Low intensity exercise training in patients with chronic heart failure

Belardinelli, Romualdo; Georgiou, Demetrios; Scocco, Vito; Barstow, Thomas J.; Purcaro, A

doi:10.1016/0735-1097(95)00267-1

Cited by 281 publications

(172 citation statements)

References 33 publications

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“…While available evidence has demonstrated cardioprotective benefits associated with exercise among high-risk cardiac populations [4][5][6][7][8], safety research necessitates a search for "rare events" which may require a population surveillance approach to acquire larger numbers of ICD patients. Large international consortiums that enroll ICD patients with primary survey data are likely required to determine how event rates during exercise compare incrementally with what might be expected at resting states.…”

Section: Discussionmentioning

confidence: 99%

“…As such, their use worldwide is increasing for both primary and secondary prevention of sudden cardiac death [3]. Exercise and cardiac rehabilitation also has established benefits in survival, health status, and quality of life in both high and low risk cardiac patients, including those with and without an ICD [4][5][6][7][8]. However, those with an ICD are underrepresented in cardiac rehabilitation, typically report low levels of exercise [9,10] and are often reluctant to participate in exercise programs due to fear of exercise-induced shocks [11,12].…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Safety Aspects of Implantable Cardioverter Defibrillators in Patients Participating in Exercise Therapy: A Systematic Review and Meta-Analysis

Bajaj¹,

Biswas²

2016

Int J Phys Med Rehabil

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Safety Aspects of Implantable Cardioverter Defibrillators in Patients Participating in Exercise Therapy: A Systematic Review and Meta-Analysis

Bajaj¹,

Biswas²

2016

Int J Phys Med Rehabil

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“…Physical training at submaximal levels in HF has no significant effect on cardiac output, 24,25,26 but a slight improvement at the peak of exercise. 20,25 Hambrecht et al, 20 on the other hand, observed reductions in the final left ventricular diastolic diameter (LVDD), suggesting a reverse remodeling induced by physical training.…”

Section: Central Cardiac Effectsmentioning

confidence: 99%

“…Physical training can improve the mitochondrial volume with improvement of oxidative metabolism. 24,29,30 Reduced skeletal muscle mass has been verified in patients with HF and has been related to a reduction in exercise capacity. 31,32 The inversion of change from type IIb skeletal muscle fibers (anaerobic) to type I skeletal muscle fibers (aerobic) was also demonstrated, and this adaptive response is associated with an improvement in exercise capacity.…”

Section: Peripheral Effectsmentioning

confidence: 99%

An overall view of aerobic physical training for chronic heart failure patients: a review study

Silva

Greve

2016

Acta Fisiátrica

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One of adjuvant treatment modalities for improving physical capacity and quality of life in patients with heart failure (HF) has been physical training. Objective: To update the knowledge on the effect of exercise training as an adjunct in the treatment of HF patients through a systematic review. Methods: A systematic review of randomized controlled trials was conducted using the electronic databases (PubMed/MEDLINE, EMBASE, CINAH and the Cochrane Library, searching over five years (2010)(2011)(2012)(2013)(2014)(2015). Included were trials with at least three months of follow-up and the assessment of the effects of exercise interventions as a rehabilitation program component for patients with HF. Results: Seven clinical trials were included with 4000 participants, predominantly with reduced ejection fraction (≤ 50%) and clinical class II and III by the New York Heart Association. The exercise program, as the independent variable, reduced the general and specific risk of hospitalization for heart failure and resulted in a clinically significant improvement in the patients' quality of life. Studies with univariate meta-regression analysis showed that these benefits were independent of the type, amount of exercise, and duration of follow-up. Conclusion: Within the limits of this review, it was possible to show that improvements in reducing hospitalizations and in health were related to quality of life based on the engagement of HF patients in supervised exercise programs and appear to be consistent in all patients, regardless of the program's features and can increase life expectancy.

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“…Meta-regression analysis from 2016 (Uddin et al, 2016) on predictors of exercise capacity following exercise-based rehabilitation in patients with coronary heart disease and heart failure included trials in which exercise frequency ranged from 3 to 4 days per week (mean: 3,6), training bout duration ranged from 35 to 47 minutes (mean: 41 minutes), training protocol duration lasted from 22 to 31 months (mean: 27) and exercise intensity ranged from 50 to 85% of Hrmax and VO 2 max (Uddin et al, 2016). Interestingly, low-intensity CR (40% VO 2 max) for 8 wk, 3 days per week could be effective in some patients (Belardinelli, Georgiou, Scocco, Barstow, Purcaro, 1995).…”

Section: Agnieszka Kujawska Et Almentioning

confidence: 99%

Cardiac Rehabilitation in Heart Failure. Part II. Does Higher Intensity Means Better Outcome?

Kujawska

Perkowski

Skierkowska

et al. 2018

Central European Journal of Sport Sciences and Medicine

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Heart failure (HF) due to its universality has become a huge challenge for modern medicine. Second part of the twentieth century brought significant changes in the rehabilitation, diagnostic and pharmacological procedures. There are no definitive guidelines for Cardiac Rehabilitation (CR) in HF. Based on previous studies, the article tried to describe and illustrate the mechanism of effective CR and its intensity in HF patients, which could be helpful in CR protocol development. Cardiac Rehabilitation has confirmed efficacy in increased physical level of participation in inter alia, home/work/recreational activities, improved psychosocial well-being, functional independence, prevention of disability, long-term adherence to maintaining physically active lifestyle, improved cardiopulmonary fitness, strength, muscle endurance, and flexibility, reduced cardiovascular events risk and risk of mortality. Before and after CR conduction, baseline and final aerobic capacity should be examined with an ergospirometry test to evaluate CR protocol intensity and check its effectiveness, respectively. Frequency of training-bouts in CR protocol in HF patients were from 3 to 7 days per week, intensity ranged from 40 to 80% VO 2 max or 9 to 14 on rating of the perceived exertion (RPE) scale or 6 to 20 on the Borg scale. Duration of single bout-exercise ranged from 20 to 60 minutes.

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Low intensity exercise training in patients with chronic heart failure

Cited by 281 publications

References 33 publications

Safety Aspects of Implantable Cardioverter Defibrillators in Patients Participating in Exercise Therapy: A Systematic Review and Meta-Analysis

Safety Aspects of Implantable Cardioverter Defibrillators in Patients Participating in Exercise Therapy: A Systematic Review and Meta-Analysis

An overall view of aerobic physical training for chronic heart failure patients: a review study

Cardiac Rehabilitation in Heart Failure. Part II. Does Higher Intensity Means Better Outcome?

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