{"id":"47491b7b4ace","type":"article","url":"https://hartvaat.nl/2023/08/24/fysieke-activiteitsniveaus-bij-hartfalen-meta-analyse/","title":"Fysieke activiteitsniveaus bij hartfalen: meta-analyse","title_en":"Habitual physical activity levels of adults with heart failure: systematic review and meta-analysis.","category":"hartfalen","category_label":"Hartfalen","professions":["cardioloog","huisarts"],"tags":["ivabradine"],"journal":"Heart (British Cardiac Society)","doi":"10.1136/heartjnl-2022-321943","source_url":"https://doi.org/10.1136/heartjnl-2022-321943","authors":["Cara Jordan","Sarah J Charman","Alan Mark Batterham","Darren Flynn","David Houghton","Linda Errington","Guy MacGowan","Leah Avery"],"significance":5,"published":"2023-08-24","source_date":"2023-08-24","image":"","kennis":["https://hartvaat.nl/kennis/farmacologie/betablokkers-cardiale-indicaties/"],"congress":"","summary_en":"This meta-analysis quantified the very low habitual physical activity levels (3,000-4,000 steps/day) in heart failure patients, establishing the scale of sedentary behavior and the opportunity for activity promotion.","created":"2026-07-03T10:30:32Z","updated":"2026-07-03T18:39:05Z","licence":"Citeer vrij, met bronvermelding en een link naar hartvaat.nl (de url van het record). Samenvattingen zijn redactioneel werk van HartVaat; de oorspronkelijke publicaties blijven van hun uitgevers (doi). Geen medisch advies.","body_markdown":"Meta-analyse documenteerde de zeer lage fysieke activiteitsniveaus bij hartfalenpatiënten: gemiddeld 3.000-4.000 stappen per dag. Dit benadrukt de noodzaak van actieve beweegprogramma's en hartrevalidatie.","abstract_original":"OBJECTIVE: To conduct a systematic review and meta-analysis to quantify habitual physical activity (PA) levels of patients with heart failure (HF) and assess the quality of reporting of device-assessed PA. METHODS: Eight electronic databases were searched up to 17 November 2021. Data on the study and population characteristics, method of PA measurement and PA metrics were extracted. A random-effects meta-analysis (restricted maximum likelihood with Knapp-Hartung SE adjustment) was conducted. RESULTS: Seventy-five studies were included in the review (n=7775 patients with HF). Meta-analysis was restricted to mean steps per day, encompassing 27 studies (n=1720 patients with HF). Pooled mean steps per day were 5040 (95% CI: 4272 to 5807). The 95% prediction interval for mean steps per day in a future study was 1262 to 8817. Meta-regression at the study level revealed that a 10-year increment in the mean age of patients was associated with 1121 fewer steps per day (95% CI: 258 to 1984). CONCLUSIONS: Patients with HF are a low-active population. These findings have implications for the way in which PA is targeted in patients with HF, and interventions should focus on addressing the age-related decline observed as well as increasing PA to improve HF symptoms and quality of life. PROSPERO REGISTRATION NUMBER: CRD42020167786."}