Addition of non-invasive ventilatory support to combined aerobic and resistance training improves dyspnea and quality of life in heart failure patients: a randomized controlled trial

2017 ◽  
Vol 31 (11) ◽  
pp. 1508-1515 ◽  
Author(s):  
Hugo Souza Bittencourt ◽  
Cristiano Gonçalves Cruz ◽  
Bruno Costa David ◽  
Erenaldo Rodrigues-Jr ◽  
Camille Magalhães Abade ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Resistance Training ◽  
Ventilatory Support ◽  
Walk Test ◽  
Heart Failure Patients ◽  
Non Invasive ◽  
6 Minute Walk Test ◽  
Minute Walk

Objective: To test the hypothesis that combined aerobic and resistance training and non-invasive ventilatory support result in additional benefits compared with combined aerobic and resistance training alone in heart failure patients. Design: A randomized, single-blind, controlled study. Setting: Cardiac rehabilitation center. Participants: A total of 46 patients with New York Heart Association class II/III heart failure were randomly assigned to a 10-week program of combined aerobic and resistance training, plus non-invasive ventilatory support ( n = 23) or combined aerobic and resistance training alone ( n = 23). Methods: Before and after intervention, results for the following were obtained: 6-minute walk test, forced vital capacity, forced expiratory volume at one second, maximal inspiratory muscle pressure, and maximal expiratory muscle pressure, with evaluation of dyspnea by the London Chest Activity of Daily Living scale, and quality of life with the Minnesota Living With Heart Failure questionnaire. Results: Of the 46 included patients, 40 completed the protocol. The combined aerobic and resistance training plus non-invasive ventilatory support, as compared with combined aerobic and resistance training alone, resulted in significantly greater benefit for dyspnea (mean change: 4.8 vs. 1.3, p = 0.004), and quality of life (mean change: 19.3 vs. 6.8, p = 0.017 ). In both groups, the 6-minute walk test improved significantly (mean change: 45.7 vs. 44.1, p = 0.924), but without a statistically significant difference. Conclusion: Non-invasive ventilatory support combined with combined aerobic and resistance training provides additional benefits for dyspnea and quality of life in moderate heart failure patients. Trial registration: ClinicalTrials.gov identifier: NCT02384798. Registered 03 April 2015.

OC03_04 Relationship Between Six Minute Walk Test and Health-Related Quality of Life of Heart Failure Patients

Global Heart ◽  
2016 ◽  
Vol 11 (2) ◽  
pp. e4
Author(s):  
V. Peláez-Hernández ◽  
R. Pablo-Santiago ◽  
A. Orea-Tejeda ◽  
E. Pérez-Cabañas ◽  
J. Pineda-Juárez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Walk Test ◽  
Health Related Quality ◽  
Heart Failure Patients ◽  
Six Minute Walk Test ◽  
Related Quality ◽  
Health Related ◽  
Minute Walk

scholarly journals Effect of nitrate treatment on functional capacity and exercise time in patients with heart failure: a systematic review and meta-analysis

2020 ◽  
Vol 48 (8) ◽  
pp. 030006052093974
Author(s):  
Wenjie Long ◽  
Huili Liao ◽  
Qingqing Liu ◽  
Yile Ning ◽  
Tingchun Wu ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Walk Test ◽  
Exercise Time ◽  
Nitrate Treatment ◽  
All Cause Mortality ◽  
Test Distance ◽  
6 Minute Walk Test ◽  
Minute Walk

Objectives Heart failure (HF) is a common and potentially fatal condition. In 2015, HF affected approximately 40 million people globally. Evidence showing that the use of nitrates can improve clinical outcomes in patients with HF is limited. This study aimed to assess the effect of nitrates on functional capacity and exercise time in patients with HF. Methods PubMed, Cochrane Library, and Embase databases were reviewed for articles on the use of nitrates and other treatments for patients with HF. The primary endpoints were the 6-minute walk test distance, exercise time, and quality of life. Secondary endpoints were all-cause mortality, arrhythmia, hospitalization, and worsening HF. The weighted mean difference, risk ratio, and 95% confidence interval were calculated. Results A total of 14 related studies that comprised 26,321 patients were included. No significant differences were found in the 6-minute walk test distance, exercise time, and quality of life between the nitrate and control treatment groups. There were also no differences in all-cause mortality, the incidence of arrhythmia, hospitalization, and worsening HF between these two groups. Conclusion Patients with HF who receive nitrate treatment do not have better quality of life or exercise capacity compared with controls.

