scholarly journals A Combined Aerobic and Resistance Exercise Program Improves Physical Functional Performance in Patients With Heart Failure

2012 ◽  
Vol 27 (5) ◽  
pp. 418-430 ◽  
Author(s):  
Rebecca A. Gary ◽  
M. Elaine Cress ◽  
Melinda K. Higgins ◽  
Andrew L. Smith ◽  
Sandra B. Dunbar
2011 ◽  
Vol 92 (9) ◽  
pp. 1371-1381 ◽  
Author(s):  
Rebecca A. Gary ◽  
M. Elaine Cress ◽  
Melinda K. Higgins ◽  
Andrew L. Smith ◽  
Sandra B. Dunbar

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Iván José Fuentes-Abolafio ◽  
Brendon Stubbs ◽  
Luis Miguel Pérez-Belmonte ◽  
María Rosa Bernal-López ◽  
Ricardo Gómez-Huelgas ◽  
...  

Abstract Background Patients with Heart Failure (HF) show impaired functional capacities which have been related to their prognosis. Moreover, physical functional performance in functional tests has also been related to the prognosis in patients with HF. Thus, it would be useful to investigate how physical functional performance in functional tests could determine the prognosis in patients with HF, because HF is the leading cause of hospital admissions for people older than 65 years old. This systematic review and meta-analysis aims to summarise and synthesise the evidence published about the relationship between physical functional performance and prognosis in patients with HF, as well as assess the risk of bias of included studies and the level of evidence per outcome. Methods Major electronic databases, such as PubMed, AMED, CINAHL, EMBASE, PEDro, Web of Science, were searched from inception to March 2020 for observational longitudinal cohort studies (prospective or retrospective) examining the relationship between physical functional performance and prognosis in patients with HF. Results 44 observational longitudinal cohort studies with a total of 22,598 patients with HF were included. 26 included studies reported a low risk of bias, and 17 included studies showed a moderate risk of bias. Patients with poor physical functional performance in the Six Minute Walking Test (6MWT), in the Short Physical Performance Battery (SPPB) and in the Gait Speed Test showed worse prognosis in terms of larger risk of hospitalisation or mortality than patients with good physical functional performance. However, there was a lack of homogeneity regarding which cut-off points should be used to stratify patients with poor physical functional performance from patients with good physical functional performance. Conclusion The review includes a large number of studies which show a strong relationship between physical functional performance and prognosis in patients with HF. Most of the included studies reported a low risk of bias, and GRADE criteria showed a low and a moderate level of evidence per outcome.


2005 ◽  
Vol 4 (3) ◽  
pp. 215-219 ◽  
Author(s):  
Roberta K. Oka ◽  
Teresa DeMarco ◽  
William L. Haskell

Background: Self-efficacy is a person's confidence in being able to successfully perform a specific activity or behavior. Self-efficacy has been shown to influence exercise capacity in patients post myocardial infarction, but has not been fully explored in patients with heart failure (HF). This study examined the impact of performance of a single treadmill exercise test and participation in a 3-month program of walking and resistance exercise on self-efficacy in HF patients. Methods: 24 patients were randomized to either a home-based walking and resistance exercise program or usual care for 3 months. Prior to enrollment into the exercise program all participants performed a single treadmill exercise test with respiratory gas analysis. Self-efficacy questionnaires were completed at 3 time points, 1) prior to performance of an exercise treadmill test; 2) immediately after completing an exercise test; and 3) at the end of a 3-month exercise program. Results: Self-efficacy for walking ( p = 0.07), climbing ( p = 0.17), lifting ( p = 0.73) and general activity ( p = 0.15) did not improve after performance of a single treadmill exercise test and usual care. However, self-efficacy for walking increased after 3 months of a walking and resistance exercise program. ( p = 0.04). Conclusions: The findings from this study suggest that in patients with stable mild to moderate heart failure, self-efficacy is improved with participation in a home-based walking and endurance exercise program. Self-efficacy is not enhanced by performance of a single treadmill exercise test and usual care.


Author(s):  
Ali Pourhabib ◽  
Zahra Fotokian

Introduction: Diminished physiological tolerance induced heart failure among the elderly patients limit doing their daily activities. Exercising as a non-medical intervention is not usually mentioned for daily activities promotion. The current study was conducted aiming to explore the effects of aerobic and resistance exercise program on physical adaptation in the elderly men patients with heart failure. Methods: This study was a randomized clinical trial design. The study population was all the male elderlies suffering from heart failure type 2 and 3. All the 60 elderlies were randomly assigned using block-randomized allocation into the intervention and the control groups. The study field was Echocardiography ward at Imam Sajjad Hospital in Ramsar. The exercise program was performed for three months in the intervention group. The physical adaptation was assessed in four different time intervals (before 1, 2, and 3 months and also after intervention) and the results were compared between the groups. The data were analyzed using SPSS version 16. Adaptation scores were calculated using the indices, including descriptive statistics and then the following tests were performed: independent and paired t-test, repeated ANOVA, and Bonferoni tests. Results: The results showed a significant statistical difference between the mean scores of distances walked in 6 minutes in four points between the two groups (P≤0.001). The aerobic and resistance exercise programs had promoted the physical adaptation among the elderlies with heart failure as our results approved (P<0.05). Conclusion: Aerobic and resistance exercises can help in promoting the physical adaptation in doing the daily activities in the elderly with heart failure.


2007 ◽  
Vol 39 (Supplement) ◽  
pp. S287
Author(s):  
M. Elaine Cress ◽  
Dawn M. Hayes ◽  
Trudy L. Moore ◽  
Rebecca A. Gary

2013 ◽  
Vol 33 (6) ◽  
pp. 378-384 ◽  
Author(s):  
Vinicius Z. Maldaner da Silva ◽  
Alexandra Lima ◽  
Graziella B. Cipriano ◽  
Marianne Lucena da Silva ◽  
Filippe V. Campos ◽  
...  

Author(s):  
Giane Ribeiro-Samora ◽  
Mariana Hoffman Barbosa ◽  
Dayane Montemezzo ◽  
Maria Clara Noman Alencar ◽  
Danielle Gomes Pereira ◽  
...  

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