Usefulness of a home-based exercise program for overweight and obese patients with advanced heart failure

The American Journal of Cardiology
Lorraine S EvangelistaKathleen Dracup

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
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
Jan 20, 2004·BMJ : British Medical Journal·M F PiepoliUNKNOWN ExTraMATCH Collaborative

❮ Previous
Next ❯

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
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
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 4, 2017·Health Services Research and Managerial Epidemiology·Thomas T H WanSara D S Barbaro
Jan 30, 2019·The Cochrane Database of Systematic Reviews·Linda LongRod S Taylor
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

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cachexia & Brown Fat

Cachexia is a condition associated with progressive weight loss due to severe illness. In cancer patients, it is proposed to occur as a result of tumor-induced energy wasting. Several proteins have been implicated in browning and depletion of white adipose tissue. Here is the latest research on cachexia and brown fat.

Cardiovascular Diseases: Risk Factors

Cardiovascular disease is a significant health concern. Risk factors include hypertension, obesity, dyslipidemia and smoking. Women who are postmenopausal are at an increased risk of heart disease. Here is the latest research for risk factors of cardiovascular disease.

Cardiac Cachexia

Cardiac cachexia is a syndrome associated with the progressive loss of muscle and fat mass. It most commonly affects patients with heart failure and can significantly decrease the quality of life and survival in these patients. Here is the latest research on cardiac cachexia.

© 2021 Meta ULC. All rights reserved