Title
Comparing exercise training modalities in heart failure : a systematic review and meta-analysis Comparing exercise training modalities in heart failure : a systematic review and meta-analysis
Author
Faculty/Department
Faculty of Medicine and Health Sciences
Publication type
article
Publication
Clare :Elsevier ireland ltd ,
Subject
Human medicine
Source (journal)
International journal of cardiology. - Amsterdam, 1981, currens
Volume/pages
221(2016) , p. 867-876
ISSN
0167-5273
ISI
000384692600166
Carrier
E
Target language
English (eng)
Full text (Publishers DOI)
Affiliation
University of Antwerp
Abstract
Exercise training (ET) is suggested to improve exercise capacity, prognosis, quality of life (QOL) and functional modifications of the heart in patients with heart failure (HF). However, it is not clear which modality is best. In order to assess the effectiveness of different ET modalities on prognostic cardiopulmonary exercise test (CPET) parameters, QOL and left ventricular remodeling, a systematic review and meta-analysis was performed. Randomized clinical trials (RCTs) were selected in three databases. The primary outcome data were peak oxygen uptake, ventilation over carbon dioxide slope, oxygen uptake efficiency slope, exercise oscillatory ventilation, rest and peak pulmonary end-tidal CO2. Secondary variables were QOL, left ventricular ejection fraction (LVEF) and left ventricular end-diastolic diameter (LVEDD). Twenty RCTs (n = 811) met the a priori stated inclusion criteria. Studies were categorized into four different groups: interval training (IT1) versus combined interval and strength training (IT1S) (n = 156), continuous training (CT1) versus combined continuous and strength training (CT1S) (n = 130), interval training (IT2) versus continuous training (CT2) (n = 501) and continuous training (CT3) versus strength training (S3) (n = 24). No significant random effects of exercise modality were revealed assessing the CPET parameters. There was a significant improvement in QOL applying CT1S (P < 0.001). Comparing IT2 with CT2, LVEDD and LVEF were significantly improved favoring IT2 (P < 0.001). There is some evidence to support that interval training is more effective to improve LVEF and LVEDD. The fact that patients with HF are actively involved in any kind of ET program seems sufficient to improve the prognosis, QOL and anatomic function.
Full text (open access)
https://repository.uantwerpen.be/docman/irua/6dc6f8/134343.pdf
E-info
https://repository.uantwerpen.be/docman/iruaauth/7c24a9/134343.pdf
Handle