Document Detail


Exercise in elderly patients with chronic heart failure in primary care: effects on physical capacity and health-related quality of life.
MedLine Citation:
PMID:  21470913     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
INTRODUCTION: Chronic heart failure (CHF) limits exercise capacity which influences physical fitness and health-related quality of life (HRQoL).
AIM: The aim was to determine the effects on physical capacity and HRQoL of an exercise programme in elderly patients with CHF in primary care.
METHODS: An exercise intervention was conducted as a prospective, longitudinal and controlled clinical study in primary care in elderly patients with CHF. Endurance exercise and resistance training were conducted as group-training at the primary care centre and as home training. Follow-up on physical capacity and HRQoL was done at 3, 6 and 12months.
RESULTS: Exercise significantly improved muscle endurance in the intervention group (n=29, mean age 76.2years) compared to the control group (n=31, mean age 74.4years) at all follow-ups except for shoulder flexion right at 12months (shoulder abduction p=0.006, p=0.048, p=0.029; shoulder flexion right p=0.002, p=0.032, p=0.585; shoulder flexion left p=0.000, p=0.046, p=0.004). Six minute walk test improved in the intervention group at 3months (p=0.013) compared to the control group. HRQoL measured by EQ5D-VAS significantly improved in the intervention group at 3 and 12months (p=0.016 and p=0.034) and SF-36, general health (p=0.048) and physical component scale (p=0.026) significantly improved at 3months compared to the control group.
CONCLUSION: This study shows that exercise conducted in groups in primary care and in the patients' homes could be used in elderly patients with CHF. The combination of endurance exercise and resistance training has positive effects on physical capacity. However, the minor effects in HRQoL need further verification in a study with a larger study population.
Authors:
Emma Pihl; Asa Cider; Anna Strömberg; Bengt Fridlund; Jan Mårtensson
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Publication Detail:
Type:  Controlled Clinical Trial; Journal Article; Multicenter Study; Research Support, Non-U.S. Gov't     Date:  2011-04-05
Journal Detail:
Title:  European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology     Volume:  10     ISSN:  1873-1953     ISO Abbreviation:  Eur J Cardiovasc Nurs     Publication Date:  2011 Sep 
Date Detail:
Created Date:  2011-07-18     Completed Date:  2011-11-22     Revised Date:  2012-04-05    
Medline Journal Info:
Nlm Unique ID:  101128793     Medline TA:  Eur J Cardiovasc Nurs     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  150-8     Citation Subset:  IM; N    
Copyright Information:
Copyright © 2011 European Society of Cardiology. Published by Elsevier B.V. All rights reserved.
Affiliation:
Department of Nursing, School of Health Sciences, Jönköping University, Sweden. emma.pihl@regionhalland.se
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MeSH Terms
Descriptor/Qualifier:
Aged
Chronic Disease
Exercise*
Female
Heart Failure / rehabilitation*
Humans
Male
Physical Endurance*
Physical Fitness*
Primary Health Care
Prospective Studies
Quality of Life*
Sweden
Comments/Corrections
Comment In:
Eur J Cardiovasc Nurs. 2012 Mar;11(1):127; author reply 128   [PMID:  22379040 ]

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


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