心疾患患者における軽度の認知機能低下と身体活動量の関連

〔目的〕心疾患患者における軽度の認知機能低下と身体活動量(PA)の関連を明らかにする.〔対象と方法〕対象は,心臓リハビリテーション実施中の心疾患患者48名(平均年齢72.6歳)とした.軽度の認知機能低下はJapanese version of Montreal Cognitive Assessment(MoCA-J)を用いて評価した.PAは活動量計を装着し,1日あたりの平均歩数を算出した.MoCA-JとPAの関連を分析した.〔結果〕MoCA-Jは25 ± 3.6 点,PAは5337 ± 2534 歩/日であった.分析の結果,MoCA-JとPAに相関が認められた.〔結語〕心疾患患者における軽度の...

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Published in理学療法科学 Vol. 37; no. 6; pp. 551 - 556
Main Authors 柏木, 秀彦, 古谷, 英孝, 木村, 祐紀, 渡邉, 英憲, 江森, 亮
Format Journal Article
LanguageEnglish
Japanese
Published 理学療法科学学会 2022
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Online AccessGet full text
ISSN1341-1667
2434-2807
DOI10.1589/rika.37.551

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Abstract 〔目的〕心疾患患者における軽度の認知機能低下と身体活動量(PA)の関連を明らかにする.〔対象と方法〕対象は,心臓リハビリテーション実施中の心疾患患者48名(平均年齢72.6歳)とした.軽度の認知機能低下はJapanese version of Montreal Cognitive Assessment(MoCA-J)を用いて評価した.PAは活動量計を装着し,1日あたりの平均歩数を算出した.MoCA-JとPAの関連を分析した.〔結果〕MoCA-Jは25 ± 3.6 点,PAは5337 ± 2534 歩/日であった.分析の結果,MoCA-JとPAに相関が認められた.〔結語〕心疾患患者における軽度の認知機能低下を早期に発見する必要性が示唆された.
AbstractList 「要旨」:〔目的〕心疾患患者における軽度の認知機能低下と身体活動量(PA)の関連を明らかにする. 〔対象と方法〕対象は, 心臓リハビリテーション実施中の心疾患患者48名(平均年齢72.6歳)とした. 軽度の認知機能低下はJapanese version of Montreal Cognitive Assessment(MoCA-J)を用いて評価した. PAは活動量計を装着し, 1日あたりの平均歩数を算出した. MoCA-JとPAの関連を分析した. 〔結果〕MoCA-Jは25 ± 3.6点, PAは5337 ± 2534歩/日であった. 分析の結果, MoCA-JとPAに相関が認められた. 〔結語〕心疾患患者における軽度の認知機能低下を早期に発見する必要性が示唆された.
〔目的〕心疾患患者における軽度の認知機能低下と身体活動量(PA)の関連を明らかにする.〔対象と方法〕対象は,心臓リハビリテーション実施中の心疾患患者48名(平均年齢72.6歳)とした.軽度の認知機能低下はJapanese version of Montreal Cognitive Assessment(MoCA-J)を用いて評価した.PAは活動量計を装着し,1日あたりの平均歩数を算出した.MoCA-JとPAの関連を分析した.〔結果〕MoCA-Jは25 ± 3.6 点,PAは5337 ± 2534 歩/日であった.分析の結果,MoCA-JとPAに相関が認められた.〔結語〕心疾患患者における軽度の認知機能低下を早期に発見する必要性が示唆された.
Author 古谷, 英孝
渡邉, 英憲
木村, 祐紀
江森, 亮
柏木, 秀彦
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References 32) Alley SJ, Kolt GS, Duncan MJ, et al.: The effectiveness of a web 2.0 physical activity intervention in older adults—a randomised controlled trial. Int J Behav Nutr Phys Act, 2018, 15: 4.
10) Petersen RC: Mild cognitive impairment as a diagnostic entity. J Intern Med, 2004, 256: 183-194.
35) Zuccalà G, Cattel C, Manes-Gravina E, et al.: Left ventricular dysfunction: a clue to cognitive impairment in older patients with heart failure. J Neurol Neurosurg Psychiatry, 1997, 63: 509-512.
13) Harkness K, Heckman GA, Akhtar-Danesh N, et al.: Cognitive function and self-care management in older patients with heart failure. Eur J Cardiovasc Nurs, 2014, 13: 277-284.
38) Ampadu J, Morley JE: Heart failure and cognitive dysfunction. Int J Cardiol, 2015, 178: 12-23.
27) Shimada H, Makizako H, Doi T, et al.: Combined prevalence of frailty and mild cognitive impairment in a population of elderly Japanese people. J Am Med Dir Assoc, 2013, 14: 518-524.
