Impact of a Supervised Twelve-Week Combined Physical Training Program in Heart Failure Patients: A Randomized Trial
Purpose. The aim of this study was to compare the effects of supervised combined physical training and unsupervised physician-prescribed regular exercise on the functional capacity and quality of life of heart failure patients. Methods. This is a longitudinal prospective study composed of 28 consecu...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Cardiology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2019/1718281 |
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| author | Tainá Fabri Aparecida Maria Catai Fábio H. O. Ribeiro Jonas A. Araújo Junior Juliana Milan-Mattos Danielle A. A. Rossi Regina C. Coneglian Ricardo C. Borra Silmeia Garcia Zanati Bazan João Carlos Hueb Beatriz Bojikian Matsubara Meliza Goi Roscani |
| author_facet | Tainá Fabri Aparecida Maria Catai Fábio H. O. Ribeiro Jonas A. Araújo Junior Juliana Milan-Mattos Danielle A. A. Rossi Regina C. Coneglian Ricardo C. Borra Silmeia Garcia Zanati Bazan João Carlos Hueb Beatriz Bojikian Matsubara Meliza Goi Roscani |
| author_sort | Tainá Fabri |
| collection | DOAJ |
| description | Purpose. The aim of this study was to compare the effects of supervised combined physical training and unsupervised physician-prescribed regular exercise on the functional capacity and quality of life of heart failure patients. Methods. This is a longitudinal prospective study composed of 28 consecutive heart failure with reduced ejection fraction patients randomly divided into two age- and gender-matched groups: trained group (n = 17) and nontrained group (n = 11). All patients were submitted to clinical evaluation, transthoracic echocardiography, the Cooper walk test, and a Quality of Life questionnaire before and after a 12-week study protocol. Categorical variables were expressed as proportions and compared with the chi-square test. Two-way ANOVA was performed to compare the continuous variables considering the cofactor groups and time of intervention, and Pearson correlation tests were conducted for the associations in the same group. Results. No significant differences between groups were found at baseline. At the end of the protocol, there were improvements in the functional capacity and ejection fraction of the trained group in relation to the nontrained group (p<0.05). There was time and group interaction for improvement in the quality of life in the trained group. Conclusions. In patients with heart failure with reduced ejection fraction, supervised combined physical training improved exercise tolerance and quality of life compared with the unsupervised regular exercise prescribed in routine medical consultations. Left ventricular systolic function was improved with supervised physical training. |
| format | Article |
| id | doaj-art-b3d67eae03f245a0a503dacbab6da113 |
| institution | Kabale University |
| issn | 2090-8016 2090-0597 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Cardiology Research and Practice |
| spelling | doaj-art-b3d67eae03f245a0a503dacbab6da1132025-02-03T06:05:21ZengWileyCardiology Research and Practice2090-80162090-05972019-01-01201910.1155/2019/17182811718281Impact of a Supervised Twelve-Week Combined Physical Training Program in Heart Failure Patients: A Randomized TrialTainá Fabri0Aparecida Maria Catai1Fábio H. O. Ribeiro2Jonas A. Araújo Junior3Juliana Milan-Mattos4Danielle A. A. Rossi5Regina C. Coneglian6Ricardo C. Borra7Silmeia Garcia Zanati Bazan8João Carlos Hueb9Beatriz Bojikian Matsubara10Meliza Goi Roscani11Internal Medical Department São Paulo State University (UNESP), Botucatu Medical School, Botucatu, São Paulo State, BrazilPhysical Therapy Department, São Carlos Federal University (UFSCar), São Carlos, São Paulo State, BrazilInternal Medical Department São Paulo State University (UNESP), Botucatu Medical School, Botucatu, São Paulo State, BrazilInternal Medical Department São Paulo State University (UNESP), Botucatu Medical School, Botucatu, São Paulo State, BrazilPhysical Therapy Department, São Carlos Federal University (UFSCar), São Carlos, São Paulo State, BrazilInternal Medical Department São Paulo State University (UNESP), Botucatu Medical School, Botucatu, São Paulo State, BrazilInternal Medical Department São Paulo State University (UNESP), Botucatu Medical School, Botucatu, São Paulo State, BrazilBiosciences Department, São Carlos Federal University (UFSCar), São Carlos, São Paulo State, BrazilInternal Medical Department São Paulo State University (UNESP), Botucatu Medical School, Botucatu, São Paulo State, BrazilInternal Medical Department São Paulo State University (UNESP), Botucatu Medical School, Botucatu, São Paulo State, BrazilInternal Medical Department São Paulo State University (UNESP), Botucatu Medical School, Botucatu, São Paulo State, BrazilMedical Department, São Carlos Federal University (UFSCar), São Carlos, São Paulo State, BrazilPurpose. The aim of this study was to compare the effects of supervised combined physical training and unsupervised physician-prescribed regular exercise on the functional capacity and quality of life of heart failure patients. Methods. This is a longitudinal prospective study composed of 28 consecutive heart failure with reduced ejection fraction patients randomly divided into two age- and gender-matched groups: trained group (n = 17) and nontrained group (n = 11). All patients were submitted to clinical evaluation, transthoracic echocardiography, the Cooper walk test, and a Quality of Life questionnaire before and after a 12-week study protocol. Categorical variables were expressed as proportions and compared with the chi-square test. Two-way ANOVA was performed to compare the continuous variables considering the cofactor groups and time of intervention, and Pearson correlation tests were conducted for the associations in the same group. Results. No significant differences between groups were found at baseline. At the end of the protocol, there were improvements in the functional capacity and ejection fraction of the trained group in relation to the nontrained group (p<0.05). There was time and group interaction for improvement in the quality of life in the trained group. Conclusions. In patients with heart failure with reduced ejection fraction, supervised combined physical training improved exercise tolerance and quality of life compared with the unsupervised regular exercise prescribed in routine medical consultations. Left ventricular systolic function was improved with supervised physical training.http://dx.doi.org/10.1155/2019/1718281 |
| spellingShingle | Tainá Fabri Aparecida Maria Catai Fábio H. O. Ribeiro Jonas A. Araújo Junior Juliana Milan-Mattos Danielle A. A. Rossi Regina C. Coneglian Ricardo C. Borra Silmeia Garcia Zanati Bazan João Carlos Hueb Beatriz Bojikian Matsubara Meliza Goi Roscani Impact of a Supervised Twelve-Week Combined Physical Training Program in Heart Failure Patients: A Randomized Trial Cardiology Research and Practice |
| title | Impact of a Supervised Twelve-Week Combined Physical Training Program in Heart Failure Patients: A Randomized Trial |
| title_full | Impact of a Supervised Twelve-Week Combined Physical Training Program in Heart Failure Patients: A Randomized Trial |
| title_fullStr | Impact of a Supervised Twelve-Week Combined Physical Training Program in Heart Failure Patients: A Randomized Trial |
| title_full_unstemmed | Impact of a Supervised Twelve-Week Combined Physical Training Program in Heart Failure Patients: A Randomized Trial |
| title_short | Impact of a Supervised Twelve-Week Combined Physical Training Program in Heart Failure Patients: A Randomized Trial |
| title_sort | impact of a supervised twelve week combined physical training program in heart failure patients a randomized trial |
| url | http://dx.doi.org/10.1155/2019/1718281 |
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