Abstract
Exercise is an important behavior for long-term weight control in overweight and obese patients. However, little evidence exists confirming such findings in patients with advanced heart failure (HF). Using a prospective, experimental design, the effects of 24 weeks of a low-level, home-based walking program on weight loss were studied in overweight and obese (body mass index > or =27 kg/m(2)) patients with advanced HF who were randomized to exercise (n = 48) and control (n = 51) groups. Weight changes between the 2 groups at baseline and 6 months were compared using repeated-measures analysis of variance. Patients were on average aged 53.3 +/- 10.1 years and predominantly male (75%), Caucasian (57%), and married (55%). Most patients were in New York Heart Association class III or IV (67%), with a mean ejection fraction of 25%. Patients in the exercise group showed significant weight reduction from baseline to 6 months compared with those in the control group (-6.37 +/- 11.7 vs -0.33 +/- 9.3 kg, p = 0.002). No significant differences were noted between the 2 groups in 6-minute walk distance or depression, although the changes were in the anticipated direction. Modest weight losses of >5% were associated with cardiopulmonary exer...Continue Reading
References
Aug 1, 1986·American Journal of Public Health·D A Revicki, R G Israel
Sep 1, 1993·Circulation·S T St JeorW Willett
Sep 1, 1997·Journal of the American College of Cardiology·G C FonarowM A Woo
Oct 26, 1999·The American Journal of Cardiology·M ZuberP Erne
Jul 24, 2001·Progress in Cardiovascular Nursing·L J Aronne
Jul 24, 2001·European Heart Journal·A MosterdD E Grobbee
Aug 2, 2002·The New England Journal of Medicine·Satish KenchaiahRamachandran S Vasan
Mar 4, 2003·Journal of Cardiac Failure·Constantinos H DavosStefan D Anker
Mar 4, 2003·Journal of Cardiac Failure·Neil SmartThomas H Marwick
Apr 2, 2003·The American Journal of Cardiology·Carl J LavieMandeep R Mehra
Apr 4, 2003·Lancet·Stefan D AnkerSalim Yusuf
Jan 20, 2004·BMJ : British Medical Journal·M F PiepoliUNKNOWN ExTraMATCH Collaborative
Citations
Nov 17, 2007·Heart Failure Reviews·Krista A Barbour, Nancy Houston Miller
Oct 20, 2010·European Journal of Cardiovascular Nursing : Journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology·Christi DeatonSarah Williams
Feb 24, 2011·International Journal of Obesity : Journal of the International Association for the Study of Obesity·A N FabricatoreM S Faith
Feb 16, 2010·Aging & Mental Health·Christina D Kang-Yi, Zvi D Gellis
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
Apr 25, 2009·The Journal of Cardiovascular Nursing·Lorraine S EvangelistaGregg C Fonarow
May 12, 2011·The Journal of Cardiovascular Nursing·Heng-Hsin TungHui-Chuan Huang
Dec 20, 2011·Journal of Clinical Nursing·HuiYun DuPatricia M Davidson
May 7, 2014·European Journal of Heart Failure·Rong-Hui TuLi-Mei Yao
May 22, 2008·The Australian Journal of Physiotherapy·Chen-Lin ChienYing-Tai Wu
Aug 21, 2013·Contemporary Clinical Trials·Marjan MotieGregg C Fonarow
Feb 17, 2015·Open Heart·Viral A SagarRod S Taylor
Aug 17, 2011·Journal of Physiotherapy·Chen-Lin ChienYing-Tai Wu
Aug 22, 2017·Physiotherapy Theory and Practice·Faisal Y AsiriSusan L Whitney
May 4, 2017·Health Services Research and Managerial Epidemiology·Thomas T H WanSara D S Barbaro
Jun 28, 2011·Circulation. Heart Failure·Benjamin S WesslerJames E Udelson
Jan 30, 2019·The Cochrane Database of Systematic Reviews·Linda LongRod S Taylor
Apr 1, 2008·Cardiology·Ying-Tai WuYen-Wen Wu
Feb 19, 2008·Journal of Cardiopulmonary Rehabilitation and Prevention·John A ButterfieldBarry Ridge
Apr 29, 2014·The Cochrane Database of Systematic Reviews·Rod S TaylorSally Singh
Jul 1, 2017·The Cochrane Database of Systematic Reviews·Lindsey AndersonRod S Taylor
Oct 3, 2008·Biological Research for Nursing·Mei-Kuei TaiLorraine Q Frazier
Apr 29, 2010·The Physician and Sportsmedicine·Lorraine S EvangelistaKathleen Dracup
Nov 25, 2020·Current Diabetes Reports·Thida TabucanonW H Wilson Tang
May 25, 2016·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·W Timothy GarveyUNKNOWN Reviewers of the AACE/ACE Obesity Clinical Practice Guidelines