Effects of Ivabradine on 6-Minute Walk Test and Quality of Life in Patients With Previously Implanted CRT-D

2013 ◽  
Vol 61 (6) ◽  
pp. 1013-1017 ◽  
Author(s):  
Ismail Ates ◽  
Asuman H. Yavuz ◽  
Mehmet Doğru ◽  
Ahmet Genç ◽  
Şeref Ulucan ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Walk Test ◽  
6 Minute Walk Test ◽  
Minute Walk

scholarly journals Efficacy and Safety of an mHealth App and Wearable Device in Physical Performance for Patients With Hepatocellular Carcinoma: Development and Usability Study

10.2196/14435 ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. e14435 ◽  
Author(s):  
Yoon Kim ◽  
Jinserk Seo ◽  
So-Yeon An ◽  
Dong Hyun Sinn ◽  
Ji Hye Hwang
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Body Composition ◽  
Physical Fitness ◽  
Exercise Program ◽  
Walk Test ◽  
6 Minute Walk Test ◽  
Minute Walk ◽  
Rehabilitation Exercise

Background Exercise is predicted to have a positive effect among hepatocellular carcinoma (HCC) patients. However, these patients are hesitant to start and build up an exercise program for one major reason: the vague fear of developing hepatic decompensation, a potentially fatal condition that can lead to death. Integrating mobile health (mHealth) with individualized exercise programs could be a possible option for promoting physical capacity among HCC patients. Objective The aim of this study was to evaluate the efficacy and safety of rehabilitation exercises, which have been individually prescribed via an mHealth app, on physical fitness, body composition, biochemical profile, and quality of life among HCC patients. Methods A total of 37 HCC patients were enrolled in a 12-week course with an mHealth app program targeted to HCC patients. The wearable wristband device Neofit (Partron Co) was provided to participants, and recorded daily physical data, such as the number of steps, calorie expenditure, exercise time, and heart rate. Each participant was given an individualized rehabilitation exercise program that was prescribed and adjusted at the 6-week midintervention period based on the assessment results. At baseline, 6-week, and 12-week sessions, participants’ physical fitness levels (ie, 6-minute walk test, grip strength test, and 30-second chair stand test) were measured. Physical activity levels, as measured by the International Physical Activity Questionnaire-Short Form (IPAQ-SF); body composition (ie, body mass index, body fat percentage, and muscle mass); biochemical profiles; and quality of life, as measured by the European Organization for Research and Treatment of Cancer Quality-of-Life Questionnaire C30, were assessed at baseline and at the end point. At the 6-week midpoint, exercise intensity was individually adjusted. Results Of the 37 patients, 31 (84%) completed the 12-week intervention. Grip strength improved significantly after 12 weeks of the intervention. The 30-second chair stand test and the 6-minute walk test showed significant improvement from 0 to 6 weeks, from 0 to 12 weeks, and from 6 to 12 weeks. Muscle mass and the IPAQ-SF score increased significantly after 12 weeks of the intervention without biochemical deterioration. Conclusions Following 12 weeks of mHealth care, including an individually prescribed rehabilitation exercise program, we saw significant improvements in physical fitness, body composition, and physical activity without any complication or biochemical deterioration among compensated HCC patients who had completed therapy.

Why to evaluate the functional capacity in PAD patients?

VASA ◽  
2020 ◽  
Vol 49 (4) ◽  
pp. 275-280
Author(s):  
Pavel Poredoš ◽  
Mateja K. Jezovnik
Keyword(s):  
Quality Of Life ◽  
Functional Impairment ◽  
Constant Load ◽  
Load Test ◽  
Walk Test ◽  
Treadmill Test ◽  
6 Minute Walk Test ◽  
Minute Walk

Summary: In patients with peripheral arterial disease (PAD), the ability to perform physical exercise is an essential and most important indicator of a patient’s health and quality of life. In many cases, there exists a discrepancy between lower extremity blood flow, the extent of arterial occlusion shown by morphological investigation and functional impairment. Reversal of lower extremity arterial obstruction with revascularization does not always reverse functional impairment of diseased leg. Further, training exercise and drug treatment can improve functional performance although they are not associated with an improvement in arterial obstruction. Therefore, the determination of functional impairment and its recovery after different therapeutic procedures should be determined using objective tests. The most frequently used functional tests are treadmill exercise testing and a 6-minute walk test. The constant load test, in which results are expressed as a walked distance, does not always permit an accurate assessment of the full range of functional impairment of PAD patients. Recently, as a substitute for a constant-load test, the graded treadmill test is used. With this test, it is possible to identify those individuals with exercise limitations who are not caused only by deterioration of the blood flow of lower limbs. The 6-minute walk test is simple to perform and requires minimal equipment. However, the correlation between the 6-minute walk test and the graded treadmill test is relatively weak, indicating that peak performance on a graded treadmill may reflect different pathophysiological mechanisms of limitations. In conclusion: for the determination of limitations of mobility and quality of life in patients with PAD, objective measures of functional impairment are needed. The determination of functional capacity is related to the quality of life and is a useful tool for investigation of the success of revascularization of peripheral arteries and conservative treatment.

Bariatric Surgery in a Morbidly Obese Achondroplasic Patient – Use of the 6-Minute Walk Test to Assess Mobility and Quality of Life

2007 ◽  
Vol 17 (2) ◽  
pp. 255-257 ◽  
Author(s):  
João Regis Ivar Carneiro ◽  
Vinícius Gomes da Silveira ◽  
Ana Carolina Nader Vasconcelos ◽  
Luciana Lopes de Souza ◽  
Denise Xerez ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Bariatric Surgery ◽  
Morbidly Obese ◽  
Walk Test ◽  
Patient Use ◽  
6 Minute Walk Test ◽  
Minute Walk
Sign in / Sign up

Export Citation Format

Share Document