40) Joussain C, Joubert J, Laroche D, et al.: Barriers to physical activity in coronary artery disease patients: development and validation of a new scale. Ann Phys Rehabil Med, 2017, 60: 289-298.
1) 厚生労働省:平成29年度患者調査の概況.https://www.mhlw.go.jp/toukei/saikin/hw/kanja/17/dl/05.pdf(閲覧日2022年5月10日)
4) Zheng X, Zheng Y, Ma J, et al.: Effect of exercise-based cardiac rehabilitation on anxiety and depression in patients with myocardial infarction: a systematic review and meta-analysis. Heart Lung, 2019, 48: 1-7.
16) Kewcharoen J, Prasitlumkum N, Kanitsoraphan C, et al.: Cognitive impairment associated with increased mortality rate in patients with heart failure: a systematic review and meta-analysis. J Saudi Heart Assoc, 2019, 31: 170-178.
28) Sacre JW, Ball J, Wong C, et al.: Mild cognitive impairment is associated with subclinical diastolic dysfunction in patients with chronic heart disease. Eur Heart J Cardiovasc Imaging, 2018, 19: 285-292.
5) Wang Z, Peng X, Li K, et al.: Effects of combined aerobic and resistance training in patients with heart failure: a meta-analysis of randomized, controlled trials. Nurs Health Sci, 2019, 21: 148-156.
2) 厚生労働省:令和元年人口動態統計月報年計の概況.https://www.mhlw.go.jp/toukei/saikin/hw/jinkou/geppo/nengai19/dl/gaikyouR1. pdf(閲覧日2022年5月10日)
43) Alosco ML, Spitznagel MB, Cohen R, et al.: Decreases in daily physical activity predict acute decline in attention and executive function in heart failure. J Card Fail, 2015, 21: 339-346.
12) Dodson JA, Truong TT, Towle VR, et al.: Cognitive impairment in older adults with heart failure: prevalence, documentation, and impact on outcomes. Am J Med, 2013, 126: 120-126.
15) Stewart RA, Held C, Hadziosmanovic N, et al. STABILITY Investigators: Physical activity and mortality in patients with stable coronary heart disease. J Am Coll Cardiol, 2017, 70: 1689-1700.
24) Najem SA, Groll A, Schmermund A, et al.: Walking activity during ambulant cardiac rehabilitation is related to maximum working capacity, age, and smoking behavior. Vasc Health Risk Manag, 2018, 14: 361-369.
29) Cannon JA, Moffitt P, Perez-Moreno AC, et al.: Cognitive impairment and heart failure: systematic review and meta-analysis. J Card Fail, 2017, 23: 464-475.
14) Park H, Park JH, Na HR, et al.: Combined intervention of physical activity, aerobic exercise, and cognitive exercise intervention to prevent cognitive decline for patients with mild cognitive impairment: a randomized controlled clinical study. J Clin Med, 2019, 8: 940.
7) Taylor RS, Long L, Mordi IR, et al.: Exercise-based rehabilitation for heart failure: cochrane systematic review, meta-analysis, and trial sequential analysis. JACC Heart Fail, 2019, 7: 691-705.
17) Cacciatore F, Amarelli C, Ferrara N, et al.: Protective effect of physical activity on mortality in older adults with advanced chronic heart failure: a prospective observational study. Eur J Prev Cardiol, 2019, 26: 481-488.
22) Nasreddine ZS, Phillips NA, Bédirian V, et al.: The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc, 2005, 53: 695-699.
26) Dancey CP, Reidy J: Statistics without maths for psychology. Prentice Hall Paerson, London, 2007.
8) Wurst R, Kinkel S, Lin J, et al.: Promoting physical activity through a psychological group intervention in cardiac rehabilitation: a randomized controlled trial. J Behav Med, 2019, 42: 1104-1116.
44) 武市尚也,井澤和大,渡辺 敏・他:回復期冠動脈疾患患者における身体活動量と下肢筋力との関連について.理学療法学,2009, 36: 109-113.
45) Klompstra L, Jaarsma T, Strömberg A: Self-efficacy mediates the relationship between motivation and physical activity in patients with heart failure. J Cardiovasc Nurs, 2018, 33: 211-216.
9) Gerger P, Pai RK, Stuckenschneider T, et al.: Associations of lipophilic micronutrients with physical and cognitive fitness in persons with mild cognitive impairment. Nutrients, 2019, 11: 902.
31) Ayabe M, Brubaker PH, Dobrosielski D, et al.: Target step count for the secondary prevention of cardiovascular disease. Circ J, 2008, 72: 299-303.
