The effect of exercise training and physiotherapy on diastolic  function, exercise capacity and quality of life in patients with  heart failure with preserved ejection fraction:  a systematic  review and meta-analysis

Zhuang, Chenchen; Luo, Xufei; Wang, Qiongying; Wang, Wenjuan; Sun, Runmin; Zhang, Xiaofang; Yu, Jinming

doi:10.33963/kp.a2021.0101

Cited by 13 publications

(11 citation statements)

References 42 publications

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“…Currently, the importance of maintaining a good level of muscle strength is recognized in order to maintain functional independence in people whose health may be threatened (for example, in the elderly [ 43 , 44 , 45 ]). Its role in maintaining functional capacity has also been recognized; for example, in patients with COPD [ 46 , 47 ], heart patients [ 48 ], and diabetics [ 49 , 50 ]. The WHO’s recommendations for physical activity for the general population include physical exercise for muscle strengthening at least twice a week [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

“…We did not find significant differences between the measured value of 1RM and the estimated value when applying the regression equation ( p = 0.463), although, on average, the error in the estimate was around 12.7%. Part of this difference is attributable to the fact that the approximation of 1RM that we made was 2.5 kg (minimum interval between the next two weights), and since the number of series for its determination is recommended to be a maximum of 6 [ 48 ], and considering that the average 1RM of the sample was 72.6 kg, at least 3.4% error is attributable to the degree of discrimination of the method for close loads.…”

Section: Discussionmentioning

confidence: 99%

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Reliability of Isometric Muscle Strength Measurement and Its Accuracy Prediction of Maximal Dynamic Force in People with Multiple Sclerosis

et al. 2022

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Background and Objectives: Multiple sclerosis (MS) is a disease that manifests with varied neurological symptoms, including muscle weakness, especially in the lower extremities. Strength exercises play an important role in the rehabilitation and functional maintenance of these patients. The individualized prescription of strength exercises is recommended to be based on the maximum force determined by the one-repetition maximum (1RM), although to save time and because it requires less equipment, it is often determined by the maximum voluntary isometric contraction (MVIC). The purpose of this work was to study, in patients with MS (pwMS), the reliability of MVIC and the correlation between the MVIC and 1RM of the knee extensors and to predict the MVIC-based 1RM. Materials and Methods: A total of 328 pwMS participated. The study of the reliability of MVIC included all pwMS, for which MVIC was determined twice in one session. Their 1RM was also evaluated. The sample was randomized by MS type, sex, and neurological disability score into a training group and a testing group for the analysis of the correlation and prediction of MVIC-based 1RM. Results: MVIC repeatability (ICC, 2.1 = 0.973) was determined, along with a minimum detectable change of 13.2 kg. The correlation between MVIC and 1RM was R2 = 0.804, with a standard error estimate of 12.2 kg. The absolute percentage error of 1RM prediction based on MVIC in the test group was 12.7%, independent of MS type and with no correlation with neurological disability score. Conclusions: In patients with MS, MVIC presents very good intrasubject repeatability, and the difference between two measurements of the same subject must differ by 17% to be considered a true change in MVIC. There is a high correlation between MVIC and 1RM, which allows estimation of 1RM once MVIC is known, with an estimation error of about 12%, regardless of sex or type of MS, and regardless of the degree of neurological disability.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Reliability of Isometric Muscle Strength Measurement and Its Accuracy Prediction of Maximal Dynamic Force in People with Multiple Sclerosis

et al. 2022

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“…The substantial gain in health-related quality of life with cardiac rehabilitation emphasizes the importance of its combination with current pharmacological therapy for patients with HF 41 , 52–54 as the ‘fifth pillar’ of heart failure management, and cardiac rehabilitation allows us to address patients’ preference for improving their morbidity, survival, and quality of life.…”

Section: Introductionmentioning

confidence: 99%

Cardiac rehabilitation for heart failure: ‘Cinderella’ or evidence-based pillar of care?

