Exercise in elderly patients with chronic heart failure in primary care: Effects on physical capacity and health-related quality of life
2011 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 10, no 3, 150-158 p.Article in journal (Refereed) Published
Introduction: Chronic heart failure (CHF) limits exercise capacity which influences physical fitness and health-related quality of life (HRQoL). less thanbrgreater than less thanbrgreater thanAim: The aim was to determine the effects on physical capacity and HRQoL of an exercise programme in elderly patients with CHF in primary care. less thanbrgreater than less thanbrgreater thanMethods: An exercise intervention was conducted as a prospective, longitudinal and controlled clinical study in primary care in elderly patients with CHF. Endurance exercise and resistance training were conducted as group-training at the primary care centre and as home training. Follow-up on physical capacity and HRQoL was done at 3, 6 and 12 months. less thanbrgreater than less thanbrgreater thanResults: Exercise significantly improved muscle endurance in the intervention group (n 29, mean age 76.2 years) compared to the control group (n 31. mean age 74.4 years) at all follow-ups except for shoulder flexion right at 12 months (shoulder abduction p=0.006. p=0.048. p=0.029; shoulder flexion right p=0.002. p=0.032. p=0.585: shoulder flexion left p=0.000, p=0.046, p=0.004). Six minute walk test improved in the intervention group at 3 months (p=0.013) compared to the control group. HRQoL. measured by EQ5D-VAS significantly improved in the intervention group at 3 and 12 months (p=0.016 and p=0.034) and SF-36, general health (p = 0.048) and physical component scale (p=0.026) significantly improved at 3 months compared to the control group. less thanbrgreater than less thanbrgreater thanConclusion: This study shows that exercise conducted M groups in primary care and in the patients homes could be used in elderly patients with CHF. The combination of endurance exercise and resistance training has positive effects on physical capacity. However. the minor effects in HRQoL need further verification in a study with a larger study population.
Place, publisher, year, edition, pages
Elsevier , 2011. Vol. 10, no 3, 150-158 p.
Chronic heart failure, Elderly, Exercise, Health-related quality of life, Physical fitness, Primary care
National CategoryMedical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-70326DOI: 10.1016/j.ejcnurse.2011.03.002ISI: 000294037100004OAI: oai:DiVA.org:liu-70326DiVA: diva2:438351
Funding Agencies|Research Council of South-eastern Sweden (FORSS)||Scientific Board in the County Council of Halland||FUTURUM - the academy for healthcare, Jonkoping County Council||2011-09-022011-09-022013-09-03