Effects of exercise training on aerobic capacity and quality of life in individuals with heart failure

Collins, Eileen G.; Langbein, W. Edwin; Dilan-Koetje, Jeanette; Bammert, Christine; Hanson, Karla; Reda, Domenic J.; Edwards, Lonnie C.

doi:10.1016/j.hrtlng.2003.12.009

Cited by 61 publications

(60 citation statements)

References 28 publications

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“…Health-related measures were used in 46 studies. In the majority (52%), the measure of choice was the 36-item Short-form Health Survey (SF-36) or some subscale(s) of the SF-36 (24 studies) [61][62][63][64][65]10,[66][67][68][69][70][71][72][73][74][75][76][77][78][79][80][81][82]. In six studies, this was the only QoL measure used.…”

Section: Resultsmentioning

confidence: 99%

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Quality of life assessment in heart failure interventions: a 10-year (1996–2005) review

Morgan

McGee

Shelley

2007

European Journal of Cardiovascular Prevention & Rehabilitat

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The increasing prevalence and poor prognosis associated with heart failure have prompted research to focus on improving quality of life (QoL) for heart failure patients. Research from 1996–2005 was systematically reviewed to identify randomized controlled trials that assessed QoL in heart failure. In 120 studies, 44 were medication trials; 19 surgical/procedural interventions; and 57 patient care/service delivery interventions. Studies were summarized in terms of aim, population, QoL measures used and QoL findings. Studies used 47 different measures of QoL-generic, health-related, condition-specific, domain-specific and utility measures. Most used a single QoL measure. In 87%, a condition specific QoL measure was used, with the Minnesota Living with Heart Failure Questionnaire being the favoured assessment tool. The range of QoL measures in use poses challenges for development of cumulative knowledge. Although comparability across studies is important, this must be informed by the responsiveness of the instrument selected. As carried out in other cardiac groups, comparative evaluations of instrument responsiveness are needed in heart failure. Eur J Cardiovasc Prev Rehabil 14:589-607 © 2007 The European Society of Cardiology

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Section: Resultsmentioning

confidence: 99%

“…This measure was used in 83 (69%) of all studies [61][62][63][64]66,68,71,74,[78][79][80][81][82]85,34,. In 57 (47%) of studies, it was the only measure used.…”

Section: Resultsmentioning

confidence: 99%

Quality of life assessment in heart failure interventions: a 10-year (1996–2005) review

Morgan

McGee

Shelley

2007

European Journal of Cardiovascular Prevention & Rehabilitat

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“…In a study of a 36-week exercise program in which supervision was gradually tapered, peak VO 2 was increased by the exercise, and changes in the training group were persistently greater than changes in the control group; improvements in peak VO 2 declined, however, in parallel with tapering of the exercise supervision. The patients' perceived improvements on the physical functional subscale of MOS SF-36 remained significantly higher through week 36 (Collins et al, 2004).…”

Section: Long-term and Follow-up Studiesmentioning

confidence: 88%

“…MLHFQ is used to assess physical and emotional dimensions for patients with HF. Six of the thirteen reviewed studies (Cider et al, 1997;Collins et al, 2004;Gottlieb et al, 1999;McKelvie et al, 2002;Pozehl, Duncan, Krueger, & VerMaas, 2003;van den Berg-Emons, Balk, Bussmann, & Stam, 2004) used this tool for assessing QoL in their participants. None of these studies demonstrated that exercise training had a considerable improving effect on QoL.…”

Section: Qolmentioning

confidence: 99%

A Systematic Review of Exercise Interventions in Patients With Heart Failure

Tai

Meininger

Frazier

2008

Biological Research For Nursing

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The incidence of heart failure (HF) is increasing as the population ages. Pharmacotherapy is an important component of treatment and yields significant improvements in survival and quality of life. In recent decades, exercise has gradually become accepted as an intervention beneficial to patients with HF, but more information is needed to clarify the effects of exercise and optimize interventions. Therefore, a systematic review of randomized controlled trials published from 1966 to October 2006 was carried out via PubMed. About 69 trials were reviewed, which used as main outcome measures: (a) central hemodynamic parameters, (b) peripheral blood flow, (c) endothelial function, (d) activation of neurohormones and cytokine systems, (e) structure of and metabolism in skeletal muscles, and/or (f) quality of life. Study findings suggest that the favorable physiological responses to exercise might slow some of the pathophysiological progression of HF. However, most of the trials reviewed here were based on relatively small samples and selected participant groups, and the exercise programs varied widely. These limitations and inconsistencies need to be addressed through further studies. Furthermore, reliable strategies for maintaining the positive effects of exercise and extending them to patients' daily life and quality of life are scarce in these trials. These domains need further exploration through rationally designed, large-scale randomized controlled trials.

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“…Subsequent studies demonstrate that exercise intervention increases VO 2peak [131][132][133][134], improves quality of life [131][132][133][134][135] and reduces mortality [131,136,137] in these patients. Exercise training also increases peak cardiac output in CHF patients, either through increased stroke volume, increased heart rate (HR) or an increase in the product of stroke volume x HR [132,[138][139][140][141][142][143].…”

Section: Myopathy Versus Deconditioningmentioning

confidence: 98%

Intrinsic skeletal muscle alterations in chronic heart failure patients: a disease-specific myopathy or a result of deconditioning?

et al. 2011

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Chronic heart failure (CHF) patients frequently experience impaired exercise tolerance due to skeletal muscle fatigue. Studies suggest that this in part is due to intrinsic alterations in skeletal muscle of CHF patients, often interpreted as a disease-specific myopathy. Knowledge about the mechanisms underlying these skeletal muscle alterations is of importance for the pathophysiological understanding of CHF, therapeutic approach and rehabilitation strategies. We here critically review the evidence for skeletal muscle alterations in CHF, the underlying mechanisms of such alterations and how skeletal muscle responds to training in this patient group. Skeletal muscle characteristics in CHF patients are very similar to what is reported in response to chronic obstructive pulmonary disease (COPD), detraining and deconditioning. Furthermore, skeletal muscle alterations observed in CHF patients are reversible by training, and skeletal muscle of CHF patients seems to be at least as trainable as that of matched controls. We argue that deconditioning is a major contributor to the skeletal muscle dysfunction in CHF patients and that further research is needed to determine whether, and to what extent, the intrinsic skeletal muscle alterations in CHF represent an integral part of the pathophysiology in this disease.

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Effects of exercise training on aerobic capacity and quality of life in individuals with heart failure

Cited by 61 publications

References 28 publications

Quality of life assessment in heart failure interventions: a 10-year (1996–2005) review

Quality of life assessment in heart failure interventions: a 10-year (1996–2005) review

A Systematic Review of Exercise Interventions in Patients With Heart Failure

Intrinsic skeletal muscle alterations in chronic heart failure patients: a disease-specific myopathy or a result of deconditioning?

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