Addition of non-invasive ventilatory support to combined aerobic and resistance training improves dyspnea and quality of life in heart failure patients: a randomized controlled trial

Bittencourt, Hugo Souza; Cruz, Cláudia Ferreira da; David, Bruno Costa; Rodrigues, Erenaldo de Souza; Abade, Camille Magalhães; Aras, Roque; Carvalho, Vitor Oliveira; Reis, Francisco Borges Faria Dos; Neto, Mansueto Gomes

doi:10.1177/0269215517704269

Cited by 8 publications

(5 citation statements)

References 35 publications

(41 reference statements)

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“…60,61 Furthermore, AT/RT combined with noninvasive ventilatory support was shown to further improve dyspnoea and QoL compared with AT/RT. 62 Thus, combined training programmes using AT, RT and IMT appear to gain increased recognition with RT as the prominent intervention to reverse or attenuate Figure 1. The 'aerobic/resistance/inspiratory muscle training hypothesis in heart failure': exercise and functional intolerance are associated not only with reduced muscle endurance, but also with reduced muscle strength and decreased inspiratory muscle function, contributing to weakness, dyspnoea, fatigue and low aerobic capacity.…”

Section: Selective and Additional Benefits Of Rt And Imt In Patients mentioning

confidence: 95%

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The ‘aerobic/resistance/inspiratory muscle training hypothesis in heart failure’

Laoutaris

2018

Eur J Prev Cardiolog

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Evidence from large multicentre exercise intervention trials in heart failure patients, investigating both moderate continuous aerobic training and high intensity interval training, indicates that the 'crème de la crème' exercise programme for this population remains to be found. The 'aerobic/resistance/inspiratory (ARIS) muscle training hypothesis in heart failure' is introduced, suggesting that combined ARIS muscle training may result in maximal exercise pathophysiological and functional benefits in heart failure patients. The hypothesis is based on the decoding of the 'skeletal muscle hypothesis in heart failure' and on revision of experimental evidence to date showing that exercise and functional intolerance in heart failure patients are associated not only with reduced muscle endurance, indication for aerobic training (AT), but also with reduced muscle strength and decreased inspiratory muscle function contributing to weakness, dyspnoea, fatigue and low aerobic capacity, forming the grounds for the addition of both resistance training (RT) and inspiratory muscle training (IMT) to AT. The hypothesis will be tested by comparing all potential exercise combinations, ARIS, AT/RT, AT/IMT, AT, evaluating both functional and cardiac indices in a large sample of heart failure patients of New York Heart Association class II-III and left ventricular ejection fraction ≤35% ad hoc by the multicentre randomized clinical trial, Aerobic Resistance, InSpiratory Training OutcomeS in Heart Failure (ARISTOS-HF trial).

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Section: Selective and Additional Benefits Of Rt And Imt In Patients mentioning

confidence: 95%

“…60,61 Furthermore, AT/RT combined with non-invasive ventilatory support was shown to further improve dyspnoea and QoL compared with AT/RT. 62…”

Section: Where Whither Whence: Skeletal Muscle Dysfunction and Traimentioning

confidence: 99%

The ‘aerobic/resistance/inspiratory muscle training hypothesis in heart failure’

Laoutaris

2018

Eur J Prev Cardiolog

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“…Of these, we included 143 studies, comprising 181 different exercise interventions ( Figure 1 ). 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 , 50 , 51 , 52 , 53 , 54 , 55 , 56 , 57 , 58 , 59 , 60 , 61 , 62 , 63 , 64 , 65 , 66 , …”

Section: Resultsmentioning

confidence: 99%

A systematic review of rehabilitation in chronic heart failure: evaluating the reporting of exercise interventions

et al. 2021

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A large body of research supports the use of exercise to improve symptoms, quality of life, and physical function in patients with chronic heart failure. Previous reviews have focused on reporting outcomes of exercise interventions such as cardiorespiratory fitness. However, none have critically examined exercise prescription. The aim of this review was to evaluate the reporting and application of exercise principles in randomised control trials of exercise training in patients with chronic heart failure. A systematic review of exercise intervention RCTs in patients with CHF, using the Consensus on Exercise Reporting Template (CERT), was undertaken. The Ovid Medline/PubMed, Embase, Scopus/Web of Science, and Cochrane Library and Health Technology Assessment Databases were searched from 2000 to June 2020. Prospective RCTs in which patients with CHF were randomized to a structured exercise programme were included. No limits were placed on the type or duration of exercise structured exercise programme or type of CHF (i.e. preserved or reduced ejection fraction). We included 143 studies, comprising of 181 different exercise interventions. The mean CERT score was 10 out of 19, with no study achieving a score of 19. Primarily, details were missing regarding motivational strategies, home-based exercise components, and adherence/fidelity to the intervention. Exercise intensity was the most common principle of exercise prescription missing from intervention reporting. There was no improvement in the reporting of exercise interventions with time (R 2 = 0.003). Most RCTs of exercise training in CHF are reported with insufficient detail to allow for replication, limiting the translation of evidence to clinical practice. We encourage authors to provide adequate details when reporting future interventions. Where journal word counts are restrictive, we recommend using supplementary material or publishing trial protocols prior to beginning the study.

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“…In addition, another study showed that non-invasive ventilatory support combined with aerobic and resistance training provided additional benefits for dyspnoea and quality of life in this population. 10 This response seems to be mediated by the metabolic stimulation of small afferent fibres types III and IV from the respiratory muscles, especially from the diaphragm (Figure 1).…”

Section: Current Papermentioning

confidence: 99%

Exercise intolerance and skeletal muscle metaboreflex activity in chronic heart failure: Do we need to recruit more muscle in exercise training?

Laoutaris¹

2020

European Journal of Preventive Cardiology

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Addition of non-invasive ventilatory support to combined aerobic and resistance training improves dyspnea and quality of life in heart failure patients: a randomized controlled trial

Abstract: ClinicalTrials.gov identifier: NCT02384798. Registered 03 April 2015.

Cited by 8 publications

References 35 publications

The ‘aerobic/resistance/inspiratory muscle training hypothesis in heart failure’

The ‘aerobic/resistance/inspiratory muscle training hypothesis in heart failure’

A systematic review of rehabilitation in chronic heart failure: evaluating the reporting of exercise interventions

Exercise intolerance and skeletal muscle metaboreflex activity in chronic heart failure: Do we need to recruit more muscle in exercise training?

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