3) Mitchell BL, Lock MJ, Davison K, et al.: What is the effect of aerobic exercise intensity on cardiorespiratory fitness in those undergoing cardiac rehabilitation? A systematic review with meta-analysis. Br J Sports Med, 2019, 53: 1341-1351.
18) Tomioka K, Iwamoto J, Saeki K, et al.: Reliability and validity of the international physical activity questionnaire (IPAQ) in elderly adults: The Fujiwara-kyo Study. J Epidemiol, 2011, 21: 459-465.
39) Persinger R, Foster C, Gibson M, et al.: Consistency of the talk test for exercise prescription. Med Sci Sports Exerc, 2004, 36: 1632-1636.
41) Borland M, Rosenkvist A, Cider A: A group-based exercise program did not improve physical activity in patients with chronic heart failure and comorbidity: a randomized controlled trial. J Rehabil Med, 2014, 46: 461-467.
33) Sumimoto Y, Yanagita M, Miyamatsu N, et al. for NIPPON DATA2010 Research Group: Association between socioeconomic status and physical inactivity in a general Japanese population: NIPPON DATA2010. PLoS One, 2021, 16: e0254706.
36) Jehn M, Schmidt-Trucksäss A, Hanssen H, et al.: Association of physical activity and prognostic parameters in elderly patients with heart failure. J Aging Phys Act, 2011, 19: 1-15.
30) Izawa KP, Watanabe S, Oka K, et al.: Relation between physical activity and exercise capacity of ≥5 metabolic equivalents in middle- and older-aged patients with chronic heart failure. Disabil Rehabil, 2012, 34: 2018-2024.
11) Gallaway PJ, Miyake H, Buchowski MS, et al.: Physical activity: a viable way to reduce the risks of mild cognitive impairment, Alzheimer’s disease, and vascular dementia in older adults. Brain Sci, 2017, 7: 22.
21) Farina N, Lowry RG: The validity of consumer-level activity monitors in healthy older adults in free-living conditions. J Aging Phys Act, 2018, 26: 128-135.
6) Duscha BD, Piner LW, Patel MP, et al.: Effects of a 12-week mHealth program on peak VO2 and physical activity patterns after completing cardiac rehabilitation: a randomized controlled trial. Am Heart J, 2018, 199: 105-114.
34) 姫野麻菜美,内藤喜隆,石口祥夫・他:慢性心不全患者の認知機能と心機能との関連と当院の取り組み.心臓リハビリテーション,2017, 23: 8-11.
42) Takahashi T, Kumamaru M, Jenkins S, et al.: In-patient step count predicts re-hospitalization after cardiac surgery. J Cardiol, 2015, 66: 286-291.
23) 鈴木宏幸,藤原佳典:Montreal cognitive assessment(MoCA)の日本語版作成とその有効性について.老年精神医学雑誌,2010, 21: 198-202.
25) Feinglass J, Lee J, Semanik P, et al.: The effects of daily weather on accelerometer-measured physical activity. J Phys Act Health, 2011, 8: 934-943.
20) Alharbi M, Bauman A, Neubeck L, et al.: Validation of Fitbit-Flex as a measure of free-living physical activity in a community-based phase III cardiac rehabilitation population. Eur J Prev Cardiol, 2016, 23: 1476-1485.
37) Shinmura K: Frailty, heart failure, and cognitive impairment: a triangle in elderly people. Heart Metab, 2018, 76: 8-12.
19) Brewer W, Swanson BT, Ortiz A: Validity of Fitbit’s active minutes as compared with a research-grade accelerometer and self-reported measures. BMJ Open Sport Exerc Med, 2017, 3: e000254.
References_xml – reference: 13) Harkness K, Heckman GA, Akhtar-Danesh N, et al.: Cognitive function and self-care management in older patients with heart failure. Eur J Cardiovasc Nurs, 2014, 13: 277-284.
– reference: 4) Zheng X, Zheng Y, Ma J, et al.: Effect of exercise-based cardiac rehabilitation on anxiety and depression in patients with myocardial infarction: a systematic review and meta-analysis. Heart Lung, 2019, 48: 1-7.
– reference: 16) Kewcharoen J, Prasitlumkum N, Kanitsoraphan C, et al.: Cognitive impairment associated with increased mortality rate in patients with heart failure: a systematic review and meta-analysis. J Saudi Heart Assoc, 2019, 31: 170-178.
– reference: 41) Borland M, Rosenkvist A, Cider A: A group-based exercise program did not improve physical activity in patients with chronic heart failure and comorbidity: a randomized controlled trial. J Rehabil Med, 2014, 46: 461-467.
