10-Year Exercise Training in Chronic Heart Failure

Belardinelli, Romualdo; Georgiou, Demetrios; Cianci, G.; Purcaro, A

doi:10.1016/j.jacc.2012.06.036

Cited by 256 publications

(234 citation statements)

References 24 publications

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“…Regarding year of publication, nine articles were dated 2012 (15)(16)18,(20)(21)(22)(29)(30)(31) , followed by years 2011 (n=6) (11)(12)(13)17,19,23,33) , 2010 (n=4) de la salud que tratan de personas con insuficiencia cardiaca. Futuras revisiones sistemáticas con meta-análisis son necesarias para identificar las intervenciones más eficaces para mejorar la calidad de vida de estos individuos.…”

Section: Resultsunclassified

“…Regarding year of publication, nine articles were dated 2012 (15)(16)18,(20)(21)(22)(29)(30)(31) , followed by years 2011 (n=6) (11)(12)(13)17,19,23,33) , 2010 (n=4) (24)(25)32,34) , 2013 (n=3) (14,(27)(28) and 2008 (n=1) (26) . The articles were published in General Cardiology journals (12)(13)(16)(17)(18)20,22,(24)(25)(28)(29)(30)(31)(32)34) , followed by General Clinical journals (14)(15)(26)(27)33) . Two articles were published in Nursing journals (19,23) and one was published in a Nutrition journal (21) (Chart 1).…”

Section: Resultsmentioning

confidence: 99%

“…As for languages, all articles were published in English. The selected studies were performed in the following countries: USA (n=8) (12,15,17,19,(24)(25)(32)(33) , Sweden (n=2) (18,23) , Germany (n=2) (22,34) , Brazil (n=2) (21,26) , Australia (n=2) (28)(29) , United Kingdom (n=2) (14,31) , Italy (n=2) (16,30) , Spain (n=1) (13) , Taiwan (n=1) (19) and Iran (n=1) (27) . Nurses were the professionals performing the interventions in most studies (12,(14)(15)(19)(20)32) .…”

Section: Resultsmentioning

confidence: 99%

“…with physical therapists (30) . Two studies were performed only by physical therapists (23,31) and two were led by nutritionists (21) (Chart 1).…”

Section: Spanish Cardiology Magazinementioning

confidence: 99%

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Intervenções não farmacológicas para melhor qualidade de vida na insuficiência cardíaca: revisão integrativa

et al. 2017

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Nursing, Clinical and Surgical Nursing Department. São Paulo, Brazil. How to cite this article: Amaral DR, Rossi MB, Lopes CT, Lopes JL. Nonpharmacological interventions to improve quality of life in heart failure: an integrative review. Rev Bras Enferm [Internet]. 2017;70(1):187-98. DOI: http://dx.doi.org/10.1590/0034-7167-2016-0112Submission: 04-01-2016Approval: 09-07-2016 ABSTRACT Objective: to identify articles that assessed the effectiveness or effi cacy of nonpharmacological interventions to improve quality of life of people with heart failure in the literature. Method: an integrative literature review was performed in Lilacs, MedLine and SciELO databases, including randomized or nonrandomized clinical trials and quasi-experimental studies published between 2003 and 2014, in Portuguese, English or Spanish. Results: twenty-three studies were included. The categories of nonpharmacological interventions that improved quality of life of people with heart failure were: Remote health monitoring, Instructions on health practices, Physical activity follow-up and Traditional Chinese Medicine practices. Conclusion: these results can guide the selection of interventions to be implemented by health professionals that treat people with heart failure. Future systematic reviews with meta-analyses are needed in order to identify the most effective interventions for improving these individuals' quality of life. Descriptors: Clinical trials; Heart failure; Quality of Life; Review; Nursing. RESUMO Objetivo: identifi car, na literatura, artigos que avaliaram a efetividade ou efi cácia de intervenções não farmacológicas para melhorar a qualidade de vida de pessoas com insufi ciência cardíaca. Método: revisão integrativa de literatura realizada nas bases de dados Lilacs, MedLine e SciELO, incluindo ensaios clínicos randomizados ou não randomizados e estudos quaseexperimentais publicados entre 2003 e 2014, em português, inglês e espanhol. Resultados: foram incluídos 23 estudos. As categorias de intervenções não farmacológicas que melhoraram a qualidade de vida de pessoas com insufi ciência cardíaca foram: Monitoramento remoto da saúde, Orientação sobre práticas de saúde, Acompanhamento de atividade física e Práticas de Medicina Tradicional Chinesa. Conclusão: estes resultados podem direcionar a seleção de intervenções a serem implementadas por profi ssionais de saúde que cuidam de pessoas com insufi ciência cardíaca. Futuras revisões sistemáticas com metanálise são necessárias para identifi car as intervenções mais efi cazes para melhorar a qualidade de vida desses indivíduos. Descritores: Estudos de Intervenção; Insufi ciência Cardíaca; Qualidade de Vida; Revisão; Enfermagem. RESUMEN Objetivo: identifi car, en la literatura, artículos que evaluaron la efectividad o efi cacia de intervenciones no farmacológicas para mejorar la calidad de vida de personas con insufi ciencia cardíaca. Método: revisión integrativa de literatura realizada en las bases de datos Lilacs, MedLine y SciELO, incluyendo ensayos clínicos aleatorios o no...

