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Benefits of combined aerobic/resistance/inspiratory training in patients with chronic heart failure. A complete exercise model? A prospective randomised study.
Int J Cardiol 2013; 167(5):1967-72IJ

Abstract

BACKGROUND

We hypothesised that combined aerobic training (AT) with resistance training (RT) and inspiratory muscle training (IMT) could result in additional benefits over AT alone in patients with chronic heart failure (CHF).

METHODS

Twenty-seven patients, age 58 ± 9 years, NYHA II/III and LVEF 29 ± 7% were randomly assigned to a 12-week AT (n=14) or a combined AT/RT/IMT (ARIS) (n=13) exercise program. AT consisted of bike exercise at 70-80% of max heart rate. ARIS training consisted of AT with RT of the quadriceps at 50% of 1 repetition maximum (1RM) and upper limb exercises using dumbbells of 1-2 kg as well as IMT at 60% of sustained maximal inspiratory pressure (SPI(max)). At baseline and after intervention patients underwent cardiopulmonary exercise testing, echocardiography, evaluation of dyspnea, muscle function and quality of life (QoL) scores.

RESULTS

The ARIS program as compared to AT alone, resulted in additional improvement in quadriceps muscle strength (1RM, p=0.005) and endurance (50%1 RM × number of max repetitions, p=0.01), SPI(max) (p<0.001), exercise time (p=0.01), circulatory power (peak oxygen consumption × peak systolic blood pressure, p=0.05), dyspnea (p=0.03) and QoL (p=0.03).

CONCLUSIONS

ARIS training was safe and resulted in incremental benefits in both peripheral and respiratory muscle weakness, cardiopulmonary function and QoL compared to that of AT. The present findings may add a new prospective to cardiac rehabilitation programs of heart failure patients whilst the clinical significance of these outcomes need to be addressed in larger randomised studies.

Authors+Show Affiliations

Onassis Cardiac Surgery Center, Athens, Greece. ylaoutaris@yahoo.grNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

22658571

Citation

Laoutaris, Ioannis D., et al. "Benefits of Combined Aerobic/resistance/inspiratory Training in Patients With Chronic Heart Failure. a Complete Exercise Model? a Prospective Randomised Study." International Journal of Cardiology, vol. 167, no. 5, 2013, pp. 1967-72.
Laoutaris ID, Adamopoulos S, Manginas A, et al. Benefits of combined aerobic/resistance/inspiratory training in patients with chronic heart failure. A complete exercise model? A prospective randomised study. Int J Cardiol. 2013;167(5):1967-72.
Laoutaris, I. D., Adamopoulos, S., Manginas, A., Panagiotakos, D. B., Kallistratos, M. S., Doulaptsis, C., ... Dritsas, A. (2013). Benefits of combined aerobic/resistance/inspiratory training in patients with chronic heart failure. A complete exercise model? A prospective randomised study. International Journal of Cardiology, 167(5), pp. 1967-72. doi:10.1016/j.ijcard.2012.05.019.
Laoutaris ID, et al. Benefits of Combined Aerobic/resistance/inspiratory Training in Patients With Chronic Heart Failure. a Complete Exercise Model? a Prospective Randomised Study. Int J Cardiol. 2013 Sep 1;167(5):1967-72. PubMed PMID: 22658571.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Benefits of combined aerobic/resistance/inspiratory training in patients with chronic heart failure. A complete exercise model? A prospective randomised study. AU - Laoutaris,Ioannis D, AU - Adamopoulos,Stamatis, AU - Manginas,Athanassios, AU - Panagiotakos,Demosthenes B, AU - Kallistratos,Manolis S, AU - Doulaptsis,Costas, AU - Kouloubinis,Alexandros, AU - Voudris,Vasilis, AU - Pavlides,Gregory, AU - Cokkinos,Dennis V, AU - Dritsas,Athanasios, Y1 - 2012/05/31/ PY - 2012/04/05/received PY - 2012/05/04/accepted PY - 2012/6/5/entrez PY - 2012/6/5/pubmed PY - 2014/4/23/medline KW - Aerobic training KW - Exercise KW - Heart failure KW - Inspiratory muscle training KW - Rehabilitation KW - Resistance training SP - 1967 EP - 72 JF - International journal of cardiology JO - Int. J. Cardiol. VL - 167 IS - 5 N2 - BACKGROUND: We hypothesised that combined aerobic training (AT) with resistance training (RT) and inspiratory muscle training (IMT) could result in additional benefits over AT alone in patients with chronic heart failure (CHF). METHODS: Twenty-seven patients, age 58 ± 9 years, NYHA II/III and LVEF 29 ± 7% were randomly assigned to a 12-week AT (n=14) or a combined AT/RT/IMT (ARIS) (n=13) exercise program. AT consisted of bike exercise at 70-80% of max heart rate. ARIS training consisted of AT with RT of the quadriceps at 50% of 1 repetition maximum (1RM) and upper limb exercises using dumbbells of 1-2 kg as well as IMT at 60% of sustained maximal inspiratory pressure (SPI(max)). At baseline and after intervention patients underwent cardiopulmonary exercise testing, echocardiography, evaluation of dyspnea, muscle function and quality of life (QoL) scores. RESULTS: The ARIS program as compared to AT alone, resulted in additional improvement in quadriceps muscle strength (1RM, p=0.005) and endurance (50%1 RM × number of max repetitions, p=0.01), SPI(max) (p<0.001), exercise time (p=0.01), circulatory power (peak oxygen consumption × peak systolic blood pressure, p=0.05), dyspnea (p=0.03) and QoL (p=0.03). CONCLUSIONS: ARIS training was safe and resulted in incremental benefits in both peripheral and respiratory muscle weakness, cardiopulmonary function and QoL compared to that of AT. The present findings may add a new prospective to cardiac rehabilitation programs of heart failure patients whilst the clinical significance of these outcomes need to be addressed in larger randomised studies. SN - 1874-1754 UR - https://www.unboundmedicine.com/medline/citation/22658571/Benefits_of_combined_aerobic/resistance/inspiratory_training_in_patients_with_chronic_heart_failure__A_complete_exercise_model_A_prospective_randomised_study_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0167-5273(12)00630-4 DB - PRIME DP - Unbound Medicine ER -