Exercise training improves functional walking capacity and activity level of Nigerians with chronic biventricular heart failure

Ajiboye, Olufunke Adewumi; Anigbogu, C.N.; Ajuluchukwu, J N; Jaja, S.I.

doi:10.1016/j.hkpj.2014.11.002

Cited by 15 publications

(42 citation statements)

References 36 publications

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“…Among the remaining 42 trials, 30 studies were excluded for the following reasons: reviewed papers (n = 4), conference proceedings (n = 4), and studies on HF with diabetes (n = 4), inspiratory muscle training (n = 4), supplementation therapy (n = 4), physical therapy (n = 6), and inappropriate outcomes (n = 4). In total, 12 studies were included in the final analysis (Ajiboye et al, 2015;Chien et al, 2011;Chrysohoou et al, 2015;Dracup et al, 2007;Gary et al, 2011;Jolly et al, 2009;Jónsdóttir et al, 2006;Mandic et al, 2009;Oka et al, 2000;Safiyari-Hafizi, Taunton, Ignaszewski, & Warburton, 2016;Servantes et al, 2012;Suna et al, 2015).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The participants of five included studies were chronic HF (Ajiboye et al, 2015;Chien et al, 2011;Chrysohoou et al, 2015;Jónsdóttir et al, 2006;Servantes et al, 2012), while the others did not limit the type of HF. Six studies excluded patients with ejection fraction (EF) <40% (Ajiboye et al, 2015;Dracup et al, 2007;Gary et al, 2011;Jolly et al, 2009;Oka et al, 2000;Servantes et al, 2012), while only one study included participants with EF <50% (Chrysohoou et al, 2015). The remaining studies did not mention EF ranges; however, one study posted patients' EF% in the exercise group and control group in the results (Jónsdóttir et al, 2006).…”

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

“…The AT groups were prescribed 20-60 min of aerobic exercise, 3-5 times/ week. Among the 12 studies, six included an intensity of 40-70% peak heart rate, while the others included different measures of AT intensity (Ajiboye et al, 2015;Dracup et al, 2007;Gary et al, 2011;Jolly et al, 2009;Jónsdóttir et al, 2006;Mandic et al, 2009;Oka et al, 2000).…”

Section: Characteristics Of Interventionsmentioning

confidence: 99%

“…The sum of exercise time, excluding rest and warmup periods, was measured in the studies. VO 2 peak was stated in nine studies randomizing 469 patients (n = 235 combined AT and RT) (Ajiboye et al, 2015;Chrysohoou et al, 2015;Dracup et al, 2007;Gary et al, 2011;Jónsdóttir et al, 2006;Mandic et al, 2009;Oka et al, 2000;Safiyari-Hafizi et al, 2016;Servantes et al, 2012). The pooled analysis revealed that combined AT and RT tends to have a more positive effect on VO 2 peak (SMD: .68 mL/kg/min, 95% CI: .10, 1.27) than the control group.…”

Section: Peak Oxygen Consumptionmentioning

confidence: 99%

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Effects of combined aerobic and resistance training in patients with heart failure: A meta‐analysis of randomized, controlled trials

Wang

Peng

et al. 2019

Nursing & Health Sciences

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Cardiac rehabilitation programs consisting of core features of exercise training for patients with heart failure have demonstrated a wide range of physical and psychological benefits. In study, a meta‐analysis of combined aerobic and resistance training was conducted on various outcomes in patients with heart failure. Database searches included EMBASE, PubMed, Medline, Cochrane Library, Web of Science, OVID, and CINAHL. Only randomized, controlled trials were included. Review Manager 5.3 software was used to perform the meta‐analysis. In total, 12 studies and 516 patients were included. The results demonstrated that combined aerobic and resistance training is effective in promoting exercise capacity, muscle strength, and 6 min walk distance. Furthermore, combined training significantly improves the quality of life of patients with heart failure. However, there was no significant difference found for outcomes of depression and sleep. Future studies with rigorous methodological designs and long‐term follow ups are recommended to evaluate the sustainable benefits of combined aerobic and resistance intervention programs.

