Effects of Exercise Training on Health Status in Patients With Chronic Heart Failure

Flynn, Kathryn E.; Piña, Ileana L.; Whellan, David J.; Lin, Li; Blumenthal, James A.; Ellis, Stephen J.; Fine, Lawrence J.; Howlett, Jonathan G.; Keteyian, Steven J.; Kitzman, Dalane W.; Kraus, William E.; Miller, Nancy Houston; Schulman, Kevin A.; Spertus, John A.; O’Connor, Christopher M.; Weinfurt, Kevin P.

doi:10.1001/jama.2009.457

Cited by 654 publications

(428 citation statements)

References 30 publications

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“…Moreover, Arena recently wrote: ‘we are only now coming to the realization that functional capacity is a vital sign and exercise is a medicine’ in the preface of an issue in Heart Failure Clinics written as ‘a journey from bench to bedside to clinic to community with respect to all things regarding functional assessment and exercise training’ 32. Along this line, HF‐ACTION33 was designed as a large multicentre prospective randomized controlled trial to test the long‐term safety and efficacy of aerobic exercise training in stable HFrEF for patients and New York Heart Association class II to IV. Patients randomized to exercise participated in 3 months of supervised exercise training with moderate intensity 3 days/week.…”

Section: With Heart Failure Present: Exercise Improvement With Trainimentioning

confidence: 99%

Exercise and heart failure: an update

et al. 2017

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The present update is dedicated to the evolution of the interaction between heart failure (HF) and exercise and how the scientific community has handled it. Indeed, on the one hand, HF is a leading cause of morbidity and mortality with a stable prevalence from 1998 onward varying between 6.3% and 13.3%. On the other hand, exercise is seen as a diagnostic and prognostic tool as well as a therapeutic intervention in chronic HF. More precisely, the knowledge, the clinical application, and the research interest on the mutual interactions between exercise and HF have different phases in disease progression: Before HF onset (past): exercise provides protective benefit in preventing HF (primary prevention).With HF present: exercise improvement with training provides benefits in HF (secondary prevention).The prediction of future in HF patients: exercise impairment, as a leading characteristic of HF, is used as a prognostic factor.

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Section: With Heart Failure Present: Exercise Improvement With Trainimentioning

confidence: 99%

Exercise and heart failure: an update

et al. 2017

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“…Ademais, o domínio emocional mostrou-se da maior sensação de segurança e independência e da menor sensação de medo e tristeza (6)(7)(8)30). Situação evidente em nossos achados, em que pacientes já pertencentes ao programa de RCPM, além de apresentarem maior CF, têm melhores escores de QV em todos os domínios em sintonia com estudos de revisão sistemática (31,32) e guidelines (33,34).…”

Section: Conclusõesunclassified

Capacidade funcional como preditor de qualidade de vida na insuficiência cardíaca

et al. 2013

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Fisioter Mov. 2013 set/dez;26(4):página 845-53 doi: ISSN 0103-5150 Fisioter. Mov., Curitiba, v. 26, n. 4, p. página 845-853, set./dez. 2013 Licenciado sob uma Licença Creative Commons [T] Capacidade funcional como preditor de qualidade de vida na insuficiência cardíaca [I] Functional capacity as a predictor of quality of life in heart failure [A] Anderson Zampier Ulbrich [a] , Almir Schmitt Netto [b] , Vitor Giatte Angarten [ [K]

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“…HF-ACTION, a major randomized controlled trial evaluating the effects of CR implementation among patients with HF, showed that after adjustment for prognostic predictors, exercise training reduced all-cause and cardiovascular mortality and hospitalizations, while simultaneously increasing maximum oxygen consumption and health-related quality of life (13) (14) . A subsequent meta-analysis conducted by Sagar et al (15) confirmed the efficacy and safety of exercise on HF.…”

Section: Introductionmentioning

confidence: 99%

Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study

Mediano

Mendes

Pinto

et al. 2016

Rev. Soc. Bras. Med. Trop.

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Introduction:The benefit of a cardiac rehabilitation (CR) program for patients with Chagas heart failure (CHF) remains unclear. Therefore, we aimed to investigate the effects of CR for CHF patients. Methods: A single-arm pilot study, including 12 patients with CHF, was performed. Patients participated in an 8-month physical exercise intervention, comprising aerobic, strength, and stretching exercises (3 times per week, 60 minutes per session). Nutritional and pharmaceutical counseling were also performed. Functional capacity (cardiopulmonary exercise test), muscle respiratory strength (manovacuometry), and body composition (anthropometry and skinfolds) were evaluated at baseline, and after 4 and 8 months of intervention. Cardiac function (echocardiography), biomarkers (lipid profile, glucose, and glycated hemoglobin) and quality of life (Minnesota Living with Heart Failure Questionnaire) were assessed at baseline and at the end of the intervention. Results: Seven of 12 patients included in the study completed the 8-month follow-up period. Only 2 moderate adverse events occurred during the exercise training. Functional capacity improved after 4 months of CR, while left ventricular ejection fraction (LVEF) and respiratory strength improved after 8 months. Patients with right ventricular (RV) dysfunction at baseline exhibited an improvement in functional capacity after 4 months, and improvements in left ventricular (LV) diastolic pressure, respiratory strength, and quality of life at the end of follow-up. Conversely, those with normal baseline RV function demonstrated LVEF increases that were not observed in patients with RV dysfunction. Conclusions: CR was feasible, safe, and has important clinical benefits for patients with CHF, specifically for cardiac function and muscle respiratory strength.

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Effects of Exercise Training on Health Status in Patients With Chronic Heart Failure

Cited by 654 publications

References 30 publications

Exercise and heart failure: an update

Exercise and heart failure: an update

Capacidade funcional como preditor de qualidade de vida na insuficiência cardíaca

Cardiac rehabilitation program in patients with Chagas heart failure: a single-arm pilot study

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