{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,13]],"date-time":"2025-11-13T07:01:11Z","timestamp":1763017271323,"version":"3.37.3"},"reference-count":32,"publisher":"Wiley","issue":"3-4","license":[{"start":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T00:00:00Z","timestamp":1364342400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100001700","name":"Japanese Ministry of Education, Culture, Sports, Science and Technology","doi-asserted-by":"crossref","award":["#23792624"],"award-info":[{"award-number":["#23792624"]}],"id":[{"id":"10.13039\/501100001700","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Journal of Clinical Nursing"],"published-print":{"date-parts":[[2014,2]]},"abstract":"<jats:sec><jats:title>Aims and objectives<\/jats:title><jats:p>To determine the effects on heart rate variability of home\u2010based daily activity in patients with mild hypertension and\/or stable angina pectoris and to clarify the relationship between daily activity and sympathovagal balance.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Several prior studies have assessed the ability of exercise training to improve functional capacity and produce beneficial effects on mortality and physical capacity in patients with cardiovascular disease.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>A non\u2010randomised six\u2010month prospective longitudinal study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>This study consisted of 41 patients (59\u201383\u00a0years old) with mild hypertension and\/or stable angina pectoris. The home\u2010based daily activity and heart rate variability were measured at the start of the study (<jats:styled-content style=\"fixed-case\">BASE<\/jats:styled-content>) and six\u00a0months after the start of the study (6MoA). At 6MoA, the active mass increased in 23 patients (the <jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content> group), while it decreased in the remaining 18 patients (the <jats:styled-content style=\"fixed-case\">DC<\/jats:styled-content> group).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There were significant increases in the high\u2010frequency component in the <jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content> group between the data at <jats:styled-content style=\"fixed-case\">BASE<\/jats:styled-content> and 6MoA. There were significant decreases in the low frequency to high\u2010frequency ratio (low frequency\/high\u2010frequency) during sleep in the <jats:styled-content style=\"fixed-case\">IC<\/jats:styled-content> group between the data at <jats:styled-content style=\"fixed-case\">BASE<\/jats:styled-content> and 6MoA. The active mass was classified into life activities and walk activities in terms of intensity of activity. In a multivariate model, increased life activitiesrevealed a trend towards an association with increased high\u2010frequency.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In patients with mild hypertension and\/or stable angina pectoris, an increase in active mass improved heart rate variability outcomes with increased high\u2010frequency and decreased low frequency\/high\u2010frequency during sleep. To increase life activitiesmight improve heart rate variability and prognosis in patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Relevance to clinical practice<\/jats:title><jats:p>This study demonstrated that the potential importance of low\u2010intensity daily activities in patients with mild hypertension and\/or stable angina pectoris.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jocn.12120","type":"journal-article","created":{"date-parts":[[2013,3,27]],"date-time":"2013-03-27T12:13:16Z","timestamp":1364386396000},"page":"367-373","source":"Crossref","is-referenced-by-count":6,"title":["Life activities improve heart rate variability in patients with mild hypertension and\/or the initial stage of heart failure"],"prefix":"10.1111","volume":"23","author":[{"given":"Natsuki","family":"Nakayama","sequence":"first","affiliation":[{"name":"Department of Nursing, College of Life and Health Sciences Chubu University Kasugai Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Negi","sequence":"additional","affiliation":[{"name":"Negi Clinic Inazawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Koji","family":"Watanabe","sequence":"additional","affiliation":[{"name":"Watanabe Medical Clinic Aichi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Makoto","family":"Hirai","sequence":"additional","affiliation":[{"name":"Department of Health Sciences Nagoya University, Graduate School of Medicine Nagoya Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2013,3,27]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2004.07.014"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.99.9.1173"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0004-9514(08)70041-2"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.85.6.2119"},{"key":"e_1_2_11_6_1","doi-asserted-by":"crossref","first-page":"E213","DOI":"10.1016\/j.jacc.2004.07.021","article-title":"ACC\/AHA 2004 guideline update for coronary artery bypass graft surgery: summary article: a report of the American College of Cardiology\/American Heart Association Task Force on Practice Guideline (Committee to Update the 1999 Guidelines for Coronary Artery Bypass Graft Surgery)","volume":"44","author":"Eagle KA","year":"2004","journal-title":"Journal of the American College of Cardiology"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/09638289809166085"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2009.457"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.110.156331"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0735-1097(02)02848-6"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(94)00568-B"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.109.876383"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.81.4.1217"},{"key":"e_1_2_11_14_1","first-page":"154","article-title":"ACC\/AHA 2005 Guideline Update for the Diagnosis and Management of Chronic Heart Failure in the Adult: a report of the American College of Cardiology\/American Heart Association Task Force on Practice Guidelines (Writing Committee to Update the 2001 Guidelines for the Evaluation and Management of Heart Failure): developed in collaboration with the American College of Chest Physicians and the International Society for Heart and Lung Transplantation: endorsed by the Heart Rhythm Society","volume":"112","author":"Hunt SA","year":"2005","journal-title":"Circulation"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/HJR.0b013e32832e097f"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.102.21.2588"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0b013e3181ed9424"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1161\/HYPERTENSIONAHA.106.085548"},{"key":"e_1_2_11_19_1","doi-asserted-by":"publisher","DOI":"10.1097\/00008483-200007000-00004"},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000151788.08740.5C"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)00021-6"},{"key":"e_1_2_11_22_1","doi-asserted-by":"publisher","DOI":"10.1161\/01.HYP.34.4.724"},{"key":"e_1_2_11_23_1","doi-asserted-by":"crossref","first-page":"1043","DOI":"10.1161\/01.CIR.93.5.1043","article-title":"Heart rate variability. 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