{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T23:33:59Z","timestamp":1789256039848,"version":"build-2803163510"},"reference-count":34,"publisher":"Oxford University Press (OUP)","issue":"16","license":[{"start":{"date-parts":[[2019,12,18]],"date-time":"2019-12-18T00:00:00Z","timestamp":1576627200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Eur J Prev Cardiolog"],"published-print":{"date-parts":[[2020,11]]},"abstract":"<jats:sec><jats:title>Aims<\/jats:title><jats:p> Functional capacity is an important endpoint for therapies oriented to older adults with cardiovascular diseases. The literature on predictors of exercise capacity is sparse in the elderly population. In a longitudinal European study on effectiveness of cardiac rehabilitation of seven European countries in elderly (&gt;65 years) coronary artery disease or valvular heart disease patients, predictors for baseline exercise capacity were determined, and reference ranges for elderly cardiac patients provided. <\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p> Mixed models were performed in 1282 patients (mean age 72.9\u2009\u00b1\u20095.4 years, 79% male) for peak oxygen consumption relative to weight (peak VO<jats:sub>2<\/jats:sub>; ml\/kg per min) with centre as random factor and patient anthropometric, demographic, social, psychological and nutritional parameters, as well as disease aetiology, procedure, comorbidities and cardiovascular risk factors as fixed factors. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> The most important predictors for low peak VO<jats:sub>2<\/jats:sub> were coronary artery bypass grafting or valve surgery, low resting forced expiratory volume, reduced left ventricular ejection fraction, nephropathy and peripheral arterial disease. Each cumulative comorbidity or cardiovascular risk factors reduced exercise capacity by 1.7\u2009ml\/kg per min and 1.1\u2009ml\/kg per min, respectively. Males had a higher peak VO<jats:sub>2<\/jats:sub> per body mass but not per lean mass. Haemoglobin was significantly linked to peak VO<jats:sub>2<\/jats:sub> in both surgery and non-surgery patients. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p> Surgical procedures, cumulative comorbidities and cardiovascular risk factors were the factors with the strongest relation to reduced exercise capacity in the elderly. Expression of peak VO<jats:sub>2<\/jats:sub> per lean mass rather than body mass allows a more appropriate comparison between sexes. Haemoglobin is strongly related to peak VO<jats:sub>2<\/jats:sub> and should be considered in studies assessing exercise capacity, especially in studies on patients after cardiac surgery. <\/jats:p><\/jats:sec>","DOI":"10.1177\/2047487319894676","type":"journal-article","created":{"date-parts":[[2019,12,19]],"date-time":"2019-12-19T05:31:25Z","timestamp":1576733485000},"page":"1702-1712","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":14,"title":["Predictors of pre-rehabilitation exercise capacity in elderly European cardiac patients \u2013 The EU-CaRE study"],"prefix":"10.1093","volume":"27","author":[{"given":"Thimo","family":"Marcin","sequence":"first","affiliation":[{"name":"Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prisca","family":"Eser","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Inselspital, Bern University Hospital, University of Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Prescott","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Bispebjerg Frederiksberg University Hospital, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicolai","family":"Mikkelsen","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Bispebjerg Frederiksberg University Hospital, Copenhagen, Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Leonie F","family":"Prins","sequence":"additional","affiliation":[{"name":"Diagram B.V., The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelien K","family":"Kolkman","sequence":"additional","affiliation":[{"name":"Diagram B.V., The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"\u00d3scar","family":"Lado-Baleato","sequence":"additional","affiliation":[{"name":"Department of Statistics, Mathematical Analysis, and Optimization, Universidade de Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen","family":"Cardaso-Suar\u00e9z","sequence":"additional","affiliation":[{"name":"Department of Statistics, Mathematical Analysis, and Optimization, Universidade de Santiago de Compostela, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wendy","family":"Bruins","sequence":"additional","affiliation":[{"name":"Isala Heart Centre, Zwolle, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Astrid E","family":"van der Velde","sequence":"additional","affiliation":[{"name":"Isala Heart Centre, Zwolle, The Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carlos","family":"Pe\u00f1a Gil","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Complexo Hospitalario Universitario de Santiago de Compostela, SERGAS IDIS CIBERCV, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie Christine","family":"Iliou","sequence":"additional","affiliation":[{"name":"Department of Cardiac Rehabilitation, Assistance Publique Hopitaux de Paris, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Diego","family":"Ardissino","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Parma University Hospital, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uwe","family":"Zeymer","sequence":"additional","affiliation":[{"name":"Klinikum Ludwigshafen and Institut f\u00fcr Herzinfarktforschung Ludwigshafen, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Esther 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