Combined Aerobic and Resistance Exercise Training Improves Functional Capacity and Strength in CHF

Maiorana, Arianna; O’Driscoll, Gerry; Cheetham, Craig; Collis, Julie; Goodman, Craig A.; Rankin, Sarah; Taylor, Richard; Green, D

doi:10.1097/00008483-200101000-00013

Cited by 38 publications

(58 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Maiorana et al [16] found increases in VO 2 peak of 13% following a 12-week circuit RT program in patients with CHF (mean EF: 26%, NYHA class I-III). Delagardelle et al [15] combined RT and aerobic training for 24 weeks in outpatients with CHF (mean EF: 36%, NYHA class 2.2 ± 0.1) and observed a 10% increase in VO 2 peak.…”

Section: Combination or Circuit Trainingmentioning

confidence: 98%

“…In a prospective, randomized study of RT in 19 patients with CHF, Selig et al [56] reported significant increases in forearm blood flow at rest (20%) and during submaximal exercise (26%) or limb ischemia (26%). Maiorana et al [16] used a randomized crossover design and provided evidence that both endothelial-dependent and endothelial-independent vasoreactivity are improved following a combined RT and aerobic training program in patients with CHF. However, more studies are needed to clarify the effects of RT on both central as well as peripheral arterial function in patients with CHF.…”

Section: Arterial Stiffnessmentioning

confidence: 99%

“…Early studies [13,15,16] examining RT in CHF, although generally positive, were limited by small sample sizes, methodological issues including combining RT with aerobic exercise (e.g. circuit weight training), limited assessments of LV function, and patient selection confounds.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Resistance exercise: training adaptations and developing a safe exercise prescription

2007

View full text Add to dashboard Cite

The safety and efficacy of resistance exercise training (RT) in patients with chronic heart failure (CHF) are critically reviewed. Evidence-based recommendations for designing safe RT programs are also presented to help clinicians and rehabilitation professionals formulate exercise prescriptions for their patients. To the extent possible, the separate and independent effects of RT on patients with CHF are discussed. Clinical prognosis (i.e. risk stratification) and exercise capacity in patients with CHF are determined by the mitigating effects of both central hemodynamics and peripheral pathophysiology. Despite the well-described skeletal muscle wasting and myopathy in heart failure, aerobic exercise remains by far the most prescribed training modality in patients with CHF. This article presents evidence that improvement of skeletal muscle phenotype (muscle mass, fiber morphology, and histochemistry) should be a fundamental goal of rehabilitation in patients with CHF. Moreover, RT may be the preferred exercise modality when targeting the periphery for muscle phenotype adaptation.

show abstract

Section: Combination or Circuit Trainingmentioning

confidence: 98%

Section: Arterial Stiffnessmentioning

confidence: 99%

See 1 more Smart Citation

Resistance exercise: training adaptations and developing a safe exercise prescription

2007

View full text Add to dashboard Cite

show abstract

“…Maiorana et al [144] showed 18.4% improved exercise time and 13.4% improved peak VO 2 after a 12-week aerobic plus circuit weight-training program in CHF patients. Delagardelle et al [145] and Selig [146] also showed significant increases in peak VO 2 using a combination of resistance and aerobic training.…”

Section: Rationale For Different Training Modalitiesmentioning

confidence: 98%

Implications of chronic heart failure on peripheral vasculature and skeletal muscle before and after exercise training

et al. 2007

View full text Add to dashboard Cite

The pathophysiology of chronic heart failure (CHF) is typically conceptualized in terms of cardiac dysfunction. However, alterations in peripheral blood flow and intrinsic skeletal muscle properties are also now recognized as mechanisms for exercise intolerance that can be modified by therapeutic exercise. This overview focuses on blood delivery, oxygen extraction and utilization that result from heart failure. Related features of inflammation, changes in skeletal muscle signaling pathways, and vulnerability to skeletal muscle atrophy are discussed. Specific focus is given to the ways in which perfusion and skeletal muscle properties affect exercise intolerance and how peripheral improvements following exercise training increase aerobic capacity. We also identify gaps in the literature that may constitute priorities for further investigation.

show abstract

“…For example, Buckenmeyer et al (1990) showed that endurance exercise differentially altered slow-twitch fibers while strength training changed metabolism in fast-twitch fibers. Millet et al (2002) showed that concurrent weight training did not alter muscle kinetics or efficiency during dynamic exercise, but Maiorana et al (2000) published contradictory findings. These investigators studied combined strength and endurance training in patients with chronic heart failure.…”

Section: Discussionmentioning

confidence: 99%

The effect of previous weight training and concurrent weight training on endurance for functional electrical stimulation cycle ergometry

Petrofsky

Laymon

2004

European Journal of Applied Physiology

View full text Add to dashboard Cite

Forty-five paraplegic subjects participated in three series of experiments to examine the interrelationships between previous weight training, concurrent weight training and muscle strength and endurance during cycle ergometry elicited by functional electrical stimulation (FES). When subjects only underwent isokinetic weight training (series 1) three times per week on the quadriceps, hamstring and gluteus maximus groups for 12 weeks, strength increased linearly with time for all three muscle groups from an initial average of 17 N to 269 N at the end of training, a 15-fold increase. In the second series of experiments, different groups of subjects either underwent no strength training prior to cycle ergometry or underwent strength training of these same three muscle groups for 2 weeks, four weeks, or 6 weeks prior to cycle ergometry. Any strength training was effective in increasing endurance for cycle ergometry. However, the rate of increase in endurance during cycle ergometry with no prior strength training was only 5 min per week, whereas the rate of increase in cycle endurance during ergometry was 14.6, 25.0, and 33.3 min per week increase in endurance after strength training for 2.4 and 6 weeks, respectively. When weight training was accomplished during FES cycle ergometry (concurrently) in a third series of experiments, there was an additional increase in endurance during cycling if strength training was concurrently accomplished. With no weight training, endurance increased 23 min per week, whereas with concurrent weight training at three times per week, endurance increased during cycling by 41.6 min per week. The results of these experiments seem to show a clear advantage of weight training concurrently and before FES cycle ergometry. Results are given as mean (SD).

show abstract

Combined Aerobic and Resistance Exercise Training Improves Functional Capacity and Strength in CHF

Cited by 38 publications

References 0 publications

Resistance exercise: training adaptations and developing a safe exercise prescription

Resistance exercise: training adaptations and developing a safe exercise prescription

Implications of chronic heart failure on peripheral vasculature and skeletal muscle before and after exercise training

The effect of previous weight training and concurrent weight training on endurance for functional electrical stimulation cycle ergometry

Contact Info

Product

Resources

About