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dc.contributor.authorKristín Elísabet Hólmgeirsdóttir
dc.contributor.authorBrynjólfur Gauti Jónsson
dc.contributor.authorThor Aspelund
dc.contributor.authorGunnar Guðmundsson
dc.contributor.authorJanus Guðlaugsson
dc.date.accessioned2019-11-14T11:13:15Z
dc.date.available2019-11-14T11:13:15Z
dc.date.issued2019-11
dc.date.submitted2019-11
dc.identifier.citationLæknablaðið 2019, 105(11): 491-497en_US
dc.identifier.issn0023-7213
dc.identifier.urihttp://hdl.handle.net/2336/621173
dc.descriptionTo access publisher's full text version of this article, please click on the hyperlink in Additional Links field or click on the hyperlink at the top of the page marked Downloaden_US
dc.description.abstractTILGANGUR Takmarkaðar upplýsingar er að finna um árangur hjartaendurhæfingar fyrir hjartabilaða einstaklinga á Íslandi. Markmið þessarar rannsóknar var að greina hvort hjartaendurhæfing (stig ll) á HL-stöðinni í Reykjavík skilaði aukinni líkamlegri afkastagetu (w/kg) á hámarksþolprófi í lok þjálfunartímabils. EFNIVIÐUR OG AÐFERÐIR Þetta er afturskyggn gagnarannsókn frá janúar 2010 til júní 2018. Þátttakendur voru sjúklingar með hjartabilun og einnig sjúklingar með útstreymisbrot hjarta 45% eða minna. Aldur og aðrar sjúkdómsgreiningar takmörkuðu ekki þátttöku. Upplýsingar um útstreymisbrot hjarta og þolpróf við upphaf og lok þjálfunartímabils þurftu að vera skráðar. Hlutfallsleg breyting á þolprófunum var metin með almennum línulegum líkönum fyrir endurteknar mælingar. Á rannsóknartímabili voru skráðir 112 þátttakendur, 27 luku ekki þjálfunartímabili og 9 voru með ófullnægjandi gögn. Greind voru gögn 76 þátttakenda á aldrinum 36-83 ára. NIÐURSTÖÐUR Líkamleg afkastageta þátttakenda jókst að meðaltali um 16% (p<0,001; öryggisbil 13-18%). Þeir sem mættu í þjálfun að jafnaði oftar en tvisvar í viku bættu líkamlega afkastagetu sína um 18% sem er marktækt meira en þeir sem mættu tvisvar sinnum eða sjaldnar en þeir bættu sig um 6%. Eldri aldurshópurinn (65-83) bætti sig um 19% sem er marktækt meira en yngri aldurshópinn (36-64) sem bætti sig um 12%. Ekki reyndist marktækur munur á bætingu eftir því hvort útstreymisbrot hjarta var undir 40% eða 40% og hærra. ÁLYKTANIR Markviss hjartaendurhæfing fyrir einstaklinga með hjartabilun og einstaklinga með skert útstreymisbrot hjarta skilar sér í aukinni líkamlegri afkastagetu í lok æfingatímabilsen_US
dc.description.abstractPurpose: Limited information is available on the effects of cardiac rehabilitation (CR) on individuals with heart failure (HF) in Iceland. The aim of this study was to analyze whether CR yielded increased physical capacity (PC) (w/kg) as measured by maximum exercise test at the end of the training period. Materials and methods: This is a retrospective data study from January 2010 to June 2018. Participants were patients with HF and also patients with ejection fraction (EF) 45% or less. Age and other diagnoses did not limit participation. Information about EF and exercise test at the beginning and end of the training period had to be recorded. Relative change in PC on these tests was evaluated by general linear models for repeated measurements. During the study period, 112 participants were enrolled, 27 did not finish the training period and 9 had incomplete data. Data from 76 participants aged 36–83 were analyzed. Results: Participants‘ PC increased on average by 16% (p<0.001; confidence interval 13-18%). On average, those who attended training more than twice a week improved their PC by 18% which is significantly more than those who trained twice or less who improved by 6%. The age group 65-83 improved by 19%, which is significantly more compared to the age group 36-64, which added 12%. No significant difference was in improvement between groups with EF under 40% or 40% and more. Conclusion: Focused CR for individuals with HF and individuals with impaired EF resulted in increased PC.en_US
dc.language.isoisen_US
dc.publisherLæknafélag Íslands, Læknafélag Reykjavíkuren_US
dc.relation.urlhttps://www.laeknabladid.is/tolublod/2019/11/nr/7168en_US
dc.subjectEndurhæfingen_US
dc.subjectHjartabilunen_US
dc.subjectLíkamsástanden_US
dc.subject.meshCardiac Rehabilitationen_US
dc.subject.meshHeart Failureen_US
dc.subject.meshPhysical Fitnessen_US
dc.titleÁhrif hjartaendurhæfingar á líkamlega afkastagetu einstaklinga með hjartabilunen_US
dc.title.alternativeEffects of cardiac rehabilitation on the physical capacity of individuals with heart failureen_US
dc.typeArticleen_US
dc.contributor.department1) HL-stöðin í Reykjavík, 2) Endurhæfingardeild Landspítala, 3) Tölfræðiráðgjöf heilbrigðisvísindasviðs, 4) Læknadeild Háskóla Íslands, 5 Janus heilsueflingen_US
dc.identifier.journalLæknablaðiðen_US
dc.rights.accessOpen Access - Opinn aðganguren_US
dc.departmentcodePTY12
refterms.dateFOA2019-11-14T11:13:16Z


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