Effects of home-based exercise training for patients with chronic heart failure and sleep apnoea: a randomized comparison of two different programmes

Effects of home-based exercise training for patients with chronic heart failure and sleep apnoea: a randomized comparison of two different programmes

Author Servantes, Denise Maria Autor UNIFESP Google Scholar
Pelcerman, Amalia Autor UNIFESP Google Scholar
Salvetti, Xiomara Miranda Autor UNIFESP Google Scholar
Salles, Ana Fátima Autor UNIFESP Google Scholar
Albuquerque, Pedro Ferreira de Autor UNIFESP Google Scholar
Alves de Salles, Fernando Cezar Autor UNIFESP Google Scholar
Lopes, Cleide Autor UNIFESP Google Scholar
Mello, Marco Tulio de Autor UNIFESP Google Scholar
Almeida, Dirceu Rodrigues Autor UNIFESP Google Scholar
Oliveira Filho, Japy Angelini Autor UNIFESP Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Objective: To evaluate the effects of home-based exercise for patients with chronic heart failure and sleep apnoea and to compare two different training programmes.Design: A randomized, prospective controlled trial.Setting: Department of Cardiology, University Hospital, Brazil.Subjects: Fifty chronic heart failure patients with sleep apnoea were randomized in three groups: Group 1 (aerobic training, n = 18), Group 2 (aerobic with strength training, n = 18), and Group 3 (untrained, n = 14).Interventions: the training programme for Groups 1 and 2 began with three supervised exercise sessions, after they underwent three months of home-based exercise. Patients were followed by weekly telephone call and were reviewed monthly. Group 3 had the status of physical activity evaluated weekly by interview to make sure they remained untrained.Main outcome measures: At baseline and after three months: cardiopulmonary exercise testing, isokinetic strength and endurance, Minnesota living with heart failure questionnaire and polysomnography. Adherence was evaluated weekly.Results: of the 50 patients enrolled in the study, 45 completed the programme. Clinical events: Group 1 (one death), Group 2 (one myocardial infarction), Group 3 (one death and two strokes). None were training related. Training groups showed improvement in all outcomes evaluated and the adherence was an important factor (Group 1 = 98.5% and Group 2 = 100.2%, P = 0.743). Untrained Group 3 demonstrated significant decrease or no change on measurements after three months without training.Conclusion: Home-based exercise training is an important therapeutic strategy in chronic heart failure patients with sleep apnoea, and strength training resulted in a higher increase in muscle strength and endurance.
Keywords Cardiac rehabilitation
home rehabilitation
quality of life
sleep apnea
strength training
Language English
Date 2012-01-01
Published in Clinical Rehabilitation. London: Sage Publications Ltd, v. 26, n. 1, p. 45-57, 2012.
ISSN 0269-2155 (Sherpa/Romeo, impact factor)
Publisher Sage Publications Ltd
Extent 45-57
Origin http://dx.doi.org/10.1177/0269215511403941
Access rights Closed access
Type Article
Web of Science ID WOS:000299271000005
URI http://repositorio.unifesp.br/handle/11600/34504

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