Document Detail


Tai chi in patients with heart failure with preserved ejection fraction.
MedLine Citation:
PMID:  23057654     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Although exercise is an important component of heart failure management, optimal regimens, particularly in heart failure with preserved ejection fraction (HFPEF), are uncertain. Tai chi (TC) is a mind-body exercise that may have potential benefits but has not been studied in this population. The authors randomized 16 patients with HFPEF to either 12 weeks TC or aerobic exercise. Assessments included peak oxygen uptake, 6-minute walk, quality of life, echocardiography, mood, and self-efficacy at baseline and at 12 weeks. Cardiorespiratory measures during exercise were obtained to characterize training intensities. Baseline characteristics were as follows: age 66±12 years, E/A ratio 1.3±0.7, and E/e' ratio 15.9±4.8. Overall, adherence was excellent (89% attendance). Change in peak oxygen uptake was similar between groups after 12 weeks, but 6-minute walk distance increased more after TC (69±46 m vs 10±31 m, P=.02). While both groups had improved Minnesota Living With Heart Failure scores and self-efficacy, Profile of Mood States (POMS)-Depression scores improved more with TC (-1.7±2.8 vs 1.6±3, P=.05). Cardiorespiratory assessment during TC showed lower oxygen uptake (4.3 mL/kg/min vs 9.4 mL/kg/min, P<.01), respiratory rate, and heart rate. TC is feasible and safe in HFPEF. Therepeutic endpoints appear similar with TC relative to aerobic exercise despite a lower aerobic training workload.
Authors:
Gloria Y Yeh; Malissa J Wood; Peter M Wayne; Mary T Quilty; Lynne W Stevenson; Roger B Davis; Russell S Phillips; Daniel E Forman
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural     Date:  2012-10-12
Journal Detail:
Title:  Congestive heart failure (Greenwich, Conn.)     Volume:  19     ISSN:  1751-7133     ISO Abbreviation:  Congest Heart Fail     Publication Date:    2013 Mar-Apr
Date Detail:
Created Date:  2013-04-04     Completed Date:  2013-12-31     Revised Date:  2014-03-09    
Medline Journal Info:
Nlm Unique ID:  9714174     Medline TA:  Congest Heart Fail     Country:  United States    
Other Details:
Languages:  eng     Pagination:  77-84     Citation Subset:  IM    
Copyright Information:
© 2012 Wiley Periodicals, Inc.
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MeSH Terms
Descriptor/Qualifier:
Affect
Aged
Echocardiography / methods
Exercise*
Exercise Tolerance
Female
Heart Failure* / diagnosis,  physiopathology,  psychology,  therapy
Humans
Male
Middle Aged
Monitoring, Physiologic / methods
Oxygen Consumption
Quality of Life
Self Efficacy
Tai Ji / methods*
Treatment Outcome
Walking
Grant Support
ID/Acronym/Agency:
K23 AT00002624/AT/NCCAM NIH HHS; K23 AT002624/AT/NCCAM NIH HHS; RR 01032/RR/NCRR NIH HHS
Comments/Corrections

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