– reference: 21) Farina N, Lowry RG: The validity of consumer-level activity monitors in healthy older adults in free-living conditions. J Aging Phys Act, 2018, 26: 128-135.
– reference: 42) Takahashi T, Kumamaru M, Jenkins S, et al.: In-patient step count predicts re-hospitalization after cardiac surgery. J Cardiol, 2015, 66: 286-291.
– reference: 39) Persinger R, Foster C, Gibson M, et al.: Consistency of the talk test for exercise prescription. Med Sci Sports Exerc, 2004, 36: 1632-1636.
– reference: 18) Tomioka K, Iwamoto J, Saeki K, et al.: Reliability and validity of the international physical activity questionnaire (IPAQ) in elderly adults: The Fujiwara-kyo Study. J Epidemiol, 2011, 21: 459-465.
– reference: 31) Ayabe M, Brubaker PH, Dobrosielski D, et al.: Target step count for the secondary prevention of cardiovascular disease. Circ J, 2008, 72: 299-303.
– reference: 14) Park H, Park JH, Na HR, et al.: Combined intervention of physical activity, aerobic exercise, and cognitive exercise intervention to prevent cognitive decline for patients with mild cognitive impairment: a randomized controlled clinical study. J Clin Med, 2019, 8: 940.
– reference: 27) Shimada H, Makizako H, Doi T, et al.: Combined prevalence of frailty and mild cognitive impairment in a population of elderly Japanese people. J Am Med Dir Assoc, 2013, 14: 518-524.
– reference: 8) Wurst R, Kinkel S, Lin J, et al.: Promoting physical activity through a psychological group intervention in cardiac rehabilitation: a randomized controlled trial. J Behav Med, 2019, 42: 1104-1116.
– reference: 7) Taylor RS, Long L, Mordi IR, et al.: Exercise-based rehabilitation for heart failure: cochrane systematic review, meta-analysis, and trial sequential analysis. JACC Heart Fail, 2019, 7: 691-705.
– reference: 38) Ampadu J, Morley JE: Heart failure and cognitive dysfunction. Int J Cardiol, 2015, 178: 12-23.
– reference: 37) Shinmura K: Frailty, heart failure, and cognitive impairment: a triangle in elderly people. Heart Metab, 2018, 76: 8-12.
– reference: 5) Wang Z, Peng X, Li K, et al.: Effects of combined aerobic and resistance training in patients with heart failure: a meta-analysis of randomized, controlled trials. Nurs Health Sci, 2019, 21: 148-156.
– reference: 25) Feinglass J, Lee J, Semanik P, et al.: The effects of daily weather on accelerometer-measured physical activity. J Phys Act Health, 2011, 8: 934-943.
– reference: 26) Dancey CP, Reidy J: Statistics without maths for psychology. Prentice Hall Paerson, London, 2007.
– reference: 19) Brewer W, Swanson BT, Ortiz A: Validity of Fitbit’s active minutes as compared with a research-grade accelerometer and self-reported measures. BMJ Open Sport Exerc Med, 2017, 3: e000254.
– reference: 28) Sacre JW, Ball J, Wong C, et al.: Mild cognitive impairment is associated with subclinical diastolic dysfunction in patients with chronic heart disease. Eur Heart J Cardiovasc Imaging, 2018, 19: 285-292.
– reference: 35) Zuccalà G, Cattel C, Manes-Gravina E, et al.: Left ventricular dysfunction: a clue to cognitive impairment in older patients with heart failure. J Neurol Neurosurg Psychiatry, 1997, 63: 509-512.
– reference: 44) 武市尚也,井澤和大,渡辺 敏・他:回復期冠動脈疾患患者における身体活動量と下肢筋力との関連について.理学療法学,2009, 36: 109-113.
– reference: 43) Alosco ML, Spitznagel MB, Cohen R, et al.: Decreases in daily physical activity predict acute decline in attention and executive function in heart failure. J Card Fail, 2015, 21: 339-346.
– reference: 24) Najem SA, Groll A, Schmermund A, et al.: Walking activity during ambulant cardiac rehabilitation is related to maximum working capacity, age, and smoking behavior. Vasc Health Risk Manag, 2018, 14: 361-369.
– reference: 23) 鈴木宏幸,藤原佳典:Montreal cognitive assessment(MoCA)の日本語版作成とその有効性について.老年精神医学雑誌,2010, 21: 198-202.
– reference: 17) Cacciatore F, Amarelli C, Ferrara N, et al.: Protective effect of physical activity on mortality in older adults with advanced chronic heart failure: a prospective observational study. Eur J Prev Cardiol, 2019, 26: 481-488.
