The effects of resistance training on muscle strength, quality of life and aerobic capacity in patients with chronic heart failure — A meta-analysis

Giuliano, Catherine; Karahalios, Amalia; Neil, Christopher; Allen, Jason D.; Levinger, Itamar

doi:10.1016/j.ijcard.2016.11.023

Cited by 115 publications

(101 citation statements)

References 58 publications

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“…The increase in leg strength ( Figure 1A) in our study was considerably larger compared to other studies [28][29][30]. Also, hypertrophy has been shown in subjects using a similar combined exercise program [31].…”

Section: Discussioncontrasting

confidence: 49%

A Combined and Intensive Exercise Model Improves Physical Capacity in Cardiac Patients

Sveen¹,

Skaug²,

Christoffersen³

et al. 2017

J Clin Trial

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Objective: We have measured the effect of combined strength and high intensity endurance training on physical capacity and lipid profile in patients with heart and coronary diseases. We wanted to see whether cardiac patients were able to increase training intensity to improve strength without losing endurance capacity.Methods: Thirty heart-operated subjects participated in an intervention period of 10 weeks. The age of the participants was between 52-72 years. The Resistance-Interval group (RE-INT) practiced four times a week with two intensive endurance (spinning) sessions and two strength training sessions. The endurance training consisted of intervals where the heart rate reached>90% of maximum heart rate. Strength training was performed in three series with a load of 8-12 repetition maximum (RM). The subjects in the control group (CON) performed two to three sessions per week according to a national program specialized for coronary patients (called "Ullevaal model"). We had a randomized controlled trial. Results:Maximal leg strength increased in both groups during the intervention, but the increase was higher in the RE-INT group (from 107.9 ± 8.1 kg to 162.0 ± 8.4 kg) compared to the CON group (from 110.8 ± 8.9 to 125.4 ± 9.5 ) (p<0.001). Strength in chest press, the maximal oxygen uptake and the concentration of high densitylipoprotein (HDL) protein increased in both groups during the test period. However, no differences were observed between the RE-INT and CON group. Low density-lipoprotein (LDL), blood pressure and body weight did not change during the intervention period in any of the groups. Conclusion:Cardiac patients were able to increase training intensity, strength and maximal oxygen uptake during a period of 10 weeks. We found that combined training has an effective impact on the increase in leg strength. The increase in muscle strength can be vital for the everyday quality of life in cardiac patients.

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Section: Discussioncontrasting

confidence: 49%

A Combined and Intensive Exercise Model Improves Physical Capacity in Cardiac Patients

Sveen¹,

Skaug²,

Christoffersen³

et al. 2017

J Clin Trial

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“…It is recommended that all patients with established CHF (regardless of left ventricular ejection fraction) should be enrolled in an exercise-based cardiac rehabilitation programme with a multi-faceted approach 3,48-51 ( Table 5) [52][53][54][55][56][57][58][59][60][61][62][63][64][65][66][67] . This may also apply to patients with cardiac implantable electronic or ventricular assistant devices.…”

Section: Chfmentioning

confidence: 99%

“…Continued -3 times/week to increase muscle strength and aerobic capacity 57. Added to interval training, it increases VO 2peak , while combined with endurance continuous training, it increases VO 2peak , muscle strength and HRQoL 58,59.…”

mentioning

confidence: 99%

Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

Ambrosetti

Abreu

Corrà

et al. 2020

European Journal of Preventive Cardiology

530

604

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Secondary prevention through comprehensive cardiac rehabilitation has been recognized as the most cost-effective intervention to ensure favourable outcomes across a wide spectrum of cardiovascular disease, reducing cardiovascular mortality, morbidity and disability, and to increase quality of life. The delivery of a comprehensive and ‘modern’ cardiac rehabilitation programme is mandatory both in the residential and the out-patient setting to ensure expected outcomes. The present position paper aims to update the practical recommendations on the core components and goals of cardiac rehabilitation intervention in different cardiovascular conditions, in order to assist the whole cardiac rehabilitation staff in the design and development of the programmes, and to support healthcare providers, insurers, policy makers and patients in the recognition of the positive nature of cardiac rehabilitation. Starting from the previous position paper published in 2010, this updated document maintains a disease-oriented approach, presenting both well-established and more controversial aspects. Particularly for implementation of the exercise programme, advances in different training modalities were added and new challenging populations were considered. A general table applicable to all cardiovascular conditions and specific tables for each clinical condition have been created for routine practice.

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“…It is unsurprising therefore that studies have shown that skeletal muscle atrophy is independently associated with increased mortality of patients with cardiovascular disease including CHF 12 ; cancer 6 ; chronic respiratory disease such as COPD 13 ; and CKD. 14 Regular exercise, principally resistance training, is an effective method to promote muscle hypertrophy and attenuate muscle atrophy during various atrophic conditions 7,[15][16][17][18][19][20][21][22][23] , and resistance training is now supported in international 24 and national clinical practice [25][26][27] and public health guidelines. 28 The increase in muscle tissue through exercise has a range of diverse physiological and metabolic effects in patients with chronic disease including: attenuating the decrease in muscle mass 18,19 ; increasing strength and physical performance 16,17,22 ; accelerating the synthesis of acutephase proteins in the liver and the synthesis of proteins involved in immune function 7 , consequently improving the state of chronic low-grade inflammation 21 ; betterment of lipid profile 22 ; improved glucose homeostasis ; decreased systolic and diastolic arterial pressure; greater insulin sensitivity 22,27 ; and positively affecting osteo-muscular parameters.…”

Section: Rationalementioning

confidence: 99%

Characteristics of effective home-based resistance training exercise in patients with chronic disease: a scoping review protocol

Wilkinson

Billany

Lightfoot

et al. 2019

Preprint

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Regular exercise, principally resistance training, is an effective method to promote muscle hypertrophy and attenuate muscle atrophy during various atrophic conditions . There is growing interest in the evaluation of home-based resistance training programmes. These programmes have the potential to overcome common barriers to participation, such as accessibility and affordability. The objective of the scoping review is to map the available evidence to provide an overview of what characteristics, principles, and components are required for an effective home-based resistance training programme in patients with chronic disease. The four specific objectives of the scoping review will be to: 1) conduct a systematic search of the published and grey literature for studies reporting on home-based resistance training in patients with chronic disease; 2) map out the characteristics and range of methodologies (including exercise protocols and outcome measures) used in effective home-based resistance training; 3) examine reported challenges and limitations of home-based resistance training; and 4) propose recommendations for optimizing home-based resistance training protocols in this population.

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The effects of resistance training on muscle strength, quality of life and aerobic capacity in patients with chronic heart failure — A meta-analysis

Cited by 115 publications

References 58 publications

A Combined and Intensive Exercise Model Improves Physical Capacity in Cardiac Patients

A Combined and Intensive Exercise Model Improves Physical Capacity in Cardiac Patients

Secondary prevention through comprehensive cardiovascular rehabilitation: From knowledge to implementation. 2020 update. A position paper from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

Characteristics of effective home-based resistance training exercise in patients with chronic disease: a scoping review protocol

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