Publication
Title
Comparing exercise training modalities in heart failure : a systematic review and meta-analysis
Author
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.
Language
English
Source (journal)
International journal of cardiology. - Amsterdam, 1981, currens
Publication
Clare : Elsevier ireland ltd, 2016
ISSN
0167-5273
Volume/pages
221(2016), p. 867-876
ISI
000384692600166
Full text (Publisher's DOI)
Full text (open access)
Full text (publisher's version - intranet only)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 15.07.2016
Last edited 07.07.2017
To cite this reference