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Health behaviors contribute to quality of life in patients with advanced heart failure independent of psychological and medical patient characteristics.
Qual Life Res 2013; 22(7):1603-11QL

Abstract

BACKGROUND

Little is known about the contribution of health behaviors to quality of life (QoL) in heart transplant candidates. We examined physical activity, dietary habits, psychological, and medical patient characteristics as correlates of QoL among patients enrolled in the multisite Waiting for a New Heart Study.

METHOD

QoL (Minnesota Living with Heart Failure Questionnaire), demographic variables, psychological variables (e.g., depression, coping styles), and health behaviors (physical activity, dietary habits) were assessed in 318 patients (82% male, 53 ± 11 years) at the time of wait-listing and analyzed in 312 patients (excluding six underweight patients). Eurotransplant provided BMI and medical variables to compute the Heart Failure Survival Score (HFSS). Hierarchical multiple regression models were used to assess the independent contribution of health behaviors to QoL.

RESULTS

The HFSS was unrelated to QoL. As expected, psychological characteristics (depression, anxiety, vigilant coping style) contributed to impaired QoL, accounting for 22.9, 35.9, and 12.9% of the variance in total, emotional, and physical QoL, respectively. Physical inactivity further impaired QoL (total: 4.1%, p < 0.001; physical: 7.4%, p < 0.001). Dietary habits typically considered as unhealthy (i.e., infrequent consumption of fruits/vegetables/legumes; frequent intake of foods high in saturated fats) were related to enhanced physical QoL, but only among the overweight and obese patients.

CONCLUSION

Lifestyle interventions to modify negative emotions and to increase physical activity could help to improve QoL in heart transplant candidates, regardless of their disease severity. The role of eating habits in QoL among obese and overweight patients needs further exploration.

Authors+Show Affiliations

Department of Psychology, Johannes Gutenberg-University, Binger Str. 14-16, 55099, Mainz, Germany.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23161327

Citation

Bunyamin, Vina, et al. "Health Behaviors Contribute to Quality of Life in Patients With Advanced Heart Failure Independent of Psychological and Medical Patient Characteristics." Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, vol. 22, no. 7, 2013, pp. 1603-11.
Bunyamin V, Spaderna H, Weidner G. Health behaviors contribute to quality of life in patients with advanced heart failure independent of psychological and medical patient characteristics. Qual Life Res. 2013;22(7):1603-11.
Bunyamin, V., Spaderna, H., & Weidner, G. (2013). Health behaviors contribute to quality of life in patients with advanced heart failure independent of psychological and medical patient characteristics. Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation, 22(7), pp. 1603-11. doi:10.1007/s11136-012-0312-6.
Bunyamin V, Spaderna H, Weidner G. Health Behaviors Contribute to Quality of Life in Patients With Advanced Heart Failure Independent of Psychological and Medical Patient Characteristics. Qual Life Res. 2013;22(7):1603-11. PubMed PMID: 23161327.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Health behaviors contribute to quality of life in patients with advanced heart failure independent of psychological and medical patient characteristics. AU - Bunyamin,Vina, AU - Spaderna,Heike, AU - Weidner,Gerdi, Y1 - 2012/11/18/ PY - 2012/11/05/accepted PY - 2012/11/20/entrez PY - 2012/11/20/pubmed PY - 2014/4/20/medline SP - 1603 EP - 11 JF - Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation JO - Qual Life Res VL - 22 IS - 7 N2 - BACKGROUND: Little is known about the contribution of health behaviors to quality of life (QoL) in heart transplant candidates. We examined physical activity, dietary habits, psychological, and medical patient characteristics as correlates of QoL among patients enrolled in the multisite Waiting for a New Heart Study. METHOD: QoL (Minnesota Living with Heart Failure Questionnaire), demographic variables, psychological variables (e.g., depression, coping styles), and health behaviors (physical activity, dietary habits) were assessed in 318 patients (82% male, 53 ± 11 years) at the time of wait-listing and analyzed in 312 patients (excluding six underweight patients). Eurotransplant provided BMI and medical variables to compute the Heart Failure Survival Score (HFSS). Hierarchical multiple regression models were used to assess the independent contribution of health behaviors to QoL. RESULTS: The HFSS was unrelated to QoL. As expected, psychological characteristics (depression, anxiety, vigilant coping style) contributed to impaired QoL, accounting for 22.9, 35.9, and 12.9% of the variance in total, emotional, and physical QoL, respectively. Physical inactivity further impaired QoL (total: 4.1%, p < 0.001; physical: 7.4%, p < 0.001). Dietary habits typically considered as unhealthy (i.e., infrequent consumption of fruits/vegetables/legumes; frequent intake of foods high in saturated fats) were related to enhanced physical QoL, but only among the overweight and obese patients. CONCLUSION: Lifestyle interventions to modify negative emotions and to increase physical activity could help to improve QoL in heart transplant candidates, regardless of their disease severity. The role of eating habits in QoL among obese and overweight patients needs further exploration. SN - 1573-2649 UR - https://www.unboundmedicine.com/medline/citation/23161327/Health_behaviors_contribute_to_quality_of_life_in_patients_with_advanced_heart_failure_independent_of_psychological_and_medical_patient_characteristics_ L2 - https://doi.org/10.1007/s11136-012-0312-6 DB - PRIME DP - Unbound Medicine ER -