Exercise capacity, physical activity patterns and outcomes six years after cardiac rehabilitation in patients with heart failure.

Müller, Lionel; Myers, Jonathan; Kottman, Wilhard; Oswald, Ulrike; Boesch, Claudia; Arbrol, Nayana; Dubach, Paul (2007). Exercise capacity, physical activity patterns and outcomes six years after cardiac rehabilitation in patients with heart failure. Clinical rehabilitation, 21(10), pp. 923-931. Sage 10.1177/0269215507079097

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OBJECTIVE To determine the short- and long-term effects of an intensive, concentrated rehabilitation programme in patients with chronic heart failure. DESIGN Randomized controlled trial, with one-month and six-year evaluations. SETTING Residential rehabilitation centre in Switzerland. SUBJECTS Fifty patients with chronic heart failure, randomized to exercise or control groups. INTERVENTIONS A rehabilitation programme lasting one month, including educational sessions, a low-fat diet, and 2 hours of individually prescribed exercise daily. MAIN MEASURES Exercise test responses, health outcomes and physical activity patterns. RESULTS Peak Vo(2) increased 21.4% in the exercise group during the rehabilitation programme (P<0.05), whereas peak Vo(2) did not change among controls. After the six-year follow-up period, peak Vo(2) was only slightly higher than that at baseline in the trained group (7%, NS), while peak Vo(2) among controls was unchanged. During long-term follow-up, 9 and 12 patients died in the exercise and control groups, respectively (P = 0.63). At six years, physical activity patterns tended to be higher in the exercise group; the mean energy expenditure values over the last year were 2,704 +/- 1,970 and 2,085 +/- 1,522 kcal/week during recreational activities for the exercise and control groups, respectively. However, both groups were more active compared to energy expenditure prior to their cardiac event (P<0.001). CONCLUSIONS Six years after participation in a residential rehabilitation programme, patients with chronic heart failure had slightly better outcomes than control subjects, maintained exercise capacity and engaged in activities that exceed the minimal amount recommended by guidelines for cardiovascular health.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Intensive Care, Emergency Medicine and Anaesthesiology (DINA) > Clinic of Intensive Care

UniBE Contributor:

Müller, Lionel

Subjects:

600 Technology > 610 Medicine & health

ISSN:

0269-2155

Publisher:

Sage

Language:

English

Submitter:

Alessandra Angelini

Date Deposited:

16 Feb 2015 14:53

Last Modified:

16 Feb 2015 14:53

Publisher DOI:

10.1177/0269215507079097

PubMed ID:

17981851

URI:

https://boris.unibe.ch/id/eprint/63099

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