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Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Included Studiesmentioning

confidence: 99%

Section: Characteristics Of Interventionsmentioning

confidence: 99%

Section: Peak Oxygen Consumptionmentioning

confidence: 99%

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Effects of combined aerobic and resistance training in patients with heart failure: A meta‐analysis of randomized, controlled trials

Wang

Peng

et al. 2019

Nursing & Health Sciences

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“…Exercise is the central element and the building block for improving physical function such as grasping, transferring, walking capacity that are required for activities of daily living [8] [9]. In turn, improved physical function predicts survival and is associated with significant reduction in hospitalization and all-cause mortality in CHF [10].…”

Section: Introductionmentioning

confidence: 99%

Effects of Cardiac Rehabilitation Exercise Protocols on Physical Function in Patients with Chronic Heart Failure: An Experience from a Resource Constraint Nation

Awotidebe¹,

Adedoyin²,

Balogun³

et al. 2016

IJCM

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Objective: This study investigated the effects of cardiac rehabilitation exercise protocols on physical function (PF) in patients with chronic heart failure (CHF). Study Design and Setting: This randomized controlled trial recruited 70 patients who are in stage II CHF with ejection fraction (≤40%) from a Nigerian university teaching hospital. They were randomly assigned into Exercise Group (EG: n = 35) or Control Group (CG: n = 35). Physical function, activity of daily living (ADL), distance walked in six minutes and grip strength were assessed using a validated ADL questionnaire, six minute walk test and a hand dynamometer respectively. In addition to medication, EG underwent aerobic and upper extremity resistance exercises thrice weekly for eight weeks while CG used medications only. Data were analyzed using descriptive and inferential statistics. Alpha level was at p < 0.05. Results: EG and CG were comparable in age and physical characteristics. Physical function and cardiovascular parameters were comparable at baseline (p > 0.05). Significant improvements were noticed at fourth week among participants' ADL (30.0% ± 6.0%), 6MWD (321.7 ± 26.3 m) and VO2 max (8.9 ± 0.4 mL/kg/min) variables within the exercise EG but no sig-* Corresponding author. T. O. Awotidebe et al. 548nificant changes were observed in the CG (p > 0.05). Participants in EG demonstrated more significant improvements in ADL (15.0% ± 5.0%), 6MWD (406.0 ± 29.7 m) and VO 2 max (10.3 ± 0.5 mL/kg/min) (p < 0.05) than CG: ADL (42.0% ± 5.0%), 6MWD (321.0 ± 25.7 m) and VO 2 max (8.9 ± 0.4 mL/kg/min) at eighth (p > 0.05). Conclusions: Cardiac rehabilitation exercise protocols involving self-paced walking, sit-to-stand and upper extremity dynamic strength training improved activity of daily living, walking and functional capacity in patients with stable chronic heart failure.

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Interventions to improve outdoor mobility among people living with disabilities: A systematic review

