A group-based exercise program did not improve physical activity in patients with chronic heart failure and comorbidity: a randomized controlled trial.
J Rehabil Med
; 46(5): 461-7, 2014 May.
Article
en En
| MEDLINE
| ID: mdl-24691771
ABSTRACT
OBJECTIVE:
To investigate how group-based exercise affects the levels of physical activity, physical fitness and health- related quality of life (HRQoL) in patients with chronic heart failure and comorbidities.DESIGN:
Randomized controlled trial. PATIENTS A total of 48 patients (10 women, 38 men), mean age 71 years (standard deviation 8 years), ejection fraction 27% (standard deviation 10%), and New York Heart Association functional class II-III.METHODS:
A bicycle test, 6-min walk test (6MWT) and muscle endurance tests were performed. Physical activity was assessed with a pedometer and the International Physical Activity Questionnaire (IPAQ), HRQoL was evaluated with the Short Form-36 (SF-36). Patients were randomized to control or intervention groups. Intervention consisted of an individually designed group-based exercise programme twice a week, for a period of 3 months. Subjects in the control group were asked to continue with their usual lives.RESULTS:
A total of 42 patients completed the study, and 6 dropped-out. Steps/day did not increase significantly after intervention (p = 0.351), but IPAQ score did (p = 0.008). Exercise tolerance (p = 0.001), 6MWT (p = 0.014), shoulder abduction (p = 0.028), heel lift (p < 0.0001) and HRQoL (p = 0.018) improved significantly in the intervention group compared with the control group.CONCLUSION:
Group-based exercise did not improve the level of physical activity in patients with chronic heart failure and comorbidity; however, physical fitness and HRQoL were significantly improved.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Terapia por Ejercicio
/
Insuficiencia Cardíaca
Tipo de estudio:
Clinical_trials
Límite:
Aged
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Aged80
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Female
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Humans
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Male
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Middle aged
Idioma:
En
Revista:
J Rehabil Med
Asunto de la revista:
REABILITACAO
Año:
2014
Tipo del documento:
Article
País de afiliación:
Suecia