Document Detail

Effects of exercise training for heart failure with preserved ejection fraction: a systematic review and meta-analysis of comparative studies.
MedLine Citation:
PMID:  22664368     Owner:  NLM     Status:  MEDLINE    
INTRODUCTION: We conducted a systematic review to assess the effect of exercise training in patients with heart failure with preserved ejection fraction (HFPEF).
METHODS: A number of electronic databases were searched up to November 2011 to identify comparative studies of exercise training in HFPEF. Where possible, outcome data from included studies were pooled using meta-analysis.
RESULTS: Three randomised controlled trials, one non-randomised controlled trial and one pre-post study were included, for a total of 228 individuals. The combined duration of exercise programmes and follow-up ranged from 12 to 24 weeks. No deaths, hospital admissions or serious adverse events were observed during or immediately following exercise training. Compared to control, the change in exercise capacity at follow-up was higher with exercise training (between group mean difference: 3.0 ml/kg/min, 95% CI: 2.4 to 2.6). In the four studies, that reported the Minnesota Living with Heart Failure questionnaire, there was evidence of a larger gain in health-related quality of life with exercise training (7.3 units, 3.3 to 11.4). The largest study showed some evidence of improvement in the E/E' ratio with exercise training, but this was not confirmed in the other studies (overall -0.9, -3.8 to 2.0); E/A ratios were not changed.
CONCLUSIONS: Exercise training for patients with HFPEF confers benefit in terms of enhancements in exercise capacity and health-related quality of life and appears to be safe. The impact on diastolic function remains unclear. Further trials should provide data on long term effects, prognostic relevance and cost-effectiveness.
Rod S Taylor; Edward J Davies; Hasnain M Dalal; Russell Davis; Patrick Doherty; Christopher Cooper; David J Holland; Kate Jolly; Neil A Smart
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Publication Detail:
Type:  Journal Article; Meta-Analysis; Research Support, Non-U.S. Gov't; Review     Date:  2012-06-02
Journal Detail:
Title:  International journal of cardiology     Volume:  162     ISSN:  1874-1754     ISO Abbreviation:  Int. J. Cardiol.     Publication Date:  2012 Dec 
Date Detail:
Created Date:  2012-11-28     Completed Date:  2013-07-17     Revised Date:  2014-03-14    
Medline Journal Info:
Nlm Unique ID:  8200291     Medline TA:  Int J Cardiol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  6-13     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.
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MeSH Terms
Exercise Therapy*
Heart Failure / physiopathology*,  therapy*
Stroke Volume*
Grant Support
RP-DG-0709-10111//Department of Health
Comment In:
Int J Cardiol. 2013 Jan 10;162(2):69-70   [PMID:  23121915 ]

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