Document Detail


Effect of physical exercise training on muscle strength and body composition, and their association with functional capacity and quality of life in patients with atrial fibrillation: a randomized controlled trial.
MedLine Citation:
PMID:  22951598     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Atrial fibrillation diminishes cardiac function, exercise tolerance and quality of life. The objective of this study was to determine whether exercise training in atrial fibrillation affects muscle strength, body composition, maximal exercise capacity and walking capacity positively, thus improving quality of life.
DESIGN: Randomized clinical trial. Twelve weeks of physical exercise training or control.
PATIENTS: Forty-nine patients in permanent atrial fibrillation were randomized to training or control.
METHODS: Intervention consisted of aerobic training for 1 h 3 times per week at 70% of maximal exercise capacity vs control. Muscle strength, exercise capacity, 6-minute walk test, lean body mass, fat percentage, and quality of life were assessed.
RESULTS: Muscle strength increased in the training group (p = 0.01), but no change was observed in controls. Lean body mass was unchanged in both groups. Fat percentage decreased in both groups, but there was no significant difference between the groups. Exercise capacity improved in the training group (p < 0.001), with no change in the control group. There was a significant difference after the training period between the training and control groups in terms of exercise capacity. (p = 0.001). Six-min walk test improved in the training group compared with controls (p < 0.01). Overall quality of life score, as measured by the Minnesota Living with Heart Failure Questionnaire, improved in the training group (p = 0.03). Quality of life, measured by Short Form-36, improved in the training group in 3 out of 8 subscales: physical functioning (p = 0.02), general health perceptions (p = 0.001) and vitality (p = 0.02).
CONCLUSION: Muscle strength, exercise capacity and quality of life increased with exercise training in subjects with atrial fibrillation. Lean body mass was unchanged.
Authors:
Philip Samuel Osbak; Malene Mourier; Jens Henrik Henriksen; Klaus Fuglsang Kofoed; Gorm Boje Jensen
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of rehabilitation medicine     Volume:  44     ISSN:  1651-2081     ISO Abbreviation:  J Rehabil Med     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-05     Completed Date:  2013-04-15     Revised Date:  2014-05-30    
Medline Journal Info:
Nlm Unique ID:  101088169     Medline TA:  J Rehabil Med     Country:  Sweden    
Other Details:
Languages:  eng     Pagination:  975-9     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living*
Adipose Tissue
Aged
Atrial Fibrillation / rehabilitation,  therapy*
Body Composition*
Body Fluid Compartments
Exercise
Exercise Therapy / methods*
Exercise Tolerance*
Female
Health
Humans
Male
Middle Aged
Minnesota
Muscle Strength*
Perception
Physical Fitness
Quality of Life*
Questionnaires
Walking

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


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