Document Detail


Cardiac rehabilitation outcomes in women with chronic heart failure: mood, fitness, and exercise safety.
MedLine Citation:
PMID:  22354014     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Chronic heart failure (CHF) is a leading cause of morbidity in the industrialized world; both men and women are affected in significant numbers. However, women are underrepresented in heart failure literature, and there is limited evidence of their cardiac rehabilitation outcomes. The purpose of this study was to examine the efficacy of a cardiac rehabilitation program in female CHF patients.
METHODS: In a prospective cohort study, 60 female CHF subjects (median age, 59 years; median ejection fraction, 30%) were compared with 172 male CHF subjects (median age, 60 years; median ejection fraction, 27%), who completed an outpatient cardiac rehabilitation program. Self-reported exercise levels and intensity, fitness (6-minute walk test [6MWT]), and depressed mood (Cardiac Depression Scale) were recorded and compared at admission and discharge. Questionnaires were also re-administered at patient review conducted 3 months postdischarge.
RESULTS: Both female and male subjects made significant improvements in exercise levels (P < .05), exercise intensity (P < .001), fitness (P < .001), and mood (P < .001) during rehabilitation. Women showed significantly greater improvement in 6MWT results by discharge (P = .007) compared with men. At discharge, fewer women than men (78% vs 88%) reported exercising to adequate levels (≥ 150 minutes/week), but this had reversed at 3 months postdischarge.
CONCLUSIONS: Women with heart failure demonstrate similar patterns of improvement during cardiac rehabilitation compared with men and, in fact, show greater improvements in fitness and longer term exercise levels. Low to moderate intensity cardiac rehabilitation is both safe and effective in this group.
Authors:
Frances M Wise; Jennifer M Patrick
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of cardiopulmonary rehabilitation and prevention     Volume:  32     ISSN:  1932-751X     ISO Abbreviation:  J Cardiopulm Rehabil Prev     Publication Date:    2012 Mar-Apr
Date Detail:
Created Date:  2012-03-01     Completed Date:  2012-07-10     Revised Date:  2012-09-04    
Medline Journal Info:
Nlm Unique ID:  101291247     Medline TA:  J Cardiopulm Rehabil Prev     Country:  United States    
Other Details:
Languages:  eng     Pagination:  78-84     Citation Subset:  IM    
Affiliation:
Cardiac Rehabilitation Unit, Caulfield Hospital, Caulfield, Victoria, Australia. f.wise@cgmc.org.au
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MeSH Terms
Descriptor/Qualifier:
Adult
Affect*
Aged
Aged, 80 and over
Exercise / physiology,  psychology*
Exercise Test
Female
Heart Failure / psychology,  rehabilitation*
Humans
Male
Middle Aged
Physical Fitness / psychology*
Prospective Studies
Questionnaires
Safety
Self Report
Statistics as Topic
Statistics, Nonparametric
Treatment Outcome
Walking / physiology,  psychology
Women's Health*
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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