Document Detail


Exercise training and heart failure: a systematic review of current evidence.
MedLine Citation:
PMID:  11791816     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Chronic heart failure (CHEF) is a growing public health problem. Current guidelines provide detailed information regarding pharmacotherapy but little guidance about the value of exercise/cardiac rehabilitation programmes for individuals with this condition. To investigate the effects of exercise training upon CHF patients, a systematic literature review was carried out of trials (from 1966 to December 2000) which used as their main outcome measures the effects of exercise training upon: (a) physical performance; or (b) quality of life; or (c) morbidity/mortality. Databases searched include: MedLine; Science Citation Index; Social Sciences Citation Index; BIDS, Bandolier; Cochrane Database of Systematic Reviews (CDSR); NHS National Research Register (NRR); and Current Research in Britain (CRIB). Relevant bibliographic references from identified articles were also reviewed. Thirty-one trials were identified, comprising randomised controlled trials (RCTs) (14/31), randomised crossover trials (8/31), non-RCTs (2/31), and pre-test/post-test (7/31). Sample sizes were: 25 participants or fewer (20/31); 26 to 50 participants (7/31); 51 to 150 participants (4/31). Participants were predominantly younger with a mean age in 23/31 studies of 65 years or less, and male. Patients with comorbidities were often excluded. Positive effects were reported on physical performance (27/31), quality of life (11/16), mortality (1/31), and readmission rates (1/31). No cost-effectiveness analyses were identfied. We conclude that short-term physical exercise training in selected subgroups of patients with CHF has physiological benefits and positive effects on quality of life. This review highlights the continuing problem of clinical trials that include participants who are not representative of the general population of CHF patients seen in primary care. Further investigation of the utility and applicability of exercise training is essential.
Authors:
Ffion Lloyd-Williams; Frances S Mair; Maria Leitner
Related Documents :
8874256 - Effect of physical training on exercise capacity and gas exchange in patients with chro...
19789686 - Oxygen uptake kinetics in chronic heart failure: clinical and physiological aspects.
17058436 - Resistance exercise in chronic heart failure--landmark studies and implications for pra...
18801926 - A panel study in congestive heart failure to estimate the short-term effects from perso...
3426386 - Treadmill training program for a bilateral below-knee amputee patient with cardiopulmon...
16940376 - Breast movement during normal and deep breathing, respiratory training and set up error...
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Review    
Journal Detail:
Title:  The British journal of general practice : the journal of the Royal College of General Practitioners     Volume:  52     ISSN:  0960-1643     ISO Abbreviation:  Br J Gen Pract     Publication Date:  2002 Jan 
Date Detail:
Created Date:  2002-01-15     Completed Date:  2002-02-07     Revised Date:  2009-11-18    
Medline Journal Info:
Nlm Unique ID:  9005323     Medline TA:  Br J Gen Pract     Country:  England    
Other Details:
Languages:  eng     Pagination:  47-55     Citation Subset:  IM    
Affiliation:
Department of Primary Care, School of Health Sciences, University of Liverpool.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Chronic Disease
Cross-Over Studies
Exercise Therapy / methods*
Female
Heart Failure / rehabilitation*
Humans
Male
Middle Aged
Physical Endurance / physiology
Quality of Life
Randomized Controlled Trials as Topic
Treatment Outcome
Comments/Corrections
Comment In:
Br J Gen Pract. 2002 May;52(478):413-4   [PMID:  12014548 ]

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


Previous Document:  Economic approaches to doctor/nurse skill mix: problems, pitfalls, and partial solutions.
Next Document:  Patient and carer satisfaction with 'hospital at home': quantitative and qualitative results from a ...