Relationship between the Kihon Checklist and the clinical parameters in patients who participated in cardiac rehabilitation

Abstract

Aim The Kihon Checklist is a useful screening tool for assessing frailty in older individuals. However, the clinical significance of the Kihon Checklist in cardiac rehabilitation patients remains unclear. The present study aimed to evaluate the relationship between the Kihon Checklist and the clinical parameters in patients who participated in cardiac rehabilitation. Methods We enrolled 845 consecutive patients (584 men, mean age 71 years) who participated in cardiac rehabilitation at Juntendo University Hospital, Tokyo, Japan, between November 2015 and October 2017. The patients were divided into non‐frailty (n = 287), pre‐frailty (n = 270) and frailty (n = 288) groups according to their Kihon Checklist scores. Cardiopulmonary exercise testing was carried out in 302 patients. Results The frailty group was older and had a higher prevalence of history of heart failure than the non‐frailty group, although left ventricular ejection fraction did not differ significantly between groups. Nutritional index, trunk and limb muscle mass, lean body weight, and grip strength were significantly lower in the frailty and pre‐frailty groups than those in the non‐frailty group. In the cardiopulmonary exercise test, a stepwise significant decrease in peak oxygen uptake was observed across the three groups (non‐frailty 17.2 ± 3.6, pre‐frailty 16.0 ± 3.4, frailty 14.4 ± 3.5 mL/kg/min, P < 0.01). Multivariate regression analyses showed that the Kihon Checklist score was significantly and independently associated with peak oxygen uptake (r = −0.34, P < 0.0001). Conclusions The Kihon Checklist, which was associated with frailty and exercise tolerance, could be used as a clinical assessment method for patients who participated in cardiac rehabilitation. Geriatr Gerontol Int 2019; 19: 287–292.

Arterial Stiffness Index and Exercise Tolerance in Patients Undergoing Cardiac Rehabilitation

“…Grip strength was measured for both hands while the patient was standing, and the highest value was used. 15) Blood was collected on an empty stomach in the morning, and the blood test and oral medication data close to the time of CR were used. AVI and API: AVI and API were measured by trained nurses using PASESA AVE-1500 (Shisei Datum, Tokyo).…”

Screening for and Managing the Person with Frailty in Primary Care: ICFSR Consensus Guidelines

“…The Kihon checklist was introduced by the Japanese longterm care insurance system in 2006 as an evaluation of frailty (41,42). It consists of 25 yes or no questions that evaluate the domains of physical function, nutrition, feeding, social activity, memory, mood and lifestyle (43).…”

Screening for and Managing the Person with Frailty in Primary Care: ICFSR Consensus Guidelines

“…The Kihon checklist was introduced by the Japanese long-term care insurance system in 2006 as an evaluation of frailty ( 41 , 42 ). It consists of 25 yes or no questions that evaluate the domains of physical function, nutrition, feeding, social activity, memory, mood and lifestyle ( 43 ).…”

“…The VES-13 ( 37 , 38 ) and Kihon checklist ( 41 , 42 ) include items assessing basic and instrumental activities of daily living among their scoring items. As with the Clinical Frailty Scale, clinicians using these instruments may have difficulties at distinguishing frailty from disability.…”