2.50
Hdl Handle:
http://hdl.handle.net/2336/6582
Title:
The effect of physical training in chronic heart failure
Authors:
Jónsdóttir, Sólrún; Andersen, Karl K; Sigurdsson, Axel F; Sigurdsson, Stefán B
Citation:
Eur. J. Heart Fail. 2006, 8(1):97-101
Issue Date:
1-Jan-2006
Abstract:
BACKGROUND: Supervised cardiac rehabilitation programs have been offered to patients following myocardial infarct (MI), coronary artery bypass graft surgery (CABG) and percutaneous coronary intervention (PCI) for many years. However, limited information is available on the usefulness of rehabilitation programs in chronic heart failure (CHF). The aim of our study was to evaluate the outcome of supervised physical training on CHF patients by measuring both central and peripheral factors. METHODS: This was a prospective randomized study, including 43 patients with CHF, New York Heart Association (NYHA) class II or III, mean age 68 years. After initial measurements of VO2 peak, 6 min walk distance, muscle strength, plasma levels of atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP), echocardiogram, measurements of pulmonary function and quality of life questionnaire, patients were randomized to either a training group (n = 21) or a control group (n = 22). The training group had supervised aerobic and resistance training program twice a week for five months. After the training program was completed, all measurements were repeated in both groups. RESULTS: No training related adverse events were reported. Significant improvement was found between groups in the six minute walk test (+37.1 m vs. +5.3 m, p = 0.01), work load on the bicycle exercise test (+6.1 W vs. +2.1 W, p = 0.03), time on the bicycle exercise test (+41 s vs. +0 s, p = 0.02) and quadriceps muscle strength test (+2.8 kg. vs. +0.2 kg., p = 0.003). Quality of life factors that reflect exercise tolerance and general health, improved significantly in the training group compared to the control group. No other significant changes were found between the two groups. CONCLUSION: Supervised physical training as used in this study appears safe for CHF patients in NYHA class II or III. The improvement in functional capacity observed in the training group seems to be related to peripheral factors rather than in central cardiovascular performance.
Description:
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Additional Links:
http://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VS9-4H6GPW0-1-1&_cdi=6257&_user=2631555&_orig=search&_coverDate=01%2F31%2F2006&_qd=1&_sk=999919998&view=c&wchp=dGLbVtb-zSkWz&md5=c8ec8de08b49b3eb1c9cefebe67bd9bd&ie=/sdarticle.pdf

Full metadata record

DC FieldValue Language
dc.contributor.authorJónsdóttir, Sólrún-
dc.contributor.authorAndersen, Karl K-
dc.contributor.authorSigurdsson, Axel F-
dc.contributor.authorSigurdsson, Stefán B-
dc.date.accessioned2006-12-15T13:52:10Z-
dc.date.available2006-12-15T13:52:10Z-
dc.date.issued2006-01-01-
dc.date.submitted2006-12-15-
dc.identifier.citationEur. J. Heart Fail. 2006, 8(1):97-101en
dc.identifier.issn1388-9842-
dc.identifier.pmid16194620-
dc.identifier.doi10.1016/j.ejheart.2005.05.002-
dc.identifier.otherCAR12-
dc.identifier.otherPTY12-
dc.identifier.urihttp://hdl.handle.net/2336/6582-
dc.descriptionTo access Publisher full text version of this article. Please click on the hyperlink in Additional Links fielden
dc.description.abstractBACKGROUND: Supervised cardiac rehabilitation programs have been offered to patients following myocardial infarct (MI), coronary artery bypass graft surgery (CABG) and percutaneous coronary intervention (PCI) for many years. However, limited information is available on the usefulness of rehabilitation programs in chronic heart failure (CHF). The aim of our study was to evaluate the outcome of supervised physical training on CHF patients by measuring both central and peripheral factors. METHODS: This was a prospective randomized study, including 43 patients with CHF, New York Heart Association (NYHA) class II or III, mean age 68 years. After initial measurements of VO2 peak, 6 min walk distance, muscle strength, plasma levels of atrial natriuretic peptide (ANP) and brain natriuretic peptide (BNP), echocardiogram, measurements of pulmonary function and quality of life questionnaire, patients were randomized to either a training group (n = 21) or a control group (n = 22). The training group had supervised aerobic and resistance training program twice a week for five months. After the training program was completed, all measurements were repeated in both groups. RESULTS: No training related adverse events were reported. Significant improvement was found between groups in the six minute walk test (+37.1 m vs. +5.3 m, p = 0.01), work load on the bicycle exercise test (+6.1 W vs. +2.1 W, p = 0.03), time on the bicycle exercise test (+41 s vs. +0 s, p = 0.02) and quadriceps muscle strength test (+2.8 kg. vs. +0.2 kg., p = 0.003). Quality of life factors that reflect exercise tolerance and general health, improved significantly in the training group compared to the control group. No other significant changes were found between the two groups. CONCLUSION: Supervised physical training as used in this study appears safe for CHF patients in NYHA class II or III. The improvement in functional capacity observed in the training group seems to be related to peripheral factors rather than in central cardiovascular performance.en
dc.language.isoenen
dc.publisherElsevier Scienceen
dc.relation.urlhttp://www.sciencedirect.com/science?_ob=MImg&_imagekey=B6VS9-4H6GPW0-1-1&_cdi=6257&_user=2631555&_orig=search&_coverDate=01%2F31%2F2006&_qd=1&_sk=999919998&view=c&wchp=dGLbVtb-zSkWz&md5=c8ec8de08b49b3eb1c9cefebe67bd9bd&ie=/sdarticle.pdfen
dc.subject.meshAgeden
dc.subject.meshAtrial Natriuretic Factoren
dc.subject.meshExercise Therapyen
dc.subject.meshExercise Toleranceen
dc.subject.meshFemaleen
dc.subject.meshFollow-Up Studiesen
dc.subject.meshHeart Failure, Congestiveen
dc.subject.meshHumansen
dc.subject.meshMaleen
dc.subject.meshNatriuretic Peptide, Brainen
dc.subject.meshOxygen Consumptionen
dc.subject.meshProspective Studiesen
dc.subject.meshQuality of Lifeen
dc.subject.meshSeverity of Illness Indexen
dc.titleThe effect of physical training in chronic heart failureen
dc.typeArticleen
dc.identifier.journalEuropean journal of heart failureen
dc.format.digYES-

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