V, Marques F et al. Insuficiência Cardíaca : Comparação Entre o Teste de Caminhada de Seis Minutos e o Teste Cardiopulmonar. Arq Bras Cardiol. 2011, 97 (1). doi: 10.1590/S0066-782X2011005000056

Giannitsi S, Bougiakli M, Bechlioulis A, Kotsia A, Michallis LP, Naka KK. 6-minute walking test: a useful tool in the management of heart failure patients. Ther Adv Cardiovasc Dis. 2019,13: 1-10. doi: 10.1177/1753944719870084

Morais ER, Rassi, S. Determinants of the Distance Covered During a Six-Minute Walk Test in Patients with Chronic Heart Failure. Int. J. Cardiovasc. Sci. 2019, 32 (2). doi: 10.5935/2359-4802.20180088

Holland AE, Spruit AM, Troosters T, Puhan MA, Pepin V, Saey D et al. An official European respiratory society/American thoracic society technical standard: Field walking tests in chronic respiratory disease. Eur Resp J. 2014, 44(6): 1428-1446, 2014. doi: 10.1183/09031936.00150314

Rubim VS, Neto CD, Romeoa JLM, Montera MW. Valor prognóstico do teste de caminhada de seis minutos na insuficiência cardíaca. Arq Bras Cardiol [online]. 2006,86(2): 120-125. doi: 10.1590/S0066-782X2006000200007

Carvalho VO, Guimarães GV, Carrara D, Bacal F, Bocchi EA. Validação da versão em Português do Minnesota living with heart failure questionnaire. Arq Bras Cardiol, 93(1):39-44. doi: 10.1590/S0066-782X2009000700008

ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories. ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2002 Jul 1;166(1):111-7. doi: 10.1164/ajrccm.166.1.at1102

Linke, A., Adams, V., Schulze, P.C, Erbs S, Gielen S, Fiehn E et al. Antioxidative effects of exercise training in patients with chronic heart failure: Increase in radical scavenger enzyme activity in skeletal muscle. Circulation. 2005, 111(14), 1763-1770. doi: 10.1161/01.CIR.0000165503.08661.E5

Mourot L, Teffaha D, Bouhaddi M, Fawsi O, Philipe V, Benoit D et al. Training-induced increase in nitric oxide metabolites in chronic heart failure and coronary artery disease: An extra benefit of water-based exercises? Eur J Prev Cardiol. 2009, 16(2): 215–221. doi: 10.1097/HJR.0b013e3283292fcf

Belardinelli R, Barstow T, Thomas J et al. Skeletal Muscle Oxygenation and Constant Work Rate Exercise in Chronic Congestive Heart Failure. Am J Cardiol. 1997 Nov 15;80(10):1319-24. doi: 10.1016/s0002-9149(97)00672-3

Wilson JR, Mancini DM, Ferraro M. Noninvasive Detection of Skeletal Muscle Underperfusion With Near-Infrared Spectroscopy in Patients With Heart Failure. Circulation. 1989 Dec;80(6):1668-74. doi: 10.1161/01.cir.80.6.1668

Fu T, Chou S, Chen T, Wang C, Chang H, Wang J. Central and peripheral hemodynamic adaptations during cardiopulmonary exercise test in heart failure patients with exercise periodic breathing. Int Heart J. 2015;56(4):432-8. doi: 10.1536/ihj.15-012

Okita K, Kinugawa TH. Exercise Intolerance in Chronic Heart Failure: Skeletal Muscle Dysfunction and Potential Therapies. Circ J. 2013;77(2):293-300. doi: 10.1253/circj.cj-12-1235

Carvalho T. Diretriz de Reabilitação Cardiopulmonar e Metabólica: aspectos práticos e responsabilidades. Arq Bras Cardiol. 2006, 86(1): 74-82. doi: 10.1590/S0066-782X2006000100011

Moreira LF, Felipe LP, Barreto-Filho JA et al. Diretriz Sul-Americana de Prevenção e Reabilitação Cardiovascular. Arq Bras Cardiol. 2014, 103(2): 1–83.

