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Titolo:
Safety and effects of physical training in chronic heart failure - Resultsof the Chronic Heart Failure and Graded Exercise study (CHANGE)
Autore:
Wielenga, RP; Huisveld, IA; Bol, E; Dunselman, PHJM; Erdman, RAM; Baselier, MRP; Mosterd, WL;
Indirizzi:
UnivsUtrecht, Dept Med Physiol & Sports Med, NL-3508 TA Utrecht, Netherland Univ Utrecht Utrecht Netherlands NL-3508 TA -3508 TA Utrecht, Netherland Ignatius Hosp, Dept Cardiol, Breda, Netherlands Ignatius Hosp Breda Netherlands Hosp, Dept Cardiol, Breda, Netherlands Univndssp Rotterdam Dijkzigt, Ctr Thorax, Dept Cardiol, Rotterdam, Netherla Univ Hosp Rotterdam Dijkzigt Rotterdam Netherlands Rotterdam, Netherla Erasmus Univ, Dept Med Psychol & Psychotherapy, Rotterdam, Netherlands Erasmus Univ Rotterdam Netherlands sychotherapy, Rotterdam, Netherlands
Titolo Testata:
EUROPEAN HEART JOURNAL
fascicolo: 12, volume: 20, anno: 1999,
pagine: 872 - 879
SICI:
0195-668X(199906)20:12<872:SAEOPT>2.0.ZU;2-Y
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; SKELETAL-MUSCLE; ANAEROBIC THRESHOLD; RATE-VARIABILITY; GAS-EXCHANGE; CAPACITY; PERFORMANCE; RESPONSES; DYSFUNCTION; VENTILATION;
Keywords:
congestive heart failure; exercise testing; physical training;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
33
Recensione:
Indirizzi per estratti:
Indirizzo: Wielenga, RP Univ Utrecht, Dept Med Physiol & Sports Med, POB 80043, NL-3508 TA Utrecht, Univ Utrecht POB 80043 Utrecht Netherlands NL-3508 TA recht,
Citazione:
R.P. Wielenga et al., "Safety and effects of physical training in chronic heart failure - Resultsof the Chronic Heart Failure and Graded Exercise study (CHANGE)", EUR HEART J, 20(12), 1999, pp. 872-879

Abstract

Aims Physical training is considered to be safe and beneficial as part of the treatment in heart failure patients. Prospective, sufficiently large studies are still needed to confirm this hypothesis. Methods In a prospective study, 80 patients with chronic heart failure class II and III (age, 56+/-18.3 years; left ventricular ejection fraction, 26.5+/-9.6%) were randomized to an endurance training group or to a control group with continuation of optimal pharmacological treatment. Results No training-related adverse event was reported, implying that the training programme was safe for these groups of chronic heart failure patients. Between-group comparison of changes revealed that training increased exercise time (from 608+/-35 to 738+/-40 s. P<0.0001), anaerobic threshold (from 10.5+/-0.4 to 11.8+/-0.3 ml.kg(-1) min(-1), P<0.05). and decreased theventilatory equivalent for carbon dioxide at submaximal exercise level (from 2.8+/-0.1 to 2.7+/-0.1, P<0.05). Training did not increase peak oxygen consumption (15.2+/-0.5 to 16.6+/-0.5 ml.kg(-1) min(-1), ns). An improvementin patients' assessment of quality of life was observed. There was a significant correlation between physiological and psychological improvements. Training was not effective in patients whose exercise test at entry had a duration of less than 7 min. None of the other baseline data could predict an effective training response. Conclusion Physical training in chronic heart failure patients class II and III is safe and results in significant improvements in exercise time, anaerobic threshold, ventilatory equivalent for carbon dioxide at submaximal exercise level and quality of life.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 10/07/20 alle ore 09:41:39