Document Detail


Is strength training the more efficient training modality in chronic heart failure?
MedLine Citation:
PMID:  17986897     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: An open, randomized, controlled study was designed to study the effects of exclusive strength training (ST) in patients with severe chronic heart failure (CHF) in comparison with conventional endurance (ET) and combined ET-ST training (CT). The hypothesis was that ST would at least be equal to ET or CT, because peripheral muscle atrophy and weakness play a key role in exercise limitation in CHF patients. METHODS: Three groups of 15 patients underwent ST, ET, or CT during 40 sessions, three times a week, for 45 min. Fifteen patients served as control group. Before and after intervention, left ventricular ejection fraction (LVEF), peak oxygen consumption (VO2peak), peak workload, thigh muscle volume, knee extensor strength, endurance, and quality of life (QoL) were assessed. RESULTS: All measured parameters improved significantly in the three training groups, except for knee extensor strength in ET. Training outcome was superior in all three training groups compared with the control group, but statistical significance was only reached for VO2peak and peak workload, thigh muscle volume, and knee extensor endurance. In contrast, knee extensor strength, LVEF, and QoL did not reach statistical significance. None of the training modalities proved to be superior to any other, although small differences between the three groups were observed. CONCLUSION: Independently of the training modality, intensive exercise training is efficient in increasing cardiac function, exercise capacity, peripheral muscle function, and QoL in CHF patients.
Authors:
Patrick Feiereisen; Charles Delagardelle; Michel Vaillant; Yves Lasar; Jean Beissel
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Publication Detail:
Type:  Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  Medicine and science in sports and exercise     Volume:  39     ISSN:  0195-9131     ISO Abbreviation:  Med Sci Sports Exerc     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-11-07     Completed Date:  2008-02-14     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8005433     Medline TA:  Med Sci Sports Exerc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1910-7     Citation Subset:  IM; S    
Affiliation:
Department of Cardiology, Centre Hospitalier de Luxembourg, Luxembourg. feiereisen.patrick@chl.lu
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MeSH Terms
Descriptor/Qualifier:
Aged
Australian Capital Territory
Chronic Disease
Exercise Test
Female
Heart Failure / physiopathology,  rehabilitation*
Heart Function Tests
Humans
Male
Middle Aged
Physical Endurance
Weight Lifting*

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


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