Exercise mode in heart failure: A systematic review and meta-analysis.
Journal article
Edwards, J., Shanmugam, N., Ray, R., Jouhra, F., Mancio, J., Wiles, J., Marciniak, A., Sharma, R. and O'Driscoll, J. 2023. Exercise mode in heart failure: A systematic review and meta-analysis. Sports Medicine - Open. 9 (3). https://doi.org/10.1186/s40798-022-00549-1
Authors | Edwards, J., Shanmugam, N., Ray, R., Jouhra, F., Mancio, J., Wiles, J., Marciniak, A., Sharma, R. and O'Driscoll, J. |
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Abstract | Background: Optimising exercise prescription in heart failure (HF) with a preserved (HFpEF) or reduced (HFrEF) ejection fraction is clinically important. As such, the aim of this meta-analysis was to compare traditional moderate intensity training (MIT) against combined aerobic and resistance training (CT) and high intensity interval training (HIIT) for improving aerobic capacity (VO2), as well as other clinically relevant parameters. Methods: A comprehensive systematic search was performed to identify randomised controlled trials published between 1990 and May 2021. Research trials reporting the effects of MIT against CT or HIIT on peak VO2 in HFpEF or HFrEF were considered. Left-ventricular ejection fraction (LVEF) and various markers of diastolic function were also analysed. Conclusions: HIIT is significantly more effective than MIT for improving peak VO2 and LVEF in HF patients. With the exception of peak VO2 in HFpEF, these findings remain consistent in both phenotypes. Separately, there is no difference in peak VO2 and LVEF change following MIT or CT, suggesting the addition of resistance exercise does not inhibit aerobic adaptations in HF. |
Keywords | Heart failure; HFpEF; HFrEF; Exercise training; Exercise mode |
Year | 2023 |
Journal | Sports Medicine - Open |
Journal citation | 9 (3) |
Publisher | Springer |
ISSN | 2199-1170 |
2198-9761 | |
Digital Object Identifier (DOI) | https://doi.org/10.1186/s40798-022-00549-1 |
Official URL | https://sportsmedicine-open.springeropen.com/articles/10.1186/s40798-022-00549-1 |
Publication dates | |
09 Jan 2023 | |
Publication process dates | |
Accepted | 20 Dec 2022 |
Deposited | 12 Jan 2023 |
Publisher's version | License File Access Level Open |
Output status | Published |
https://repository.canterbury.ac.uk/item/93886/exercise-mode-in-heart-failure-a-systematic-review-and-meta-analysis
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