Similar effects of low to moderate-intensity exercise program vs moderate-intensity continuous exercise program on depressive disorder in heart failure patients

Abstract

Background: Heart failure related depression is recently increased worldwide. Heart failure (HF) disease is identified as a critical cause of increasing morbidity, hospital readmission, and mortality. The most important purpose of treatment of HF disease is to relief disease problems, improve functional performance, and achieve better quality of life. Objectives: This study was proposed to evaluate the effects of low to moderate-intensity exercise program vs moderate-intensity continuous exercise program on the level of depressive disorder in heart failure patients. Study design: 12-week randomized controlled trial. Methods: Sixty nine HF patients with mild to moderate level of depression and ejection fraction <40% were examined before and after 12-week intervention. Their age was ranged from 40 to 60 years. Patients were randomly classified into 3 groups. Group I (n = 23) received low to moderate intensity exercise program (LMIEP), group II (n = 23) received moderate-intensity exercise program (MICEP), and group III (n = 23) did not receive any exercise program (Non-exercised group). All patients were instructed to conduct home-based exercise with their pharmacological therapy. The level of depression was evaluated before and after 12 weeks of the intervention program. Results: The 3 study groups were associated with significant decrease of depression level ( P < .05). Significant differences were exhibited between the 3 groups in favor to both exercise programs ( P < .05) with non-significant differences between the 2 exercise programs ( P > .05). Conclusions: Both exercise programs had positive effects in reducing the severity of depression in HF patients. Low to moderate and moderate-intensity exercise programs should be proposed for depression illness specially patients with heart failure.

Effect of Moderate-Intensity Aerobic Exercise on Hepatic Fat Content and Visceral Lipids in Hepatic Patients with Diabesity: A Single-Blinded Randomised Controlled Trial

“…However, these studies observed the high measure of maximal oxygen uptake (VO 2peak ) in mild NAFLD, confirming the vital function of exercise training in the management of this type of patients [12]. Also, other studies provided that physical exercise and dietary control reduce steatosis [13][14][15], liver fat content [16][17][18], depression status [19,20], ventilatory marker dysfunctions [21], and slow down progression of T2DM [22].…”

The benefits of physiotherapy in patients with major depressive disorder (MDD)

“…Complementary and Alternative Medicine Treatments 9 and; Similar effects of low to moderate-Intensity exercise program vs moderate-intensity continuous exercise program on depressive disorder in heart failure patients. 10…”

“…Abdelbasset et al 10 performed the study in patients who besides MDD has heart problems. The sample consisted of 69 patients, with heart failure with a mild to moderate level of MDD and 40% ejection fraction, they were examined before and after the 12-week intervention.…”

“…Mild-to-moderate and moderate-intense exercise programs should be proposed for depression and especially patients with heart failure. 10 In the last article Ravindran et al 9 choose to compare the effects of different techniques in the treatment of MDD, such as conventional exercises, yoga, light therapy and sleep deprivation, in addition to a natural remedy called St. John Wort, Omega-3 fatty acids and SAM-e Using the question-answer format, a systematic search was conducted in the literature focusing on systematic literature reviews and meta-analyses. The evidence was classified using criteria defined by Canadian Network for Mood and Anxiety Treatments (CANMAT) for the level of evidence.…”

“…The insertion of physiotherapists in public and private health networks with care of patients in mental distress caused by MDD was shown to be important, mainly due to the ease in creating protocols for these patients, as demonstrated by Greer et al 8 Mata et al 7 & Abdelbasset et al 10 who demonstrated through their experiments that aerobic exercises, anaerobic, low and high intensity help significantly in the improvement of these patients. In addition, it has also been demonstrated by Ravindran, Balneaves, Faulkner et al 9 other therapeutic alternatives that can be performed along with conventional treatment.…”