Effects of aerobic or aerobic and resistance training on cardiorespiratory and skeletal muscle function in heart failure: a randomized controlled pilot trial

Mandic, Sandra; Tymchak, Wayne; Kim, Daniel; Daub, Bill; Quinney, H. A.; Taylor, Dylan; Al-Kurtass, Suhaib; Haykowsky, Mark J.

doi:10.1177/0269215508095362

Cited by 80 publications

(62 citation statements)

References 25 publications

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“…Mandic and colleagues (2009) 28 demonstrated that combined aerobic and resistance-supervised training significantly improved strength and muscular endurance, by one-repetition maximum test, compared with aerobic training or usual care.…”

Section: Discussionmentioning

confidence: 99%

Effects of home-based exercise training for patients with chronic heart failure and sleep apnoea: a randomized comparison of two different programmes

et al. 2011

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Section: Discussionmentioning

confidence: 99%

Effects of home-based exercise training for patients with chronic heart failure and sleep apnoea: a randomized comparison of two different programmes

et al. 2011

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“…The finding that muscle strength improved after a combined aerobic and resistance exercise was similar to that in previous studies. 20,75,76 …”

Section: Discussionmentioning

confidence: 99%

A Combined Aerobic and Resistance Exercise Program Improves Physical Functional Performance in Patients With Heart Failure

Gary

Cress²,

Higgins³

et al. 2012

Journal of Cardiovascular Nursing

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Background Recent guidelines for exercise in patients with heart failure (HF) recommended aerobic and resistance exercise as being safe and effective; however, the clinical and functional significance of these combined training modalities has not been established. In this pilot study, combined aerobic and resistance training was hypothesized to improve physical function, muscle strength, and health-related quality of life (HRQOL) compared with an attention control wait list (ACWL). Methods The 10-item Continuous Scale Physical Functional Performance Test (CS-PFP10), which simulates common household chores; muscle strength (handgrip and knee extension); and HRQOL (Kansas City Cardiomyopathy Questionnaire) were evaluated at baseline (T1) and at 12 weeks (T2). The home-based moderate-intensity walking and resistance training program was performed 5 days a week. Results Twenty-four New York Heart Association class II to III HF patients (mean [SD] age, 60 [10] years; mean [SD] left ventricular ejection fraction, 25% [9%]) were randomized to a combined aerobic and resistance exercise program or to an ACWL group. Of the total group, 58% were New York Heart Association class III HF patients, 50% were white, and 50% were female. The CS-PFP10 total scores were significantly increased in the exercise group, from 45 (18) to 56 (16). The Kansas City Cardiomyopathy Questionnaire overall summary score was significantly improved (P < .001) at T2 in the exercise intervention group compared with the ACWL group. Conclusions Participants provided the home-based, combined aerobic and resistance exercise program had significantly improved physical function, muscle strength, symptom severity, and HRQOL compared with the ACWL group. The findings of this study must be interpreted cautiously owing to the limitations of a small sample, data collection from a single center, and differences between control and interventions groups at baseline. A combined aerobic and resistance exercise approach may improve physical function in stable HF patients, but further study in a larger, more diverse population is recommended. However, in this study, the CS-PFP10 instrument demonstrated its ability to identify functional health status in HF patients and thus warrants further testing in a larger sample for possible use in clinical practice.

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“…Figure 1 displays the relationship between minutes per week of aerobic-type exercise training and change in exercise capacity for 16 randomized trials reported in the meta-analysis conducted by Smart and Marwick 11 in 2004, along with the results from 15 additional trials of similar design. [24][25][26][27][28][29][30][31][32][33][34][35][36][37][38] Regarding Figure 1, note that an increase of at least 1 mL˙kg Ϫ1˙m in Ϫ1 was observed in 28 of the 31 studies. The absence of a significant dose-response relationship across these studies is likely due, in part, to differences in both trial duration (ie, 4 weeks to 14 months) and exercise training intensity.…”

Section: Hf-actionmentioning

confidence: 99%

Clinical Role of Exercise Training in the Management of Patients With Chronic Heart Failure

Keteyian

Piña

Hibner

et al. 2010

Journal of Cardiopulmonary Rehabilitation and Prevention

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Prior exercise research and the recently completed HF-ACTION (Heart Failure and A Controlled Trial Investigating Outcomes of Exercise Training) trial indicate that regular exercise represents an effective therapy in the management of patients with stable chronic heart failure (HF) due to left ventricular systolic dysfunction. This review summarizes the results from these studies and provides a guide for prescribing exercise. Regular aerobic-type exercise training improves exercise capacity; does not worsen and may, in fact, mildly improve cardiac function; and partially improves other physiological abnormalities that develop because of chronic HF (eg, autonomic and skeletal muscle function). Regular exercise is safe, improves health status, and modestly reduces ( approximately 15%) combined risk for cardiovascular death or HF-related hospitalization. Even greater physiological and clinical benefits appear likely in patients with HF who adhere to a higher volume of exercise (eg, 6 MET-hr per week). The exercise regimen should include an aerobic-type activity performed at least 30 minutes, 5 or more days per week, and at an intensity approximating 55% to 80% of heart rate reserve. Resistance training should be considered for patients who first demonstrate they are able to tolerate aerobic exercise training. Common to other interventions that also rely on human behavior, long-term adherence to exercise in patients with HF remains a challenge and requires additional research to determine strategies aimed at improving compliance. Areas of needed research include identifying which patient subgroup(s) benefits the most and determination of the optimal intensity, duration, and frequency of exercise needed to maximize clinical benefits and attenuate fatigue.

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Effects of aerobic or aerobic and resistance training on cardiorespiratory and skeletal muscle function in heart failure: a randomized controlled pilot trial

Abstract: Both aerobic and combined aerobic and resistance training are effective interventions to improve Vo(2peak) in compliant heart failure patients. Combined training may be more effective in improving muscle strength and endurance.

Cited by 80 publications

References 25 publications

Effects of home-based exercise training for patients with chronic heart failure and sleep apnoea: a randomized comparison of two different programmes

Effects of home-based exercise training for patients with chronic heart failure and sleep apnoea: a randomized comparison of two different programmes

A Combined Aerobic and Resistance Exercise Program Improves Physical Functional Performance in Patients With Heart Failure

Clinical Role of Exercise Training in the Management of Patients With Chronic Heart Failure

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