1. Department of Cardiology, Institute of Cardiovascular Diseases, Xinqiao Hospital of Army Medical University, Chongqing 400037, China; 2. Department of Infection Control, Shangcheng Peoples Hospital, Shangcheng 465350, China
Abstract:Objective To systematically evaluate the effect of exercise-based rehabilitation training on the quality of life of patients with chronic heart failure.Methods PubMed, Embase, CNKI, CMB, Cochrane Library and Wanfang database were searched for randomized controlled trials associated with the effect of exercise-based rehabilitation training on the quality of life of patients with chronic heart failure published between inception and June 2020.Results A total of 11 trials were included that involved 424 cases. The results of meta-analysis showed that the life quality score of the experimental group was better than that of the control group [SMD=-0.40,95% CI-0.86,0.06),Z=1.71,P=0.09], and that the PeakVO2 was significantly higher than that of the control group [MD=2.80, 95% CI (0.87, 4.72),Z=2.84,P=0.005], so was the 6MWD [MD=51.24,95%CI(16.06,86.38),Z=2.86,P=0.004].Conclusions Exercise-based rehabilitation training can improve the life quality of patients with chronic heart failure.
Brauwald E. The war against heart failure:the Lancet lecture[J].Lancet, 2015,385(997):812-824.
[2]
Ziaeian B, Fonarow G C. Epidemiology and aetiology of heart failure[J].Nature Reviews Cardiology, 2013,14(6):368-373.
[3]
Myers J, Christle J W, Tun A, et al. Cardiopulmonary exercise testing, impedance cardiography, and reclassification of risk in patients referred for heart failure evaluation[J]. J Cardiac Failure, 2019, 25(12):961-968.
[4]
Heidenreich P, Fonarow G C, Breathett K, et al. 2020 ACC/AHA Clinical Performance and Quality Measures for Adults with heart failure: a report of the American College of Cardiology /American Heart Association Task Force on Performance Measures[J]. J Am Coll Cardiol, 2020,11(2):768-770.
[5]
Higgins J P, Altman D G, Gotzsche P C, et al. The Cochrane Collaboration's tool for assessing risk of bias in randomised trials[J].BMJ,2011.13(343):5928.
[6]
Zeng X, Zhang Y, Kwong J S W, et al. The methodological quality assessment tools for preclinical and clinical studies, systematic review and meta-analysis, and clinical guideline: a systematic review[J].J Evid Based Med, 2015,12(11):2-10.
[7]
Davidson P M, Cockburn J,Newton P J, et al. Can a heart failure-specific cardiac rehabilitation program decrease hospitalizations and improve outcomes in high-risk patients[J].Eur J Cardiovasc Prev Rehabil, 2010,17(1):393-402.
[8]
Chou Cheng-Hsien, Fu Tieh-Cheng, Tsai Hsing-Hua, et al. High-intensity interval training enhances mitochondrial bioenergetics of platelets in patients with heart failure[J]. Int J Cardiol,2019,2(74): 214-220.
[9]
Benda Nathalie M M, Seeger Joost P H, Stevens Guus G F, et al. Effects of high-intensity interval training versus continuous training on physical fitness, cardiovascular function and quality of life in heart failure patients[J]. PLoS One,2015,10(10): 14126.
[10]
Koufaki P, Mercer T, George K, et al. Low-volume high-intensity interval training vs continuous aerobic cycling in patients with chronic heart failure: a pragmatic randomised clinical trial of feasibility and effectiveness[J]. J Rehabil Med,2014,46(4): 348-56.
[11]
Zampier U A, Giatte A V, Almir S N, et al. Comparative effects of high intensity interval training versus moderate intensity continuous training on quality of life in patients with heart failure: study protocol for a randomized controlled trial[J]. Clin Trials Regul Sci Cardiol,2016,13(12): 21-28.
[12]
Fu Tieh-cheng, Wang Chao-Hung, Lin Pay-Shin, et al. Aerobic interval training improves oxygen uptake efficiency by enhancing cerebral and muscular hemodynamics in patients with heart failure[J]. Int J Cardiol,2013,167(1): 41-50.
[13]
Smart Neil A, Michael S. A comparison of 16 weeks of continuous vs intermittent exercise training in chronic heart failure patients[J]. Congestive Heart Failure,2012,18(4):205-211.
[14]
Chen Yan-Wen, Wang Chi-Yen, Lai Yuan-Hui, et al. Home-based cardiac rehabilitation improves quality of life, aerobic capacity, and readmission rates in patients with chronic heart failure[J]. Medicine,2018,97(4):9629.
[15]
Frank E, Gtz G,Hans-Dirk D, et al. Exercise training improves exercise capacity and diastolic function in patients with heart failure with preserved ejection fraction[J]. J Am College Cardiol,2011,58(17):1780-1791.
[16]
Kathleen N, Christoph H L, Rolf W, et al. Effects of exercise training on different quality of life dimensions in heart failure with preserved ejection fraction: the Ex-DHF-P trial[J]. Eur J Preventive Cardiol,2014,22(5): 582-593.
[17]
Edyta S B, Rafa D,Ewa P, et al. Hospital-based and telemonitoring guided home-based training programs: effects on exercise tolerance and quality of life in patients with heart failure (NYHA class Ⅲ) and cardiac resynchronization therapy. A randomized, prospective observation[J]. Int J Cardiol,2015,19(19):442-447.
[18]
Christina C, Athanasios A, George T, et al. Cardiovascular effects of high-intensity interval aerobic training combined with strength exercise in patients with chronic heart failure. A randomized phase Ⅲ clinical trial[J]. Int J Cardiol,2015,17(19):269-274.