Exercise training as therapy for chronic heart failure.

Uren, NG; Lipkin, D. P.

doi:10.1136/hrt.67.6.430

Cited by 18 publications

(11 citation statements)

References 28 publications

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“…Their endurance and cardiorespiratory tness were relative to patients with such severe chronic diseases as heart failure, chronic obstructive pulmonary disease or diabetes mellitus (17)(18)(19). A poor level of cardiorespiratory tness in patients on HD has also been reported in previous studies (1,2,6).…”

Section: Discussionmentioning

confidence: 86%

Exercise training in patients with end-stage renal disease on hemodialysis: Comparison of three rehabilitation programs

Konstantinidou¹,

Koukouvou²,

Kouidi³

et al. 2002

Journal of Rehabilitation Medicine

250

216

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Functional capacity of end-stage renal disease patients is dramatically impaired. Although exercise training programs appear to have beneficial morphological, functional and psychosocial effects in end-stage renal disease patients on hemodialysis (HD), the adherence rate is high. The purpose of this study was to compare the effects of three modes of exercise training on aerobic capacity and to identify the most favourable, efficient and preferable to patients on HD with regard to functional improvements and participation rate in the programs. Fifty-eight volunteer patients were screened for low-risk status and selected from the dialysis population. The 48 patients who completed the study protocol were randomly assigned either to one of the three training groups or to a control group. Sixteen of them (Group A - mean age 46.4+/-13.9 years) completed a 6-month supervised outpatient exercise renal rehabilitation program consisting of three weekly sessions of aerobic and strengthening training on the non-dialysis days; 10 (Group B - mean age 48.3+/-12.1 years) completed a 6-month exercise program during HD; 10 (Group C - mean age 51.4+/-12.5 years) followed an unsupervised moderate exercise program at home, and 12 patients (Group D-mean age 50.2+/-7.9 years) were used as patient controls. The level of anemia, the medications and the HD prescription remained stable during the study. Fifteen sex- and age-matched sedentary individuals (Group E - mean age 46.9+/-6.4 years) comprised a healthy control group for baseline data. All subjects at the beginning and end of the study underwent clinical examination, laboratory tests and a treadmill exercise test to fatigue endpoints with direct measurement of aerobic capacity. Group A had a higher dropout rate (24%) compared to groups B (17%) and C (17%). Peak oxygen consumption (VO2 peak) increased by 43% (p < 0.05), anaerobic threshold (VO2AT) by 37% (p < 0.05) and exercise time by 33% (p < 0.05) after training in Group A; by 24% (p < 0.05), 18% (p < 0.05) and 22% (p < 0.05), respectively, in B; and by 17% (p < 0.05), 8% (p < 0.05) and 14% (p < 0.05), respectively, in C; while both remained almost unchanged in Group D. These results demonstrate that intense exercise training on non-dialysis days is the most effective way of training, whereas exercise during HD is also effective and preferable.

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Section: Discussionmentioning

confidence: 86%

Exercise training in patients with end-stage renal disease on hemodialysis: Comparison of three rehabilitation programs

Konstantinidou¹,

Koukouvou²,

Kouidi³

et al. 2002

Journal of Rehabilitation Medicine

250

216

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“…6 70 71 A few small RCTs of patients with heart failure suggest improvements in physical aspects of the disease similar to those seen in patients after MI. 33 It is possible that increasing fitness and physical ability in patients with heart failure [72][73][74][75] or angina 76-78 may provide worthwhile benefits including reduced symptoms, reduced disability, and improved quality of life. No RCTs have been identified which evaluated patients after heart transplantation.…”

Section: Combined Exercise and Psychological Or Educational Interventmentioning

confidence: 99%

Cardiac rehabilitation

Dinnes¹,

Kleijnen²,

Leitner³

et al. 1999

Quality and Safety in Health Care

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“…These mechanisms attempt to increase cardiac output and maintain arterial bloo4 pressure, with blood being diverted from regions of non-vital tissue, i.e. skeletal muscles, to vital organs (Jondeau et al 1992;Mancini et ale 1992;Sinoway 1988;Wilson et al 1984;Uren and Lipkin 1992). As the disease progresses the compensatory mechanisms become inadequate and the skeletal muscles are poorly perfused at rest and during exercise, with alterations in skeletal muscle metabolism and increased dyspnoea on exertion limiting exercise capacity.…”

Section: Overviewmentioning

confidence: 99%

Effects of Rehabilitation in Patients with Cardiac Disease

Taylor¹

1996

Physiotherapy

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Exercise training as therapy for chronic heart failure.

Cited by 18 publications

References 28 publications

Exercise training in patients with end-stage renal disease on hemodialysis: Comparison of three rehabilitation programs

Exercise training in patients with end-stage renal disease on hemodialysis: Comparison of three rehabilitation programs

Cardiac rehabilitation

Effects of Rehabilitation in Patients with Cardiac Disease

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