– reference: 9) Gerger P, Pai RK, Stuckenschneider T, et al.: Associations of lipophilic micronutrients with physical and cognitive fitness in persons with mild cognitive impairment. Nutrients, 2019, 11: 902.
– reference: 12) Dodson JA, Truong TT, Towle VR, et al.: Cognitive impairment in older adults with heart failure: prevalence, documentation, and impact on outcomes. Am J Med, 2013, 126: 120-126.
– reference: 1) 厚生労働省:平成29年度患者調査の概況.https://www.mhlw.go.jp/toukei/saikin/hw/kanja/17/dl/05.pdf(閲覧日2022年5月10日).
– reference: 20) Alharbi M, Bauman A, Neubeck L, et al.: Validation of Fitbit-Flex as a measure of free-living physical activity in a community-based phase III cardiac rehabilitation population. Eur J Prev Cardiol, 2016, 23: 1476-1485.
– reference: 10) Petersen RC: Mild cognitive impairment as a diagnostic entity. J Intern Med, 2004, 256: 183-194.
– reference: 29) Cannon JA, Moffitt P, Perez-Moreno AC, et al.: Cognitive impairment and heart failure: systematic review and meta-analysis. J Card Fail, 2017, 23: 464-475.
– reference: 36) Jehn M, Schmidt-Trucksäss A, Hanssen H, et al.: Association of physical activity and prognostic parameters in elderly patients with heart failure. J Aging Phys Act, 2011, 19: 1-15.
– reference: 3) Mitchell BL, Lock MJ, Davison K, et al.: What is the effect of aerobic exercise intensity on cardiorespiratory fitness in those undergoing cardiac rehabilitation? A systematic review with meta-analysis. Br J Sports Med, 2019, 53: 1341-1351.
– reference: 22) Nasreddine ZS, Phillips NA, Bédirian V, et al.: The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment. J Am Geriatr Soc, 2005, 53: 695-699.
– reference: 45) Klompstra L, Jaarsma T, Strömberg A: Self-efficacy mediates the relationship between motivation and physical activity in patients with heart failure. J Cardiovasc Nurs, 2018, 33: 211-216.
– reference: 2) 厚生労働省:令和元年人口動態統計月報年計の概況.https://www.mhlw.go.jp/toukei/saikin/hw/jinkou/geppo/nengai19/dl/gaikyouR1. pdf(閲覧日2022年5月10日).
– reference: 33) Sumimoto Y, Yanagita M, Miyamatsu N, et al. for NIPPON DATA2010 Research Group: Association between socioeconomic status and physical inactivity in a general Japanese population: NIPPON DATA2010. PLoS One, 2021, 16: e0254706.
– reference: 34) 姫野麻菜美,内藤喜隆,石口祥夫・他:慢性心不全患者の認知機能と心機能との関連と当院の取り組み.心臓リハビリテーション,2017, 23: 8-11.
– reference: 40) Joussain C, Joubert J, Laroche D, et al.: Barriers to physical activity in coronary artery disease patients: development and validation of a new scale. Ann Phys Rehabil Med, 2017, 60: 289-298.
– reference: 6) Duscha BD, Piner LW, Patel MP, et al.: Effects of a 12-week mHealth program on peak VO2 and physical activity patterns after completing cardiac rehabilitation: a randomized controlled trial. Am Heart J, 2018, 199: 105-114.
– reference: 15) Stewart RA, Held C, Hadziosmanovic N, et al. STABILITY Investigators: Physical activity and mortality in patients with stable coronary heart disease. J Am Coll Cardiol, 2017, 70: 1689-1700.
– reference: 30) Izawa KP, Watanabe S, Oka K, et al.: Relation between physical activity and exercise capacity of ≥5 metabolic equivalents in middle- and older-aged patients with chronic heart failure. Disabil Rehabil, 2012, 34: 2018-2024.
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Snippet 〔目的〕心疾患患者における軽度の認知機能低下と身体活動量(PA)の関連を明らかにする.〔対象と方法〕対象は,心臓リハビリテーション実施中の心疾患患者48名(平均年...
「要旨」:〔目的〕心疾患患者における軽度の認知機能低下と身体活動量(PA)の関連を明らかにする. 〔対象と方法〕対象は, 心臓リハビリテーション実施中の心疾患患者48名(平均年...
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jstage
SourceType Publisher
StartPage 551
SubjectTerms 心疾患
身体活動量
軽度認知機能低下
Title 心疾患患者における軽度の認知機能低下と身体活動量の関連
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Volume 37
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ispartofPNX 理学療法科学, 2022, Vol.37(6), pp.551-556
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