Home-based exercise improves functional performance and quality of life in women with diastolic heart failure

Heart & Lung : the Journal of Critical Care
Rebecca A GaryRobert McMurray

Abstract

Diastolic heart failure (DHF) is common in older women. There have been no clinical trials that have identified therapies to improve symptoms in these patients. A total of 32 women with New York Heart Association class II and III DHF (left ventricular ejection fraction >45% and symptoms of dyspnea or fatigue) were randomized into a 12-week home-based, low-to-moderate intensity (40% and 60%, respectively) exercise and education program (intervention) or education only program (control). Methods and results The intervention group improved in the 6-minute walk test from 840 +/- 366 ft to 1043 +/- 317 ft versus 824 +/- 367 ft to 732 +/- 408 ft in the control group (P =.002). Quality of life also improved in the intervention group compared with the control group as measured by the Living with Heart Failure Questionnaire (41 +/- 26 to 24 +/- 18 vs 27 +/- 18 to 28 +/- 22 at 12 weeks, P =.002; 24 +/- 18 to 19 +/- 18 vs 28 +/- 22 to 32 +/- 27 at the 3-month follow-up, P =.014) and the Geriatric Depression Scale (6 +/- 4 to 4 +/- 4 vs 5 +/- 3 to 7 +/- 5 at 12 weeks, P =.012; 4 +/- 4 to 4 +/- 4 vs 7 +/- 5 to 7 +/- 5 at the 3-month follow-up, P =.009). Women with DHF exhibit significant comorbidities and physical limitations. Home-based, l...Continue Reading

References

Jan 1, 1982·Medicine and Science in Sports and Exercise·G A Borg
Jan 1, 1982·Journal of Psychiatric Research·J A YesavageV O Leirer
Oct 1, 1993·Journal of the American College of Cardiology·K K HoD Levy
Oct 13, 1993·JAMA : the Journal of the American Medical Association·V BittnerM Guillotte
May 1, 1995·Journal of Cardiopulmonary Rehabilitation·M S Loose, B Fernhall
Nov 1, 1995·Heart & Lung : the Journal of Critical Care·M M Friedman, K B King
May 1, 1997·Social Science & Medicine·D D Von DrasD B Mark
May 28, 1998·Health Care for Women International·S J BennettG A Huster
Feb 9, 1999·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·A S Bierman, C M Clancy
May 5, 1999·Circulation·M C PetrieJ J McMurray
Jun 11, 1999·Journal of the American College of Cardiology·J R WilsonS F Davis
Jul 16, 1999·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·R S SamuelJ Y Wei
Apr 1, 2000·European Journal of Heart Failure·A Owen, L Croucher
May 12, 2000·Journal of the American College of Cardiology·J S GottdienerR C Boineau
Jun 22, 2000·Journal of Cardiopulmonary Rehabilitation·D M Hamilton, R G Haennel
Feb 17, 2001·The American Journal of Cardiology·D W KitzmanUNKNOWN Cardiovascular Health Study Research Group
Mar 15, 2001·Heart & Lung : the Journal of Critical Care·M M Friedman, J A Griffin
May 9, 2001·Heart & Lung : the Journal of Critical Care·L S EvangelistaK Dracup
Oct 18, 2001·Heart & Lung : the Journal of Critical Care·N V SneedG Hendrix
Jun 26, 2002·Circulation·Lemuel A Moyé, Alan T N Tita

❮ Previous
Next ❯

Citations

Apr 9, 2009·JAMA : the Journal of the American Medical Association·Kathryn E FlynnUNKNOWN HF-ACTION Investigators
Nov 17, 2007·Heart Failure Reviews·Krista A Barbour, Nancy Houston Miller
Jun 5, 2012·Current Treatment Options in Cardiovascular Medicine·Samuel Bernard, Mathew S Maurer
Jul 7, 2009·The Gerontologist·Judy KrugerThomas R Prohaska
Jan 8, 2010·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·Rita Hwang, Thomas Marwick
Mar 4, 2009·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·Katina TzanetosRobert C Wu
Jun 27, 2009·American Journal of Critical Care : an Official Publication, American Association of Critical-Care Nurses·Rebecca L DekkerDebra K Moser
Mar 3, 2010·Annual Review of Clinical Psychology·Colin DeppDilip Jeste
Nov 30, 2014·Heart Failure Clinics·Jonathan MyersRod S Taylor
Aug 13, 2013·Herz·F Edelmann, B Pieske
Sep 4, 2012·Heart & Lung : the Journal of Critical Care·Patricia C WoltzSue Ann Thomas
May 7, 2011·Progress in Cardiovascular Diseases·Steven J Keteyian
May 18, 2011·Mayo Clinic Proceedings·Gerard O OghlakianJames C Fang
Nov 11, 2008·Heart & Lung : the Journal of Critical Care·Rebecca Gary, Leslie Davis
Sep 11, 2007·American Journal of Preventive Medicine·John T FrederickUNKNOWN Late Life Depression Special Interest Project Panelists
Dec 23, 2006·Progress in Cardiovascular Diseases·Thomas H Marwick, Chiew Y Wong
Feb 28, 2008·Journal of Advanced Nursing·Gülcan Bakan, Asiye Durmaz Akyol
Jan 9, 2009·Journal of the American Academy of Nurse Practitioners·Lindsey Austin ReddersenDiane Berry
Jun 13, 2012·Scandinavian Journal of Caring Sciences·Sedigheh FayaziFarzaneh Ahmadi
Jan 24, 2006·Heart & Lung : the Journal of Critical Care·Rebecca Gary
Aug 8, 2013·International Journal of Cardiology·Lampros SamartzisSerafim Nanas
Mar 17, 2015·The Journal of Cardiovascular Nursing·Jia-Rong WuDebra K Moser
Oct 15, 2011·Journal of the American College of Cardiology·Dalane W Kitzman
Mar 20, 2009·Social Science & Medicine·Fiona Bridget GillisonStella Evangelidou
Jul 29, 2008·Archives of Cardiovascular Diseases·P de GrooteM Komajda
Jul 6, 2016·The Canadian Journal of Cardiology·Dae Hyun Kim, Michael W Rich
Nov 10, 2006·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Lena HägglundChristine Brulin
Feb 4, 2014·Quality of Life Research : an International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation·Kyoung Suk LeeDebra K Moser
Sep 8, 2009·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Suzanne FredericksMonica Da Silva
Oct 11, 2007·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·Karen MorganEmer Shelley

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.