Table 2.
Frailty and Physical Function
| ADHF | Stable HFpEF | Healthy | ADHF vs HFpEF; p-value | ADHF vs Healthy; p-value | |
|---|---|---|---|---|---|
| Frailty Phenotype | |||||
| Frail (≥ 3 of 5 domains met) | 56% | 0 | 0 | <0.001 | <0.001 |
| Pre-frail (1-2 domains met) | 41% | 58% | 10% | 0.30 | <0.001 |
| Frailty domains | |||||
| Slowness (gait speed) | 74% | 4% | 0 | <0.001 | <0.001 |
| Weakness (handgrip) | 56% | 11% | 8% | <0.001 | <0.001 |
| Weight loss | 0 | 0 | 2% | 1.0 | 1.0 |
| Exhaustion | 85% | 33% | 0 | <0.001 | <0.001 |
| Low physical activity | 33% | 25% | 0 | 0.84 | <0.001 |
| Additional Frailty Criteria | |||||
| Short Physical Performance Battery score < 6 | 56% | 0 | 0 | <0.001 | <0.001 |
| Gait speed < 0.8 m/s | 81% | 14% | 0 | <0.001 | <0.001 |
| Handgrip strength men <30 kg; women <20 kg | 48% | 9% | 3% | <0.001 | <0.001 |
| Physical Function | |||||
| Short Physical Performance Battery components | |||||
| Chair rise score | 0.7 ± 0.7 | 2.2 ± 0.9* | 3.3 ± 0.7 | < 0.01 | < 0.01 |
| Balance score | 2.4 ± 1.4 | 3.7 ± 0.6 | 4.0 ± 0.2 | < 0.01 | < 0.01 |
| Gait speed score | 2.0 ± 1.2 | 3.7 ± 0.5 | 4.0 ± 0.0 | < 0.01 | < 0.01 |
| Gait speed (m/s) | 0.58 ± 0.23 | 0.98 ± 0.21* | 1.22 ± 0.17 | < 0.01 | < 0.01 |
| Handgrip strength (kg) | |||||
| Men | 30.3 ± 11.3 | 46.1 ± 8.0 | 52.4 ± 10.3 | < 0.01 | < 0.01 |
| Women | 20.7 ± 6.1 | 28.9 ± 9.4 | 27.6 ± 6.9 | < 0.01 | < 0.04 |
Chronic, stable HFpEF significantly different compared to Healthy (p ± 0.01). Data presented as mean ± standard deviation or percentage. For continuous variables, P-value is from analysis of covariance, with age and ejection fraction as covariates. For categorical variables, P-value is from Fisher's exact test. Bonferroni correction used for multiple comparisons.
Abbreviations: ADHF = acute decompensated heart failure; HFpEF = heart failure with preserved ejection fraction