Ringsten,

Ivanic,

Iwarsson

et al. 2024

Campbell Systematic Reviews

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BackgroundAround 15% of the global population live with some form of disabilities and experience worse health outcomes, less participation in the community and are part of fewer activities outside the home. Outdoor mobility interventions aim to improve the ability to move, travel and orient outside the home and could influence the number of activities outside the home, participation and quality of life. However, outdoor mobility interventions may also lead to harm like falls or injuries or have unforeseen effects which could lead to mortality or hospitalization.ObjectivesTo assess the efficacy of interventions aiming to improve outdoor mobility for adults living with disabilities and to explore if the efficacy varies between different conditions and different intervention components.Search MethodsStandard, extensive Campbell search methods were used, including a total of 12 databases searched during January 2023, including trial registries.Selection CriteriaOnly randomized controlled trials were included, focusing on people living with disabilities, comparing interventions to improve outdoor mobility to control interventions as well as comparing different types of interventions to improve outdoor mobility.Data Collection and AnalysisStandard methodological procedures expected by Campbell were used. The following important outcomes were 1. Activity outside the home; 2. Engagement in everyday life activities; 3. Participation; 4. Health‐related Quality of Life; 5. Major harms; 6. Minor harms. The impact of the interventions was evaluated in the shorter (≤6 months) and longer term (≥7 months) after starting the intervention. Results are presented using risk ratios (RR), risk difference (RD), and standardized mean differences (SMD), with the associated confidence intervals (CI). The risk of bias 2‐tool and the GRADE‐framework were used to assess the certainty of the evidence.Main ResultsThe screening comprised of 12.894 studies and included 22 studies involving 2.675 people living with disabilities and identified 12 ongoing studies. All reported outcomes except one (reported in one study, some concerns of bias) had overall high risk of bias. Thirteen studies were conducted in participants with disabilities due to stroke, five studies with older adults living with disabilities, two studies with wheelchair users, one study in participants with disabilities after a hip fracture, and one study in participants with cognitive impairments.Skill training interventions versus control interventions (16 studies)The evidence is very uncertain about the benefits and harms of skill training interventions versus control interventions not aimed to improve outdoor mobility among all people living with disabilities both in the shorter term (≤6 months) and longer term (≥7 months) for Activity outside the home; Participation; Health‐related Quality of Life; Major harms; and Minor harms, based on very low certainty evidence. Skill training interventions may improve engagement in everyday life activities among people with disabilities in the shorter term (RR: 1.46; 95% CI: 1.16 to 1.84; I2 = 7%; RD: 0.15; 95% CI: −0.02 to 0.32; I2 = 71%; 692 participants; three studies; low certainty evidence), but the evidence is very uncertain in the longer term, based on very low certainty evidence. Subgroup analysis of skill training interventions among people living with disabilities due to cognitive impairments suggests that such interventions may improve activity outside the home in the shorter term (SMD: 0.44; 95% CI: 0.07 to 0.81; I2 = NA; 118 participants; one study; low certainty evidence). Subgroup analysis of skill training interventions among people living with cognitive impairments suggests that such interventions may improve health‐related quality of life in the shorter term (SMD: 0.49; 95% CI: 0.12 to 0.88; I2 = NA; 118 participants; one study; low certainty evidence).Physical training interventions versus control interventions (five studies)The evidence is very uncertain about the benefits and harms of physical training interventions versus control interventions not aimed to improve outdoor mobility in the shorter term (≤6 months) and longer term (≥7 months) for: Engagement in everyday life activities; Participation; Health‐related Quality of Life; Major harms; and Minor harms, based on very low certainty evidence. Physical training interventions may improve activity outside the home in the shorter (SMD: 0.35; 95% CI: 0.08 to 0.61; I2 = NA; 228 participants; one study; low certainty evidence) and longer term (≥7 months) (SMD: 0.27; 95% CI: 0.00 to 0.54; I2 = NA; 216 participants; one study; low certainty evidence).Comparison of different outdoor mobility interventions (one study)The evidence is very uncertain about the benefits and harms of outdoor mobility interventions of different lengths in the shorter term (≤6 months) and longer term (≥7 months) for Activity outside the home; Engagement in everyday life activities; Participation; Health‐related Quality of Life; Major harms; and Minor harms, based on very low certainty evidence. No studies explored the efficacy of other types of interventions.Authors’ ConclusionsTwenty‐two studies of interventions to improve outdoor mobility for people living with disabilities were identified, but the evidence still remains uncertain about most benefits and harms of these interventions, both in the short‐ and long term. This is primarily related to risk of bias, small underpowered studies and limited reporting of important outcomes for people living with disabilities. For people with disabilities, skill training interventions may improve engagement in everyday life in the short term, and improve activity outside the home and health‐related quality of life for people with cognitive impairments in the short term. Still, this is based on low certainty evidence from few studies and should be interpreted with caution. One study with low certainty evidence suggests that physical training interventions may improve activity outside the home in the short term. In addition, the effect sizes across all outcomes were considered small or trivial, and could be of limited relevance to people living with disabilities. The evidence is currently uncertain if there are interventions that can improve outdoor mobility for people with disabilities, and can improve other important outcomes, while avoiding harms. To guide decisions about the use of interventions to improve outdoor mobility, future studies should use more rigorous design and report important outcomes for people with disabilities to reduce the current uncertainty.

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Exercise training improves functional walking capacity and activity level of Nigerians with chronic biventricular heart failure

Cited by 15 publications

References 36 publications

Effects of combined aerobic and resistance training in patients with heart failure: A meta‐analysis of randomized, controlled trials

Effects of combined aerobic and resistance training in patients with heart failure: A meta‐analysis of randomized, controlled trials

Effects of Cardiac Rehabilitation Exercise Protocols on Physical Function in Patients with Chronic Heart Failure: An Experience from a Resource Constraint Nation

Interventions to improve outdoor mobility among people living with disabilities: A systematic review

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