Tags

Type your tag names separated by a space and hit enter

Combined Exercise and Inspiratory Muscle Training in Patients With Heart Failure: A SYSTEMATIC REVIEW AND META-ANALYSIS.
J Cardiopulm Rehabil Prev 2016 Nov/Dec; 36(6):395-401JC

Abstract

PURPOSE

Studies have reported the benefits of exercise and inspiratory muscle training (IMT) in patients with heart failure (HF); however, there is no meta-analysis on the effects of the combination of exercise and IMT in patients with HF. The objective of this study was to determine whether combined exercise/IMT was more effective than conventional exercise on exercise capacity, respiratory muscle strength, and quality of life in patients with HF.

METHODS

This is a systematic review and meta-analysis. We searched MEDLINE, LILACS, CINAHL, EMBASE, PEDro, and the Cochrane Central Register of Controlled Trials (from the earliest date available to April 2015) for randomized controlled trials, examining effects of combined exercise/IMT versus conventional exercise on exercise capacity, respiratory muscle strength, and quality of life measurements in patients with HF. Two reviewers selected studies independently. Weighted mean differences and 95% CIs were calculated.

RESULTS

Three studies met the study criteria. Combined exercise/IMT resulted in improvement in maximal inspiratory pressure weighted mean differences (20.89 cm H2O; 95% CI, 14.0-27.78) and Minnesota Living with Heart Failure Questionnaire weighted mean differences (4.43; 95% CI, 0.72-8.14). Nonsignificant difference was observed in peak (Equation is included in full-text article.)O2 for participants in the combined exercise/IMT group compared with the conventional exercise group. No serious adverse events were reported.

CONCLUSIONS

Combined exercise/IMT may improve maximal inspiratory pressure and quality of life in patients with HF and should be considered for inclusion in cardiac rehabilitation programs.

Authors+Show Affiliations

Departamento de Biofunção, Curso de Fisioterapia, Universidade Federal da Bahia, Salvador, Bahia, Brazil (Drs Neto and Conceição, and Mr Martinez); Programa de Pós-graduação em Medicina e Saúde da, Universidade Federal da Bahia, Salvador, Bahia, Brazil (Dr Neto); The GREAT Group (GRupo de Estudos em ATividade física), Aracaju, Brazil (Drs Neto and Carvalho); Programa de Pós-graduação em Educação Física, Universidade de Brasília, Brasília, Brazil (Mr Silva); and Departamento de Fisioterapia da Universidade Federal de Sergipe, Aracaju, Brazil (Dr Carvalho).No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Meta-Analysis
Review
Systematic Review

Language

eng

PubMed ID

27182763

Citation

Neto, Mansueto Gomes, et al. "Combined Exercise and Inspiratory Muscle Training in Patients With Heart Failure: a SYSTEMATIC REVIEW and META-ANALYSIS." Journal of Cardiopulmonary Rehabilitation and Prevention, vol. 36, no. 6, 2016, pp. 395-401.
Neto MG, Martinez BP, Conceição CS, et al. Combined Exercise and Inspiratory Muscle Training in Patients With Heart Failure: A SYSTEMATIC REVIEW AND META-ANALYSIS. J Cardiopulm Rehabil Prev. 2016;36(6):395-401.
Neto, M. G., Martinez, B. P., Conceição, C. S., Silva, P. E., & Carvalho, V. O. (2016). Combined Exercise and Inspiratory Muscle Training in Patients With Heart Failure: A SYSTEMATIC REVIEW AND META-ANALYSIS. Journal of Cardiopulmonary Rehabilitation and Prevention, 36(6), pp. 395-401.
Neto MG, et al. Combined Exercise and Inspiratory Muscle Training in Patients With Heart Failure: a SYSTEMATIC REVIEW and META-ANALYSIS. J Cardiopulm Rehabil Prev. 2016;36(6):395-401. PubMed PMID: 27182763.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Combined Exercise and Inspiratory Muscle Training in Patients With Heart Failure: A SYSTEMATIC REVIEW AND META-ANALYSIS. AU - Neto,Mansueto Gomes, AU - Martinez,Bruno Prata, AU - Conceição,Cristiano Sena, AU - Silva,Paulo Eugênio, AU - Carvalho,Vitor Oliveira, PY - 2016/10/26/pubmed PY - 2017/12/12/medline PY - 2016/5/17/entrez SP - 395 EP - 401 JF - Journal of cardiopulmonary rehabilitation and prevention JO - J Cardiopulm Rehabil Prev VL - 36 IS - 6 N2 - PURPOSE: Studies have reported the benefits of exercise and inspiratory muscle training (IMT) in patients with heart failure (HF); however, there is no meta-analysis on the effects of the combination of exercise and IMT in patients with HF. The objective of this study was to determine whether combined exercise/IMT was more effective than conventional exercise on exercise capacity, respiratory muscle strength, and quality of life in patients with HF. METHODS: This is a systematic review and meta-analysis. We searched MEDLINE, LILACS, CINAHL, EMBASE, PEDro, and the Cochrane Central Register of Controlled Trials (from the earliest date available to April 2015) for randomized controlled trials, examining effects of combined exercise/IMT versus conventional exercise on exercise capacity, respiratory muscle strength, and quality of life measurements in patients with HF. Two reviewers selected studies independently. Weighted mean differences and 95% CIs were calculated. RESULTS: Three studies met the study criteria. Combined exercise/IMT resulted in improvement in maximal inspiratory pressure weighted mean differences (20.89 cm H2O; 95% CI, 14.0-27.78) and Minnesota Living with Heart Failure Questionnaire weighted mean differences (4.43; 95% CI, 0.72-8.14). Nonsignificant difference was observed in peak (Equation is included in full-text article.)O2 for participants in the combined exercise/IMT group compared with the conventional exercise group. No serious adverse events were reported. CONCLUSIONS: Combined exercise/IMT may improve maximal inspiratory pressure and quality of life in patients with HF and should be considered for inclusion in cardiac rehabilitation programs. SN - 1932-751X UR - https://www.unboundmedicine.com/medline/citation/27182763/Combined_Exercise_and_Inspiratory_Muscle_Training_in_Patients_With_Heart_Failure:_A_SYSTEMATIC_REVIEW_AND_META_ANALYSIS_ L2 - http://Insights.ovid.com/pubmed?pmid=27182763 DB - PRIME DP - Unbound Medicine ER -