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The effect of cardiac rehabilitation on quality of life, anxiety and depression in patients with congestive heart failure. A randomized controlled trial, short-term results.
Eura Medicophys. 2007 Dec; 43(4):489-97.EM

Abstract

AIM

One of the major treatment goals in congestive heart failure (CHF) is to preserve the functional level of the patient and to improve psychosocial factors. For these purposes, exercise training is recommended for the management of CHF. With this background, the aim of this study is to investigate the effects of aerobic exercise on quality of life, depression and anxiety levels in a Turkish patient population with CHF.

METHODS

Sixty patients with CHF in stage II-III according to NYHA were included. Patients were randomly assigned either to a cardiac rehabilitation group or to a control group. Twenty-seven patients were allocated to a weekly aerobic walking program on treadmill, thrice a week for 8 weeks, and 26 patients did not receive any exercise training. Both groups were assessed by an ergospirometric exercise test, Hacettepe Quality of Life Questionnaire (HQoL), Beck Depression Inventory (BDI), Spielberger Trait Anxiety Inventory (STAI) at baseline and at the end.

RESULTS

Forty-four patients (treatment group: 23) completed the study. In the treatment group, significant increases in peak oxygen consumption, exercise time and metabolic equivalents (MET) levels were attained (P=0.001, P=0.001, P=0.003, respectively). Significant decreases in BDI (P=0.004) and STAI subgroups (P=0.049, P=0.023, respectively) were observed, whereas there was no change in HQoL scores. In the control group, there was no difference between baseline and 8th week evaluation in all parameters.

CONCLUSIONS

Patients with CHF tolerated aerobic exercise programs well. This resulted with improvement in both physical and psychologic wellbeing, but not in quality of life in the short term.

Authors+Show Affiliations

Department of Physical Medicine and Rehabilitation, Yeditepe University Hospital, Istanbul, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

18084172

Citation

Kulcu, D G., et al. "The Effect of Cardiac Rehabilitation On Quality of Life, Anxiety and Depression in Patients With Congestive Heart Failure. a Randomized Controlled Trial, Short-term Results." Europa Medicophysica, vol. 43, no. 4, 2007, pp. 489-97.
Kulcu DG, Kurtais Y, Tur BS, et al. The effect of cardiac rehabilitation on quality of life, anxiety and depression in patients with congestive heart failure. A randomized controlled trial, short-term results. Eura Medicophys. 2007;43(4):489-97.
Kulcu, D. G., Kurtais, Y., Tur, B. S., Gülec, S., & Seckin, B. (2007). The effect of cardiac rehabilitation on quality of life, anxiety and depression in patients with congestive heart failure. A randomized controlled trial, short-term results. Europa Medicophysica, 43(4), 489-97.
Kulcu DG, et al. The Effect of Cardiac Rehabilitation On Quality of Life, Anxiety and Depression in Patients With Congestive Heart Failure. a Randomized Controlled Trial, Short-term Results. Eura Medicophys. 2007;43(4):489-97. PubMed PMID: 18084172.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effect of cardiac rehabilitation on quality of life, anxiety and depression in patients with congestive heart failure. A randomized controlled trial, short-term results. AU - Kulcu,D G, AU - Kurtais,Y, AU - Tur,B S, AU - Gülec,S, AU - Seckin,B, PY - 2007/12/18/pubmed PY - 2008/5/17/medline PY - 2007/12/18/entrez SP - 489 EP - 97 JF - Europa medicophysica JO - Eura Medicophys VL - 43 IS - 4 N2 - AIM: One of the major treatment goals in congestive heart failure (CHF) is to preserve the functional level of the patient and to improve psychosocial factors. For these purposes, exercise training is recommended for the management of CHF. With this background, the aim of this study is to investigate the effects of aerobic exercise on quality of life, depression and anxiety levels in a Turkish patient population with CHF. METHODS: Sixty patients with CHF in stage II-III according to NYHA were included. Patients were randomly assigned either to a cardiac rehabilitation group or to a control group. Twenty-seven patients were allocated to a weekly aerobic walking program on treadmill, thrice a week for 8 weeks, and 26 patients did not receive any exercise training. Both groups were assessed by an ergospirometric exercise test, Hacettepe Quality of Life Questionnaire (HQoL), Beck Depression Inventory (BDI), Spielberger Trait Anxiety Inventory (STAI) at baseline and at the end. RESULTS: Forty-four patients (treatment group: 23) completed the study. In the treatment group, significant increases in peak oxygen consumption, exercise time and metabolic equivalents (MET) levels were attained (P=0.001, P=0.001, P=0.003, respectively). Significant decreases in BDI (P=0.004) and STAI subgroups (P=0.049, P=0.023, respectively) were observed, whereas there was no change in HQoL scores. In the control group, there was no difference between baseline and 8th week evaluation in all parameters. CONCLUSIONS: Patients with CHF tolerated aerobic exercise programs well. This resulted with improvement in both physical and psychologic wellbeing, but not in quality of life in the short term. SN - 0014-2573 UR - https://www.unboundmedicine.com/medline/citation/18084172/The_effect_of_cardiac_rehabilitation_on_quality_of_life_anxiety_and_depression_in_patients_with_congestive_heart_failure__A_randomized_controlled_trial_short_term_results_ L2 - http://www.minervamedica.it/index2.t?show=R33Y2007N04A0489 DB - PRIME DP - Unbound Medicine ER -