Hemodynamic Effects of a Multidisciplinary Geriatric Rehabilitation Program

Nikolaos Pagonas,1,2,* Frederic Bauer,1,* Laura Zappe,1 Felix S Seibert,1 Benjamin Rohn,1 Christiane Klimek,3 Rainer Wirth,3 Michael Gotzmann,4 Nina Babel,1 Timm H Westhoff1 1University Hospital Marien Hospital Herne, Department of Internal Medicine I, Ruhr-University Bochum, Bochum, Germany; 2Unive...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Pagonas N, Bauer F, Zappe L, Seibert FS, Rohn B, Klimek C, Wirth R, Gotzmann M, Babel N, Westhoff TH
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2020
Materias:	exercise rehabilitation program geriatric blood pressure hypertension Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/39e7fc2d51c44b579988e7cad562293b
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:39e7fc2d51c44b579988e7cad562293b
record_format	dspace
spelling	oai:doaj.org-article:39e7fc2d51c44b579988e7cad562293b2021-12-02T11:34:14ZHemodynamic Effects of a Multidisciplinary Geriatric Rehabilitation Program1178-1998https://doaj.org/article/39e7fc2d51c44b579988e7cad562293b2020-06-01T00:00:00Zhttps://www.dovepress.com/hemodynamic-effects-of-a-multidisciplinary-geriatric-rehabilitation-pr-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Nikolaos Pagonas,1,2,* Frederic Bauer,1,* Laura Zappe,1 Felix S Seibert,1 Benjamin Rohn,1 Christiane Klimek,3 Rainer Wirth,3 Michael Gotzmann,4 Nina Babel,1 Timm H Westhoff1 1University Hospital Marien Hospital Herne, Department of Internal Medicine I, Ruhr-University Bochum, Bochum, Germany; 2University Hospital Brandenburg, Department of Cardiology, Brandenburg Medical School, Brandenburg an der Havel, Germany; 3University Hospital Marien Hospital Herne, Department of Geriatrics, Ruhr-University Bochum, Bochum, Germany; 4University Hospital St Josef Hospital Bochum, Cardiology, Ruhr University Bochum, Bochum, Germany*These authors contributed equally to this workCorrespondence: Timm H WesthoffUniversity Hospital Marien Hospital Herne, Department of Internal Medicine I, Ruhr-University Bochum, Bochum, GermanyEmail timm.westhoff@elisabethgruppe.deBackground: Geriatric rehabilitation programs primarily aim at an increase of mobility and functional autonomy of the elderly. The cardiovascular effects of these programs, however, remain elusive. Since regular physical exercise is associated with numerous beneficial cardiovascular effects including a reduction of blood pressure (BP), the present prospective study investigates the hemodynamic effects of a representative standardized rehabilitation program.Methods: A total of 74 subjects who were hospitalized in a German university hospital for geriatric rehabilitation were enrolled in the study. Peripheral BP, central aortic BP, 24h-ambulatory BP, heart rate and pulse wave velocity as a measure of arterial stiffness were assessed at admission and before discharge from the hospital. The program contained 4– 5 sessions of physical activity of individualized intensity per week (≥ 30 min/session, eg, walking, cycling, stair rising).Results: The mean age of the study population was 82.4± 6.9 years; all patients suffered from arterial hypertension (stage 2– 3) with a median number of three antihypertensive drugs. The most frequent cause for admission was injurious falls. The mean duration of the rehabilitation program was 17 days and comprised at least 20 physical activity sessions including occupational therapy. The program led to a significant improvement of mobility (Timed Up & Go 29.5± 18.5 vs 19.1 ± 9.3 s, p< 0.001) and Barthel index of activities of daily living score (46.6± 19.1 vs 69.8± 16.5, p< 0.001). Peripheral systolic BP decreased from 135.4± 19.0 mmHg at baseline to 129.0± 18.4 mmHg at follow-up (p=0.03), whereas peripheral diastolic BP, central aortic BP, 24h-ambulatory BP, heart rate and pulse wave velocity as a measure of arterial stiffness were not significantly altered (p> 0.05 each).Conclusion: The present representative standardized geriatric rehabilitation program was able to improve mobility, which showed a mild effect on systolic BP but did not affect 24h-ambulatory BP.Keywords: exercise, rehabilitation program, geriatric, blood pressure, hypertensionPagonas NBauer FZappe LSeibert FSRohn BKlimek CWirth RGotzmann MBabel NWesthoff THDove Medical Pressarticleexerciserehabilitation programgeriatricblood pressurehypertensionGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 15, Pp 1035-1043 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	exercise rehabilitation program geriatric blood pressure hypertension Geriatrics RC952-954.6
spellingShingle	exercise rehabilitation program geriatric blood pressure hypertension Geriatrics RC952-954.6 Pagonas N Bauer F Zappe L Seibert FS Rohn B Klimek C Wirth R Gotzmann M Babel N Westhoff TH Hemodynamic Effects of a Multidisciplinary Geriatric Rehabilitation Program
