Document Detail


The impact of exercise on body composition and nutritional intake in patients with heart failure.
MedLine Citation:
PMID:  16276137     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Little is known about the nutritional status of heart failure patients and the potential synergistic effects between nutritional intake and exercise. This small, randomized trial examined the effects of a 3-month exercise program on body composition and nutritional intake in 31 men (17 exercisers; 14 controls), aged 30-76 years (mean, 56 years) with stable class II-III heart failure. Baseline and 3-month evaluations included body mass index, body fat mass by triceps skinfold thickness, dietary intake by food frequency questionnaire, and the 6-minute walk test. Exercise consisted of walking 3 d/wk and resistance exercises 2 d/wk for 40-60 minutes. Dietary recommendations were consistent with the American Heart Association/American College of Cardiology heart failure guidelines. Exercisers decreased body weight (p=0.001), body mass index (p=0.0001), and triceps skinfold thickness (p=0.03) and improved 6-minute walk test (p=0.01) compared with controls. Exercisers also demonstrated trends toward decreased total caloric and cholesterol intake and a three-fold higher carbohydrate, fiber, and beta carotene intake vs. controls. In this study population, protein, fiber, and magnesium intake were below recommended daily allowance. After exercise, body mass index was reduced, accompanied by dietary modifications including greater intake of foods with higher moisture content. Further study is needed to investigate the interaction among diet, exercise, and weight.
Authors:
Roberta K Oka; Mark G Sanders
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Progress in cardiovascular nursing     Volume:  20     ISSN:  0889-7204     ISO Abbreviation:  Prog Cardiovasc Nurs     Publication Date:  2005  
Date Detail:
Created Date:  2005-11-08     Completed Date:  2006-02-21     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8704064     Medline TA:  Prog Cardiovasc Nurs     Country:  United States    
Other Details:
Languages:  eng     Pagination:  148-54     Citation Subset:  IM; N    
Affiliation:
Department of Community Health Systems, School of Nursing, University of California, San Francisco, CA 94143. roberta.oka@nursing.ucsf.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Body Composition*
Diet Surveys
Energy Intake*
Energy Metabolism
Exercise Test
Exercise Therapy* / methods
Heart Failure / metabolism,  rehabilitation*
Home Care Services
Humans
Male
Middle Aged
Nutrition Assessment
Nutrition Policy
Nutritional Status
Physical Endurance
Questionnaires
Severity of Illness Index
Treatment Outcome
Walking
Weight Lifting

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


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