Taylor

Dalal

Zwisler

2023

European Heart Journal

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Cardiac rehabilitation remains the ‘Cinderella’ of treatments for heart failure. This state-of-the-art review provides a contemporary update on the evidence base, clinical guidance, and status of cardiac rehabilitation delivery for patients with heart failure. Given that cardiac rehabilitation participation results in important improvements in patient outcomes, including health-related quality of life, this review argues that an exercise-based rehabilitation is a key pillar of heart failure management alongside drug and medical device provision. To drive future improvements in access and uptake, health services should offer heart failure patients a choice of evidence-based modes of rehabilitation delivery, including home, supported by digital technology, alongside traditional centre-based programmes (or combinations of modes, ‘hybrid’) and according to stage of disease and patient preference.

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“…A meta-analysis shows that RER can enhance muscle strength, aerobic capacity (6 min walk distance) in patients with chronic HF and the training duration ranges from 8 to 24 weeks 10. Being complementary to aerobic exercise rehabilitation, RER is shown to be an effective and relative safe way to increase muscle mass, enhance cardiac diastolic function and improve exercise capacity and QoL in elderly HFpEF patients with sarcopenia 11–14. In addition, the completion and compliance of cardiac rehabilitation in elderly patients with HF are poor, which is an unsolved problem.…”

Section: Introductionmentioning

confidence: 99%

Impact of resistance exercise rehabilitation and whey protein supplementation in elderly patients with heart failure with preserved ejection fraction with sarcopenia: a study protocol for a randomised controlled trial

Zhou

Li²,

Chen³

et al. 2022

BMJ Open

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IntroductionHeart failure with preserved ejection fraction (HFpEF) affects more than half of the patients with heart failure. HFpEF and sarcopenia can interact with each other and contribute to reduced physiological function and increased mortality in elderly patients. Resistance training (RT) or resistance exercise rehabilitation (RER) may have benefits for elderly HFpEF patients with sarcopenia. Whey protein supplementation (WPS) may increase the effects of exercise on strength and muscle mass, in addition to promoting heart function and quality of life (QoL). However, studies are needed to evaluate effects of RER and WPS in patients with HFpEF with sarcopenia.Methods and analysisThis is a prospective, randomised, controlled clinical trial in which patients with HFpEF with sarcopenia will be randomly allocated to three groups, control, RT and RT+WP. Participants in all groups will receive basic intervention including standard medicine treatment, home-based aerobic exercise and basic nutritional intervention. The RT group will undergo resistance exercise programmes, and the RT+WP group will receive daily WPS apart from resistance exercise. The study variables will be evaluated at baseline and 12 weeks. Primary outcome measure is the change of 6 min walking distance. Secondary outcomes include parameters of muscle status, cardiac function, nutritional status, QoL and major adverse cardiovascular events. The primary efficacy analysis will follow the intention-to-treat principle.Ethics and disseminationThis study was approved by Ethics Committee of China-Japan Friendship Hospital for Clinical Research (No. 2022-KY-003). The results of this study will be disseminated via peer-reviewed publications and presentations at conferences.Trial registration numberChiCTR2200061069.

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The effect of exercise training and physiotherapy on diastolic function, exercise capacity and quality of life in patients with heart failure with preserved ejection fraction: a systematic review and meta-analysis

Cited by 13 publications

References 42 publications

Reliability of Isometric Muscle Strength Measurement and Its Accuracy Prediction of Maximal Dynamic Force in People with Multiple Sclerosis

Reliability of Isometric Muscle Strength Measurement and Its Accuracy Prediction of Maximal Dynamic Force in People with Multiple Sclerosis

Cardiac rehabilitation for heart failure: ‘Cinderella’ or evidence-based pillar of care?

Impact of resistance exercise rehabilitation and whey protein supplementation in elderly patients with heart failure with preserved ejection fraction with sarcopenia: a study protocol for a randomised controlled trial

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