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Combined endurance-resistance training vs. endurance training in patients with chronic heart failure: a prospective randomized study.
Eur Heart J 2008; 29(15):1858-66EH

Abstract

AIMS

This study was designed to compare the effects of combined endurance-resistance training (CT) with endurance training (ET) only on submaximal and maximal exercise capacity, ventilatory prognostic parameters, safety issues, and quality of life in patients with chronic heart failure (CHF).

METHODS AND RESULTS

Fifty-eight CHF patients (NYHA class II-III) were randomized either to 6 months CT [n = 28, 58 years, left ventricular ejection fraction (LVEF) 26%, VO(2)peak 18.1 mL/kg/min] or ET (n = 30, 59 years, LVEF 23%, VO(2)peak 21.3 mL/kg/min). The increase in steady-state workload (P = 0.007) and the decrease in heart rate at SSW (P = 0.002) were significantly larger in CT- compared with ET-trained patients. Maximal exercise capacity (i.e. VO(2)peak, maximal workload) and work-economy (Wattmax/VO(2)peak) evolved similarly. VO(2)peak halftime was reduced following CT (P = 0.001). Maximal strength in upper limbs increased significantly (P < 0.001) in favour of the CT group. CT also had a beneficial effect on health-related quality of life, i.e. 60% of CT-trained patients vs. 28% of ET-trained patients reported a decrease in cardiac symptoms (OR = 3.86, 95% CI 1.11-12.46, P = 0.03). There were no differences with regard to improved LVEF, evolution of left ventricular dimensions, nor outcome data (mortality and cardiovascular hospital admissions during follow-up).

CONCLUSION

In CHF patients, CT had a more pronounced effect on submaximal exercise capacity, muscle strength, and quality of life. The absence of unfavourable effects on left ventricular remodelling and outcome parameters is reassuring and might facilitate further implementation of this particular training modality.

Authors+Show Affiliations

Department of Cardiology, Cardiac Rehabilitation Centre, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium. paul.beckers@uza.beNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

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

Language

eng

PubMed ID

18515805

Citation

Beckers, Paul J., et al. "Combined Endurance-resistance Training Vs. Endurance Training in Patients With Chronic Heart Failure: a Prospective Randomized Study." European Heart Journal, vol. 29, no. 15, 2008, pp. 1858-66.
Beckers PJ, Denollet J, Possemiers NM, et al. Combined endurance-resistance training vs. endurance training in patients with chronic heart failure: a prospective randomized study. Eur Heart J. 2008;29(15):1858-66.
Beckers, P. J., Denollet, J., Possemiers, N. M., Wuyts, F. L., Vrints, C. J., & Conraads, V. M. (2008). Combined endurance-resistance training vs. endurance training in patients with chronic heart failure: a prospective randomized study. European Heart Journal, 29(15), pp. 1858-66. doi:10.1093/eurheartj/ehn222.
Beckers PJ, et al. Combined Endurance-resistance Training Vs. Endurance Training in Patients With Chronic Heart Failure: a Prospective Randomized Study. Eur Heart J. 2008;29(15):1858-66. PubMed PMID: 18515805.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combined endurance-resistance training vs. endurance training in patients with chronic heart failure: a prospective randomized study. AU - Beckers,Paul J, AU - Denollet,Johan, AU - Possemiers,Nadine M, AU - Wuyts,Floris L, AU - Vrints,Christiaan J, AU - Conraads,Viviane M, Y1 - 2008/05/30/ PY - 2008/6/3/pubmed PY - 2008/12/25/medline PY - 2008/6/3/entrez SP - 1858 EP - 66 JF - European heart journal JO - Eur. Heart J. VL - 29 IS - 15 N2 - AIMS: This study was designed to compare the effects of combined endurance-resistance training (CT) with endurance training (ET) only on submaximal and maximal exercise capacity, ventilatory prognostic parameters, safety issues, and quality of life in patients with chronic heart failure (CHF). METHODS AND RESULTS: Fifty-eight CHF patients (NYHA class II-III) were randomized either to 6 months CT [n = 28, 58 years, left ventricular ejection fraction (LVEF) 26%, VO(2)peak 18.1 mL/kg/min] or ET (n = 30, 59 years, LVEF 23%, VO(2)peak 21.3 mL/kg/min). The increase in steady-state workload (P = 0.007) and the decrease in heart rate at SSW (P = 0.002) were significantly larger in CT- compared with ET-trained patients. Maximal exercise capacity (i.e. VO(2)peak, maximal workload) and work-economy (Wattmax/VO(2)peak) evolved similarly. VO(2)peak halftime was reduced following CT (P = 0.001). Maximal strength in upper limbs increased significantly (P < 0.001) in favour of the CT group. CT also had a beneficial effect on health-related quality of life, i.e. 60% of CT-trained patients vs. 28% of ET-trained patients reported a decrease in cardiac symptoms (OR = 3.86, 95% CI 1.11-12.46, P = 0.03). There were no differences with regard to improved LVEF, evolution of left ventricular dimensions, nor outcome data (mortality and cardiovascular hospital admissions during follow-up). CONCLUSION: In CHF patients, CT had a more pronounced effect on submaximal exercise capacity, muscle strength, and quality of life. The absence of unfavourable effects on left ventricular remodelling and outcome parameters is reassuring and might facilitate further implementation of this particular training modality. SN - 1522-9645 UR - https://www.unboundmedicine.com/medline/citation/18515805/Combined_endurance_resistance_training_vs__endurance_training_in_patients_with_chronic_heart_failure:_a_prospective_randomized_study_ L2 - https://academic.oup.com/eurheartj/article-lookup/doi/10.1093/eurheartj/ehn222 DB - PRIME DP - Unbound Medicine ER -