description	Nikolaos Pagonas,1,2,* Frederic Bauer,1,* Laura Zappe,1 Felix S Seibert,1 Benjamin Rohn,1 Christiane Klimek,3 Rainer Wirth,3 Michael Gotzmann,4 Nina Babel,1 Timm H Westhoff1 1University Hospital Marien Hospital Herne, Department of Internal Medicine I, Ruhr-University Bochum, Bochum, Germany; 2University Hospital Brandenburg, Department of Cardiology, Brandenburg Medical School, Brandenburg an der Havel, Germany; 3University Hospital Marien Hospital Herne, Department of Geriatrics, Ruhr-University Bochum, Bochum, Germany; 4University Hospital St Josef Hospital Bochum, Cardiology, Ruhr University Bochum, Bochum, Germany*These authors contributed equally to this workCorrespondence: Timm H WesthoffUniversity Hospital Marien Hospital Herne, Department of Internal Medicine I, Ruhr-University Bochum, Bochum, GermanyEmail timm.westhoff@elisabethgruppe.deBackground: Geriatric rehabilitation programs primarily aim at an increase of mobility and functional autonomy of the elderly. The cardiovascular effects of these programs, however, remain elusive. Since regular physical exercise is associated with numerous beneficial cardiovascular effects including a reduction of blood pressure (BP), the present prospective study investigates the hemodynamic effects of a representative standardized rehabilitation program.Methods: A total of 74 subjects who were hospitalized in a German university hospital for geriatric rehabilitation were enrolled in the study. Peripheral BP, central aortic BP, 24h-ambulatory BP, heart rate and pulse wave velocity as a measure of arterial stiffness were assessed at admission and before discharge from the hospital. The program contained 4– 5 sessions of physical activity of individualized intensity per week (≥ 30 min/session, eg, walking, cycling, stair rising).Results: The mean age of the study population was 82.4± 6.9 years; all patients suffered from arterial hypertension (stage 2– 3) with a median number of three antihypertensive drugs. The most frequent cause for admission was injurious falls. The mean duration of the rehabilitation program was 17 days and comprised at least 20 physical activity sessions including occupational therapy. The program led to a significant improvement of mobility (Timed Up & Go 29.5± 18.5 vs 19.1 ± 9.3 s, p< 0.001) and Barthel index of activities of daily living score (46.6± 19.1 vs 69.8± 16.5, p< 0.001). Peripheral systolic BP decreased from 135.4± 19.0 mmHg at baseline to 129.0± 18.4 mmHg at follow-up (p=0.03), whereas peripheral diastolic BP, central aortic BP, 24h-ambulatory BP, heart rate and pulse wave velocity as a measure of arterial stiffness were not significantly altered (p> 0.05 each).Conclusion: The present representative standardized geriatric rehabilitation program was able to improve mobility, which showed a mild effect on systolic BP but did not affect 24h-ambulatory BP.Keywords: exercise, rehabilitation program, geriatric, blood pressure, hypertension
format	article
author	Pagonas N Bauer F Zappe L Seibert FS Rohn B Klimek C Wirth R Gotzmann M Babel N Westhoff TH
author_facet	Pagonas N Bauer F Zappe L Seibert FS Rohn B Klimek C Wirth R Gotzmann M Babel N Westhoff TH
author_sort	Pagonas N
title	Hemodynamic Effects of a Multidisciplinary Geriatric Rehabilitation Program
title_short	Hemodynamic Effects of a Multidisciplinary Geriatric Rehabilitation Program
title_full	Hemodynamic Effects of a Multidisciplinary Geriatric Rehabilitation Program
title_fullStr	Hemodynamic Effects of a Multidisciplinary Geriatric Rehabilitation Program
title_full_unstemmed	Hemodynamic Effects of a Multidisciplinary Geriatric Rehabilitation Program
title_sort	hemodynamic effects of a multidisciplinary geriatric rehabilitation program
publisher	Dove Medical Press
publishDate	2020
url	https://doaj.org/article/39e7fc2d51c44b579988e7cad562293b
work_keys_str_mv	AT pagonasn hemodynamiceffectsofamultidisciplinarygeriatricrehabilitationprogram AT bauerf hemodynamiceffectsofamultidisciplinarygeriatricrehabilitationprogram AT zappel hemodynamiceffectsofamultidisciplinarygeriatricrehabilitationprogram AT seibertfs hemodynamiceffectsofamultidisciplinarygeriatricrehabilitationprogram AT rohnb hemodynamiceffectsofamultidisciplinarygeriatricrehabilitationprogram AT klimekc hemodynamiceffectsofamultidisciplinarygeriatricrehabilitationprogram AT wirthr hemodynamiceffectsofamultidisciplinarygeriatricrehabilitationprogram AT gotzmannm hemodynamiceffectsofamultidisciplinarygeriatricrehabilitationprogram AT babeln hemodynamiceffectsofamultidisciplinarygeriatricrehabilitationprogram AT westhoffth hemodynamiceffectsofamultidisciplinarygeriatricrehabilitationprogram
_version_	1718395814400753664

Hemodynamic Effects of a Multidisciplinary Geriatric Rehabilitation Program

Ejemplares similares