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Supervised exercise training improves aerobic capacity and muscle strength in older women with heart failure.
Can J Cardiol. 2005 Dec; 21(14):1277-80.CJ

Abstract

BACKGROUND

The effect that supervised or unsupervised exercise training has on aerobic capacity (peak oxygen consumption [VO2peak]), muscle strength and quality of life in older women with heart failure remains unknown.

OBJECTIVE

To examine the effect of six months (three months supervised followed by three months unsupervised) of aerobic training (AT) or combined aerobic and strength training (CAST) on VO2peak, muscle strength and quality of life in older women with heart failure.

METHODS

Twenty older women (mean age +/- SD, 72+/-8 years) with clinically stable heart failure were randomly assigned to AT (n=10) or CAST (n=10). Supervised AT was performed two days per week at 60% to 70% heart rate reserve, whereas unsupervised training was performed two days per week at a rate of perceived exertion of 12 to 14 on the Borg scale. The CAST group also performed one to two sets of low-to-moderate intensity strength training two days per week.

RESULTS

Supervised AT or CAST resulted in an increase in VO2peak (12%; P<0.05) and leg press strength (13%; P<0.05) that returned to baseline after unsupervised training. Vertical row strength was greater (+23%; P<0.05) after supervised CAST and remained unchanged after supervised or unsupervised AT. Supervised or unsupervised exercise training was not associated with a significant change in quality of life.

CONCLUSIONS

Supervised AT or CAST are effective modes of exercise to improve VO2peak and muscle strength in older women with heart failure. However, the improvements in VO2peak and muscle strength are not maintained with unsupervised exercise training.

Authors+Show Affiliations

Faculty of Rehabilitation Medicine, University of Alberta, Edmonton. mark.haykowsky@ualberta.caNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

16341296

Citation

Haykowsky, Mark, et al. "Supervised Exercise Training Improves Aerobic Capacity and Muscle Strength in Older Women With Heart Failure." The Canadian Journal of Cardiology, vol. 21, no. 14, 2005, pp. 1277-80.
Haykowsky M, Vonder Muhll I, Ezekowitz J, et al. Supervised exercise training improves aerobic capacity and muscle strength in older women with heart failure. Can J Cardiol. 2005;21(14):1277-80.
Haykowsky, M., Vonder Muhll, I., Ezekowitz, J., & Armstrong, P. (2005). Supervised exercise training improves aerobic capacity and muscle strength in older women with heart failure. The Canadian Journal of Cardiology, 21(14), 1277-80.
Haykowsky M, et al. Supervised Exercise Training Improves Aerobic Capacity and Muscle Strength in Older Women With Heart Failure. Can J Cardiol. 2005;21(14):1277-80. PubMed PMID: 16341296.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Supervised exercise training improves aerobic capacity and muscle strength in older women with heart failure. AU - Haykowsky,Mark, AU - Vonder Muhll,Isabelle, AU - Ezekowitz,Justin, AU - Armstrong,Paul, PY - 2005/12/13/pubmed PY - 2006/2/25/medline PY - 2005/12/13/entrez SP - 1277 EP - 80 JF - The Canadian journal of cardiology JO - Can J Cardiol VL - 21 IS - 14 N2 - BACKGROUND: The effect that supervised or unsupervised exercise training has on aerobic capacity (peak oxygen consumption [VO2peak]), muscle strength and quality of life in older women with heart failure remains unknown. OBJECTIVE: To examine the effect of six months (three months supervised followed by three months unsupervised) of aerobic training (AT) or combined aerobic and strength training (CAST) on VO2peak, muscle strength and quality of life in older women with heart failure. METHODS: Twenty older women (mean age +/- SD, 72+/-8 years) with clinically stable heart failure were randomly assigned to AT (n=10) or CAST (n=10). Supervised AT was performed two days per week at 60% to 70% heart rate reserve, whereas unsupervised training was performed two days per week at a rate of perceived exertion of 12 to 14 on the Borg scale. The CAST group also performed one to two sets of low-to-moderate intensity strength training two days per week. RESULTS: Supervised AT or CAST resulted in an increase in VO2peak (12%; P<0.05) and leg press strength (13%; P<0.05) that returned to baseline after unsupervised training. Vertical row strength was greater (+23%; P<0.05) after supervised CAST and remained unchanged after supervised or unsupervised AT. Supervised or unsupervised exercise training was not associated with a significant change in quality of life. CONCLUSIONS: Supervised AT or CAST are effective modes of exercise to improve VO2peak and muscle strength in older women with heart failure. However, the improvements in VO2peak and muscle strength are not maintained with unsupervised exercise training. SN - 0828-282X UR - https://www.unboundmedicine.com/medline/citation/16341296/Supervised_exercise_training_improves_aerobic_capacity_and_muscle_strength_in_older_women_with_heart_failure_ DB - PRIME DP - Unbound Medicine ER -