Ulbrich AZ, Netto AS, Angarten VG, Marques T, Sties S, Carvalho T. Capacidade funcional como preditor de qualidade de vida na insuficiência cardíaca. Fisiote. Mov. 2013, 26(4): 845-853. doi: 10.1590/S0103-51502013000400013

Nogueira IDB, Servantes DM, Nogueira PAMS, Pelcerman A, Salvetti XM, Salles F et al. Correlation between quality of life and functional capacity in cardiac failure. Arq Bras Cardiol. 2010 Aug;95(2):238-43. doi: 10.1590/s0066-782x2010005000096

Dos Santos JJ, Plewka JE, Brofman PRS. Quality of life and clinical indicators in heart failure: A multivariate analysis. Arq Bras Cardiol. 2009, 93(2): 159-166. doi: 10.1590/s0066-782x2009000800015

Cahalin LP, Mathier MA, Semigram MJ, DiSalvo TG. The six-minute walk predicts peak oxygen uptake and survival in patients with advanced heart failure. Chest. 1996 Aug;110(2):325-32. doi: 10.1378/chest.110.2.325

Roul G, Germain P, Bareiss P. Does the 6-minute walk test predict the prognosis in patients with NYHA class II or III chronic heart failure? Am Heart J. 1998 Sep;136(3):449-57. doi: 10.1016/s0002-8703(98)70219-4

Carvalho EE, Costa DC, Crescêncio JC, Santi GL, Papa V, Marques F et al. Heart failure: comparison between six-minute walk test and cardiopulmonary test. Arq Bras Cardiol. 2011 Jul;97(1):59-64. doi: 10.1590/s0066-782x2011005000056

Carvalho T, Milani M, Ferraz AS et al. Diretriz Brasileira de Reabilitação Cardiovascular. Arq. Bras. Cardiol. 2020;114(5):943-87.

Grundtvig M, Eriksen-Volnes T, Orn S et al. 6 min walk test is a strong independent predictor of death in outpatients with heart failure. ESC Heart Fail. 2020 Oct; 7(5): 2904–2911.Published online 2020 Jul 17. doi: 10.1002/ehf2.12900.

Martins Rubim, Neto CD, Romeo JL, Montera MW. Prognostic value of the six-minute walk test in heart failure. Arq Bras Cardiol. 2006, 86(2):120-125. doi: 10.1590/S0066-782X2006000200007

Barroco AC, Sperandio PA, Reis M, Almeida DR, Neder JA. A practical approach to assess leg muscle oxygenation during ramp-incremental cycle ergometry in heart failure. Braz. J. Med. Biol. Res. 2017, 50 (12). doi: 10.1590/1414-431X20176327

Węgrzynowska-Teodorczyk K, Siennicka A, Josiak K, Zymliński R, Monika Kasztura et al. Evaluation of Skeletal Muscle Function and Effects of Early Rehabilitation during Acute Heart Failure: Rationale and Study Design. Biomed Res Int. 2018 Mar 12: 6982-897. doi: 10.1155/2018/6982897

Gonzales AI, Sonza A, Sties SW et al. Oxigenação Muscular Periférica e Função Erétil em Indivíduos com Insuficiência Cardíaca. RevDERC. 2020; 26(2):80-85.

Spee RF, Niemeijer VM, Schoots T, Wijn P, Doevendans PA, Kemps H. The relation between cardiac output kinetics and skeletal muscle oxygenation during moderate exercise in moderately impaired patients with chronic heart failure. J Appl Physiol (1985). 2016 Jul 1;121(1):198-204. doi: 10.1152/japplphysiol.00079.2016

Published

2024-11-22

How to Cite

1.
Gonzáles AI, Lima DP, Fontes YG da S, Sonza A, Carvalho T de. Muscle oxygenation, physical capacity, and quality of life in male heart failure patients. Cons. Saúde [Internet]. 2024 Nov. 22 [cited 2024 Dec. 22];23(1):e26178. Available from: https://periodicos.uninove.br/saude/article/view/26178

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