© 2001 European Society of Cardiology
Comprehensive local muscle training increases aerobic working capacity and quality of life and decreases neurohormonal activation in patients with chronic heart failure
a Department of Physical Therapy, Karolinska Institutet and Huddinge University Hospital Stockholm, Sweden
b Department of Cardiology, Karolinska Institutet and Huddinge University Hospital Stockholm, Sweden
c Departments of Clinical Physiology, Karolinska Institutet and Huddinge University Hospital Stockholm, Sweden
* Corresponding author. Department of Physical Therapy, Huddinge University Hospital, S-141 86 Stockholm, Sweden. Tel.: +46-8-5858-1941; fax: +46-8-5858-2190. E-mail address: raija.tyni-lenne{at}physio.hs.sll.se (R. Tyni-Lenné).
 |
Abstract |
|---|
Background: Beneficial training outcomes have been reported in patients with chronic heart failure (CHF) following leg exercise training. However, data from more comprehensive training programs are limited. The aim of this study was to test the hypothesis that exercise training applying the concept of comprehensive local muscle training can improve aerobic and functional working capacity as well as quality of life in patients with CHF.
Methods: Twenty-four men and women [age 63 ± 9 years (mean ± S.D.)] with stable, moderate chronic heart failure (left ventricular ejection fraction 30 ± 10%), were investigated in a randomized controlled study with a training group of 16 patients and a control group of 8 patients. The training was performed as an aerobic resistance training by activating all the main muscle groups, one at a time. The patients exercised for 1 h, three times per week for 8 weeks.
Results: Patient groups did not differ at baseline. Peak oxygen uptake (8%, P < 0.03), the distance walked in a 6-min walking test (11%, P < 0.002), the health-related quality of life (P < 0.001) and plasma norepinephrine levels at rest (32%, P < 0.003) and at submaximal intensities (P < 0.03) improved after training. No changes were found in the control group, except for decreased peak oxygen uptake (P < 0.02) and quality of life scores (P < 0.03).
Conclusions: Since comprehensive physical training activating a minor muscle mass at a time markedly improves exercise capacity and quality of life and reduces catecholamine levels, it can be recommended for the rehabilitation of patients with CHF under supervision of a physical therapist.
Key Words: Chronic heart failure • Exercise training
Received September 23, 1999; Revised March 20, 2000; Accepted April 25, 2000
CiteULike 
Connotea 
Del.icio.us What's this?
This article has been cited by other articles:
|
|
 |
|
  M A Spruit, R-M A Eterman, V A C V Hellwig, P P Janssen, E F M Wouters, and N H M K Uszko-Lencer Effects of moderate-to-high intensity resistance training in patients with chronic heart failure Heart, September 1, 2009; 95(17): 1399 - 1408. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 B. A.F. van Tol, R. J. Huijsmans, D. W. Kroon, M. Schothorst, and G. Kwakkel Effects of exercise training on cardiac performance, exercise capacity and quality of life in patients with heart failure: A meta-analysis Eur J Heart Fail, December 1, 2006; 8(8): 841 - 850. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
S. Jonsdottir, K. K. Andersen, A. F. Sigurthsson, and S. B. Sigurthsson The effect of physical training in chronic heart failure Eur J Heart Fail, January 1, 2006; 8(1): 97 - 101. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
T. Jaarsma Health care professionals in a heart failure team Eur J Heart Fail, March 16, 2005; 7(3): 343 - 349. [Abstract] [Full Text] [PDF]
|
|