| Evidence-based application of aerobic and resistance training in patients with congestive heart failure. | |
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MedLine Citation:
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PMID: 18197070 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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PURPOSE: The objective of this study was to use a modified Philadelphia Panel rating method to evaluate the evidence supporting the use of therapeutic exercise interventions in patients with congestive heart failure (CHF). METHODS: A computerized literature search was conducted. Inclusion criteria included studies using randomized clinical trial (RCT) or controlled clinical trial (CCT) study designs, participants from populations with CHF, and studies that evaluate the effects of aerobic exercise and/or strength training exercise. The outcomes examined were blood pressure (BP), maximum oxygen consumption (VO2 max), resting heart rate (HR), left ventricular function, peak lactate levels, dyspnea, work capacity, muscle strength, and muscle endurance. The therapeutic interventions assessed were treadmill aerobic exercise, bicycle ergometer aerobic exercise, and resistance exercise. RESULTS: Aerobic exercise was shown to have significant (P < .01) clinical importance in the outcomes of VO2 max levels, dyspnea, work capacity, and left ventricular function. Resistance exercise was shown to have clinical importance in improving left ventricular function (P = .0085), peak lactate levels (P = .064), muscle strength (P = .05), and muscle endurance (P = .001). CONCLUSIONS: There is evidence to establish the efficacy of aerobic and resistance training for patients with CHF. Aerobic exercise was shown to improve VO2 max, dyspnea, work capacity, and left ventricular function. Resistance exercise was shown to improve left ventricular function, peak lactate levels, muscle strength, and muscle endurance. These results support the inclusion of aerobic exercise programs and resistance training for patients with CHF. |
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Authors:
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Pamela Bartlo |
Publication Detail:
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Type: Journal Article; Review |
Journal Detail:
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Title: Journal of cardiopulmonary rehabilitation and prevention Volume: 27 ISSN: 1932-7501 ISO Abbreviation: - Publication Date: 2007 Nov-Dec |
Date Detail:
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Created Date: 2008-01-16 Completed Date: 2008-02-14 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101291247 Medline TA: J Cardiopulm Rehabil Prev Country: United States |
Other Details:
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Languages: eng Pagination: 368-75 Citation Subset: IM |
Affiliation:
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D'Youville College, Buffalo, NY 14201, USA. bartlop@dyc.edu |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Blood Pressure Dyspnea / blood, etiology*, physiopathology, therapy Evidence-Based Medicine Exercise Therapy* Exercise Tolerance Heart Failure / blood, complications, physiopathology, therapy* Heart Rate Humans Lactic Acid / blood Muscle Contraction Muscle Strength Oxygen Consumption Physical Endurance Practice Guidelines as Topic Treatment Outcome Ventricular Function, Left |
| Chemical | |
Reg. No./Substance:
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50-21-5/Lactic Acid |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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