Tags

Type your tag names separated by a space and hit enter

Effects of a home walking exercise program on functional status and symptoms in heart failure.
Am Heart J. 2004 Feb; 147(2):339-46.AH

Abstract

BACKGROUND

Hospital-based exercise programs using a bicycle ergometer or a combination of exercise modalities have shown positive benefits in heart failure, but may not be readily accessible to many patients. Thus, we sought to evaluate the effects of a 12-week home walking exercise program on functional status and symptoms in patients with heart failure.

METHODS

A randomized controlled trial comparing a 12-week progressive home walking exercise program (n = 42) to a "usual activity" control group (n = 37) was conducted in patients with heart failure (78 [99%] male; mean age 62.6 +/- 10.6 years; ejection fraction 27% +/- 8.8%; 63 [80%] New York Heart Association class II; 15[20%] New York Heart Association class III-IV) from a Veterans Affairs medical center and a university-affiliated medical center. Functional status (peak oxygen consumption via cardiopulmonary exercise testing, 6-minute walk test, the Heart Failure Functional Status Inventory), and symptoms (Dyspnea-Fatigue Index score with a postglobal rating of symptoms) were measured at baseline and 12 weeks.

RESULTS

No adverse events related to exercise training occurred. Overall mean compliance to training was 74 +/- 37%. Peak oxygen consumption and the Heart Failure Functional Status Inventory were unchanged with training. Compared to the usual activity group, the training group had significantly longer walking distances measured by the 6-minute walk test (1264 +/- 255 vs 1337 +/- 272 feet, P =.001), and improved postglobal rating of symptoms (P =.03).

CONCLUSION

In patients with heart failure, a progressive home walking exercise program is acceptable, increases walking distance, and decreases global rating of symptoms.

Authors+Show Affiliations

Greater Los Angeles, Veterans Affairs Health Care System, Los Angeles, Calif, USA. Teresita.Corvera@med.va.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Clinical Trial
Journal Article
Randomized Controlled Trial
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

14760334

Citation

Corvera-Tindel, Teresita, et al. "Effects of a Home Walking Exercise Program On Functional Status and Symptoms in Heart Failure." American Heart Journal, vol. 147, no. 2, 2004, pp. 339-46.
Corvera-Tindel T, Doering LV, Woo MA, et al. Effects of a home walking exercise program on functional status and symptoms in heart failure. Am Heart J. 2004;147(2):339-46.
Corvera-Tindel, T., Doering, L. V., Woo, M. A., Khan, S., & Dracup, K. (2004). Effects of a home walking exercise program on functional status and symptoms in heart failure. American Heart Journal, 147(2), 339-46.
Corvera-Tindel T, et al. Effects of a Home Walking Exercise Program On Functional Status and Symptoms in Heart Failure. Am Heart J. 2004;147(2):339-46. PubMed PMID: 14760334.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of a home walking exercise program on functional status and symptoms in heart failure. AU - Corvera-Tindel,Teresita, AU - Doering,Lynn V, AU - Woo,Mary A, AU - Khan,Steven, AU - Dracup,Kathleen, PY - 2004/2/5/pubmed PY - 2004/3/27/medline PY - 2004/2/5/entrez SP - 339 EP - 46 JF - American heart journal JO - Am. Heart J. VL - 147 IS - 2 N2 - BACKGROUND: Hospital-based exercise programs using a bicycle ergometer or a combination of exercise modalities have shown positive benefits in heart failure, but may not be readily accessible to many patients. Thus, we sought to evaluate the effects of a 12-week home walking exercise program on functional status and symptoms in patients with heart failure. METHODS: A randomized controlled trial comparing a 12-week progressive home walking exercise program (n = 42) to a "usual activity" control group (n = 37) was conducted in patients with heart failure (78 [99%] male; mean age 62.6 +/- 10.6 years; ejection fraction 27% +/- 8.8%; 63 [80%] New York Heart Association class II; 15[20%] New York Heart Association class III-IV) from a Veterans Affairs medical center and a university-affiliated medical center. Functional status (peak oxygen consumption via cardiopulmonary exercise testing, 6-minute walk test, the Heart Failure Functional Status Inventory), and symptoms (Dyspnea-Fatigue Index score with a postglobal rating of symptoms) were measured at baseline and 12 weeks. RESULTS: No adverse events related to exercise training occurred. Overall mean compliance to training was 74 +/- 37%. Peak oxygen consumption and the Heart Failure Functional Status Inventory were unchanged with training. Compared to the usual activity group, the training group had significantly longer walking distances measured by the 6-minute walk test (1264 +/- 255 vs 1337 +/- 272 feet, P =.001), and improved postglobal rating of symptoms (P =.03). CONCLUSION: In patients with heart failure, a progressive home walking exercise program is acceptable, increases walking distance, and decreases global rating of symptoms. SN - 1097-6744 UR - https://www.unboundmedicine.com/medline/citation/14760334/Effects_of_a_home_walking_exercise_program_on_functional_status_and_symptoms_in_heart_failure_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002870303006483 DB - PRIME DP - Unbound Medicine ER -