Effects of a home-based exercise program on clinical outcomes in heart failure
| Autor: | Jamie Moriguchi, Virginia Erickson, Cheryl Canary, Lorraine S. Evangelista, Kathleen Dracup, W. Robb MacLellan, Michele A. Hamilton, Gregg C. Fonarow, Antoine Hage |
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| Jazyk: | angličtina |
| Rok vydání: | 2007 |
| Předmět: |
Male
medicine.medical_specialty Physical exercise Cardiorespiratory Medicine and Haematology law.invention Quality of life Randomized controlled trial law Clinical endpoint medicine Humans Heart Failure Psychological Tests Exercise Tolerance Pulmonary Gas Exchange business.industry Emergency department Middle Aged medicine.disease Exercise Therapy Hospitalization Transplantation Treatment Outcome Cardiovascular System & Hematology Heart failure Cohort Public Health and Health Services Exercise Test Quality of Life Physical therapy Female Cardiology and Cardiovascular Medicine business Follow-Up Studies |
| Zdroj: | Dracup, KA; Evangelista, LS; Hamilton, MA; Erickson, V; Hage, A; Moriguchi, J; et al.(2007). Effects of a home-based exercise program on clinical outcomes in heart failure.. American heart journal, 154(5). UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/2m01k0qn Dracup, K; Evangelista, LS; Hamilton, MA; Erickson, V; Hage, A; Moriguchi, J; et al.(2007). Effects of a home-based exercise program on clinical outcomes in heart failure. American Heart Journal, 154(5), 877-883. doi: 10.1016/j.ahj.2007.07.019. UC Irvine: Retrieved from: http://www.escholarship.org/uc/item/0tp3t0x4 American heart journal, vol 154, iss 5 |
| DOI: | 10.1016/j.ahj.2007.07.019. |
| Popis: | Background: The aim of this study was to determine the effects of a home-based exercise program on clinical outcomes. Exercise training improves exercise capacity in patients with heart failure (HF) but the long-term effects on clinical outcomes remain unknown. Methods: We randomized 173 patients with systolic HF to control (n = 87) or home-based exercise (n = 86). The primary end point was a composite of all-cause hospitalizations, emergency department admissions, urgent transplantation, and death at 12 months. Functional performance (as assessed by cardiopulmonary exercise testing and the 6-minute walk test), quality of life, and psychological states were measured at baseline, 3 months, and 6 months. Results: There was no significant difference between experimental and control groups in the combined clinical end point at 12 months and in functional status, quality of life, or psychological states over 6 months. Patients in the exercise group had a lower incidence of multiple (2 or more) hospitalizations compared with the control group: 12.8% versus 26.6%, respectively (P = .018). Conclusions: A home-based walking program that incorporated aerobic and resistance exercise did not result in improved clinical outcomes at 1-year follow-up in this cohort of patients with systolic HF. However, the exercise program resulted in reduced rehospitalization rates. © 2007 Mosby, Inc. All rights reserved. |
| Databáze: | OpenAIRE |
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