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Efficacy of home-based exercise programmes for people with chronic heart failure: a meta-analysis.
Eur J Cardiovasc Prev Rehabil. 2009 Oct; 16(5):527-35.EJ

Abstract

Home-based programmes may offer an alternative to conventional programmes or as a means of maintaining physical fitness after graduating from centre-based programmes. We sought to examine the effectiveness of home-based exercise programmes on exercise capacity in patients with heart failure compared with usual medical care. Electronic databases were searched to identify randomized controlled trials. Protocols included an initial period of centre-based exercise followed by exercise at home, home-based exercise only and concurrent centre and home-based exercise. Outcome measures included peak oxygen consumption, exercise duration and the six-minute walk test. Nineteen relevant studies were identified for review. The mean improvement in peak oxygen consumption was 2.86 ml/kg per min [95% confidence interval (CI): 1.43-4.29]. Exercise duration increased by 1.94 min (95% CI: 0.89-2.98) and distance on the six-minute walk test was increased by 30.41 m (95% CI: 6.13-54.68). Other reported benefits of home-based programmes include increased quality of life and lowered hospital admission rates. In conclusion, home-based exercise programmes have been shown to benefit people with heart failure in the short term. Further research is required to investigate the long-term effects of home exercise and to determine the optimal strategies for improving exercise adherence in patients with heart failure.

Authors+Show Affiliations

Princess Alexandra Hospital, Brisbane, Queensland, Australia. hwang_r@hotmail.comNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Review

Language

eng

PubMed ID

20054288

Citation

Hwang, Rita, and Thomas Marwick. "Efficacy of Home-based Exercise Programmes for People With Chronic Heart Failure: a Meta-analysis." European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, vol. 16, no. 5, 2009, pp. 527-35.
Hwang R, Marwick T. Efficacy of home-based exercise programmes for people with chronic heart failure: a meta-analysis. Eur J Cardiovasc Prev Rehabil. 2009;16(5):527-35.
Hwang, R., & Marwick, T. (2009). Efficacy of home-based exercise programmes for people with chronic heart failure: a meta-analysis. European Journal of Cardiovascular Prevention and Rehabilitation : Official Journal of the European Society of Cardiology, Working Groups On Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology, 16(5), 527-35. https://doi.org/10.1097/HJR.0b013e32832e097f
Hwang R, Marwick T. Efficacy of Home-based Exercise Programmes for People With Chronic Heart Failure: a Meta-analysis. Eur J Cardiovasc Prev Rehabil. 2009;16(5):527-35. PubMed PMID: 20054288.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Efficacy of home-based exercise programmes for people with chronic heart failure: a meta-analysis. AU - Hwang,Rita, AU - Marwick,Thomas, PY - 2010/1/8/entrez PY - 2010/1/8/pubmed PY - 2010/3/12/medline SP - 527 EP - 35 JF - European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology JO - Eur J Cardiovasc Prev Rehabil VL - 16 IS - 5 N2 - Home-based programmes may offer an alternative to conventional programmes or as a means of maintaining physical fitness after graduating from centre-based programmes. We sought to examine the effectiveness of home-based exercise programmes on exercise capacity in patients with heart failure compared with usual medical care. Electronic databases were searched to identify randomized controlled trials. Protocols included an initial period of centre-based exercise followed by exercise at home, home-based exercise only and concurrent centre and home-based exercise. Outcome measures included peak oxygen consumption, exercise duration and the six-minute walk test. Nineteen relevant studies were identified for review. The mean improvement in peak oxygen consumption was 2.86 ml/kg per min [95% confidence interval (CI): 1.43-4.29]. Exercise duration increased by 1.94 min (95% CI: 0.89-2.98) and distance on the six-minute walk test was increased by 30.41 m (95% CI: 6.13-54.68). Other reported benefits of home-based programmes include increased quality of life and lowered hospital admission rates. In conclusion, home-based exercise programmes have been shown to benefit people with heart failure in the short term. Further research is required to investigate the long-term effects of home exercise and to determine the optimal strategies for improving exercise adherence in patients with heart failure. SN - 1741-8275 UR - https://www.unboundmedicine.com/medline/citation/20054288/Efficacy_of_home_based_exercise_programmes_for_people_with_chronic_heart_failure:_a_meta_analysis_ L2 - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=linkout&SEARCH=20054288.ui DB - PRIME DP - Unbound Medicine ER -