{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T22:19:35Z","timestamp":1783376375270,"version":"3.54.6"},"reference-count":20,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T00:00:00Z","timestamp":1641340800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004726","name":"Ministry of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004726","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Physiol."],"abstract":"<jats:p><jats:bold>Background:<\/jats:bold> In elderly chronic heart failure (HF) patients, activities of daily living (ADLs) require the use of a high proportion of patients\u2019 peak aerobic capacity, heart rate, and ventilation.<\/jats:p><jats:p><jats:bold>Objectives:<\/jats:bold> To assess the effects of short-term comprehensive cardiac rehabilitation (CR) on the metabolic requirement of ADLs in elderly patients with chronic HF.<\/jats:p><jats:p><jats:bold>Methods:<\/jats:bold> The study population comprised 99 elderly chronic HF patients (mean age 72\u2009\u00b1\u20095\u2009years, 80% male, 61% ejection fraction &amp;lt;40%, mean NT-proBNP 2,559\u2009\u00b1\u20094,511\u2009pg\/ml) participating in a short-term (mean days 19\u2009\u00b1\u20097) residential CR program. Before and after CR, participants, while wearing a portable ergospirometer, performed a standardized ADL battery: ADL1 (getting dressed), ADL2 (folding 8 towels), ADL3 (putting away 6 bottles), ADL4 (making a bed), ADL5 (sweeping the floor for 4\u2009min), ADL6 (climbing 1 flight of stairs carrying a 1.5\u2009Kg load), and ADL7 (a standard 6-min walking test).<\/jats:p><jats:p><jats:bold>Results:<\/jats:bold> After CR, task-related oxygen uptake did not change in any of the domestic ADLs. Notably, there was a significant decrease in the cumulative time required to perform ADLs (ADL 1\u20134 and ADL6; from 412\u2009\u00b1\u2009147 to 388\u2009\u00b1\u2009141\u2009s, <jats:italic>p<\/jats:italic>\u2009=\u20090.001) and a reduction in maximal heart rate in ADL1 and 3 (<jats:italic>p<\/jats:italic>\u2009=\u20090.005 and <jats:italic>p<\/jats:italic>\u2009=\u20090.027, respectively). Changes occurred in the 6MWT with an increase in oxygen uptake (<jats:italic>p<\/jats:italic>\u2009=\u20090.005) and in the distance covered (<jats:italic>p<\/jats:italic>\u2009&amp;lt;\u20090.001) and a significant decrease in the Borg scale of dyspnea (<jats:italic>p<\/jats:italic>\u2009=\u20090.004).<\/jats:p><jats:p><jats:bold>Conclusion:<\/jats:bold> Elderly patients with chronic heart failure who are engaged in a short-term residential CR program improve the performance of routine ADLs.<\/jats:p>","DOI":"10.3389\/fphys.2021.785501","type":"journal-article","created":{"date-parts":[[2022,1,5]],"date-time":"2022-01-05T07:47:15Z","timestamp":1641368835000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":15,"title":["The Impact of Cardiac Rehabilitation on Activities of Daily Life in Elderly Patients With Heart Failure"],"prefix":"10.3389","volume":"12","author":[{"given":"Mara","family":"Paneroni","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Simonetta","family":"Scalvini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ugo","family":"Corr\u00e0","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marta","family":"Lovagnini","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roberto","family":"Maestri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Mazza","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Raimondo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piergiuseppe","family":"Agostoni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Teresa","family":"La Rovere","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2022,1,5]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"30","DOI":"10.1038\/nrcardio.2010.165","article-title":"Epidemiology and risk profile of heart failure","volume":"8","author":"Bui","year":"2011","journal-title":"Nat. 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