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Section: Resultsunclassified

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…with physical therapists (30) . Two studies were performed only by physical therapists (23,31) and two were led by nutritionists (21) (Chart 1).…”

Section: Spanish Cardiology Magazinementioning

confidence: 99%

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Intervenções não farmacológicas para melhor qualidade de vida na insuficiência cardíaca: revisão integrativa

et al. 2017

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“…Although the results for quality of life were not different between the groups, it can be observed that in the present study day-to-day activities, represented by the 6MWT, CT and ST, were impaired for patients with HF+PVI. We believe that histological abnormalities in skeletal muscle of HF patients, such as muscle atrophy and reduced mitochondrial density, [21][22][23] may have impacted these patients' capacity for microvascular O 2 extraction. This in turn suggests that the patients with mixed disease suffer greater musculoskeletal compromise, leading to lower tolerance of exercise, as observed in the clinical tests.…”

Section: Discussionmentioning

confidence: 98%

Peripheral vascular insufficiency impairs functional capacity in patients with heart failure

et al. 2014

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INTRODUCTION: Heart failure (HF) is a complex syndrome in which effort limitation is associated with deterioration of peripheral musculature. Improving survival rates among these patients have led to the appearance of cases in which other pathologies are associated with HF, such as peripheral vascular insufficiency (PVI). The combination of these two pathologies is common, with significant repercussions for affected patients. OBJECTIVE: To compare functional limitations and quality of life between patients with HF in isolation or HF + PVI. METHOD: Twelve patients with HF+PVI were paired to 12 patients with HF in isolation. All had ejection fraction <40%. The following were conducted: 6 minute walk test (6MWT), chair test (CT), step test (ST), one repetition maximum test (1RM) and quality of life questionnaire. RESULTS: The results for the 6MWT (311±27 vs. 447±29), ST (49±3 vs. 81±10) and CT (17±1 vs. 21±1) were lower in the HF+PVI group than in the HF group (p<0.05). The HF+PVI group exhibited a reduction in the number of steps taken from the first to the second minute of the ST, in relation to the HF group. The HF group exhibited better HR recovery than the HF+PVI group (50±4 vs. 26±3; p<0.05). No differences were found in results for the Borg scale, the peripheral muscle strength test (1RM) or the questionnaires (p>0.05). CONCLUSIONS: The study participants who had mixed disease exhibited a greater degree of functional impairment than the group with HF, without reporting worsened quality of life.

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Association of Long-term Exercise Training With Risk of Falls, Fractures, Hospitalizations, and Mortality in Older Adults

et al. 2019

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IMPORTANCE Long-term exercise benefits on prevalent adverse events in older populations, such as falls, fractures, or hospitalizations, are not yet established or known. OBJECTIVE To systematically review and investigate the association of long-term exercise interventions (Ն1 year) with the risk of falls, injurious falls, multiple falls, fractures, hospitalization, and mortality in older adults. DATA SOURCES PubMed, Cochrane Central Register of Controlled Trials, SportDiscus, PsychInfo, and Ageline were searched through March 2018. STUDY SELECTION Exercise randomized clinical trials (RCTs) with intervention length of 1 year or longer, performed among participants 60 years or older. DATA EXTRACTION AND SYNTHESIS Two raters independently screened articles, abstracted the data, and assessed the risk of bias. Data were combined with risk ratios (RRs) using DerSimonian and Laird's random-effects model (Mantel-Haenszel method). MAIN OUTCOMES AND MEASURES Six binary outcomes for the risk of falls, injurious falls, multiple falls (Ն2 falls), fractures, hospitalization, and mortality. RESULTS Forty-six studies (22 709 participants) were included in the review and 40 (21 868 participants) in the meta-analyses (mean [SD] age, 73.1 [7.1] years; 15 054 [66.3%] of participants were women). The most used exercise was a multicomponent training (eg, aerobic plus strength plus balance); mean frequency was 3 times per week, about 50 minutes per session, at a moderate intensity. Comparator groups were often active controls. Exercise significantly decreased the risk of falls (n = 20 RCTs; 4420 participants; RR, 0.88; 95% CI, 0.79-0.98) and injurious falls (9 RTCs; 4481 participants; RR, 0.74; 95% CI, 0.62-0.88), and tended to reduce the risk of fractures (19 RTCs; 8410 participants; RR, 0.84; 95% CI, 0.71-1.00; P = .05). Exercise did not significantly diminish the risk of multiple falls (13 RTCs; 3060 participants), hospitalization (12 RTCs; 5639 participants), and mortality (29 RTCs; 11 441 participants). Sensitivity analyses provided similar findings, except the fixed-effect meta-analysis for the risk of fracture, which showed a significant effect favoring exercisers (RR, 0.84; 95% CI, 0.70-1.00; P = .047). Meta-regressions on mortality and falls suggest that 2 to 3 times per week would be the optimal exercise frequency. CONCLUSIONS AND RELEVANCE Long-term exercise is associated with a reduction in falls, injurious falls, and probably fractures in older adults, including people with cardiometabolic and neurological diseases.

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10-Year Exercise Training in Chronic Heart Failure

Cited by 256 publications

References 24 publications

Intervenções não farmacológicas para melhor qualidade de vida na insuficiência cardíaca: revisão integrativa

Intervenções não farmacológicas para melhor qualidade de vida na insuficiência cardíaca: revisão integrativa

Peripheral vascular insufficiency impairs functional capacity in patients with heart failure

Association of Long-term Exercise Training With Risk of Falls, Fractures, Hospitalizations, and Mortality in Older Adults

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