American Heart Journal
Volume 154, Issue 5 , Pages 877-883 , November 2007

Effects of a home-based exercise program on clinical outcomes in heart failure

  • Kathleen Dracup, RN, DNSc

      Affiliations

    • School of Nursing, University of California, San Francisco, CA
    • Corresponding Author InformationReprint requests: Kathleen Dracup, RN, DNSc, UCSF School of Nursing N319C, 2 Kirkham Street, Box 0604, San Francisco, CA 94143-0604.
    • ,
  • Lorraine S. Evangelista, RN, PhD

      Affiliations

    • School of Nursing, University of California, Los Angeles, CA
    • ,
  • Michele A. Hamilton, MD

      Affiliations

    • Ahmanson-UCLA Cardiomyopathy Center, UCLA Medical Center, Los Angeles, CA
    • ,
  • Virginia Erickson, RN, PhD

      Affiliations

    • Ahmanson-UCLA Cardiomyopathy Center, UCLA Medical Center, Los Angeles, CA
    • ,
  • Antoine Hage, MD

      Affiliations

    • Ahmanson-UCLA Cardiomyopathy Center, UCLA Medical Center, Los Angeles, CA
    • ,
  • Jamie Moriguchi, MD

      Affiliations

    • Ahmanson-UCLA Cardiomyopathy Center, UCLA Medical Center, Los Angeles, CA
    • ,
  • Cheryl Canary, RN, PhD

      Affiliations

    • California State University Fullerton, Los Angeles, CA
    • ,
  • W. Robb MacLellan, MD

      Affiliations

    • Ahmanson-UCLA Cardiomyopathy Center, UCLA Medical Center, Los Angeles, CA
    • ,
  • Gregg C. Fonarow, MD

      Affiliations

    • Ahmanson-UCLA Cardiomyopathy Center, UCLA Medical Center, Los Angeles, CA

Received 7 May 2007 ,Accepted 24 July 2007.

References 

  1. Piepoli MF, Davos CH, Franc DP, et al. Exercise training meta-analysis of trials in patients with chronic heart failure (ExTraMATCH). BMJ. 2004;328:189–195
  2. Braith RW, Welsch MA, Feigenbaum MS, et al. Neuroendocrine activation in heart failure is modified by endurance exercise training. J Am Coll Cardiol. 1999;34:1170–1175
  3. McKelvie R, Kroon KT, Roberts R, et al. Effects of exercise training in patients with heart failure: the Exercise Rehabilitation Trial (EXERT). Am Heart J. 2002;144:23–30
  4. Rees K, Taylor RS, Singh S, et al. Exercise based rehabilitation for heart failure. Cochrane Database Syst Rev. 2004;3:CD003331
  5. Belardinelli R, Georgiou D, Cianci G, et al. Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functional capacity, quality of life and clinical outcome. Circulation. 1999;99:1173–1182
  6. Kavanagh Y, Myers MG, Baigrie RS, et al. Quality of life and cardiorespiratory function in chronic heart failure: effects of 12 months' aerobic training. Heart. 1996;76:42–49
  7. Hunt SA, Baker DW, Chin MH, et al. ACC/AHA guidelines for the evaluation and management of chronic heart failure in the adult: executive summary. A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to Revise the 1995 Guidelines for the Evaluation and Management of Heart Failure). J Am Coll Cardiol. 2001;38:2101–2113
  8. Oka RK, DeMarco T, Haskell WL. Impact of a home-based walking and resistance training program on quality of life in patients with heart failure. Am J Cardiol. 2000;85:365–369
  9. Corvera-Tindel T, Doering L, Woo MA, et al. Effect of a home walking exercise program on functional status and symptoms in heart failure. Am Heart J. 2004;147:339–346
  10. Smart F, Haluska B, Jeffriess L, et al. Predictors of a sustained response to exercise training in patients with chronic heart failure: a telemonitoring study. Am Heart J. 2005;150:1240–1247
  11. Hambrecht R, Gielen S, Linke A, et al. Effects of exercise training on left ventricular function and peripheral resistance in patients with chronic heart failure: a randomized trial. JAMA. 2000;283:3095–3101
  12. Maiorana A, O'Driscoll G, Cheetham C, et al. Combined aerobic and resistance exercise training improves functional capacity and strength in CHF. J Appl Physiol. 2000;88:1565–1570
  13. Tyni-Lenne RA, Dencker KE, Gordon AL, et al. Comprehensive local muscle training increases aerobic working capacity and quality of life and decreases neurohormonal activation in patients with chronic heart failure. Eur J Heart Fail. 2001;3:47–52
  14. American College of Sports Medicine . American College of Sports Medicine position stand. The recommended quantity and quality of exercise for developing and maintaining cardiorespiratory and muscular fitness in healthy adults. Med Sci Sports Exerc. 1990;22:265–274
  15. Evangelista LS, Dracup K, Erickson V, et al. Validity of pedometers for measuring exercise adherence in heart failure patients. J Card Fail. 2005;11:366–371
  16. Bassey EJ, Dalloso HM, Fentem PH, et al. Validation of a simple mechanical accelerometer (pedometer) for the estimation of walking activity. Eur J Appl Physiol. 1987;56:323–330
  17. Corvera-Tindel T, Doering L, Gomez T, et al. Predictors of noncompliance to exercise training in heart failure. J Cardiovasc Nurs. 2004;19:269–277
  18. Clark DO. Issues of adherence, penetration, and measurement in physical activity effectiveness studies. Med Care. 2001;39:409–412
  19. Willenheimer R, Rydberg E, Cline C, et al. Effects on quality of life, symptoms and daily activity 6 months after termination of an exercise training programme in heart failure patients. Int J Cardiol. 2001;77:25–31
  20. Willenheimer R, Erhardt L, Cline C, et al. Exercise training in heart failure improves quality of life and exercise capacity. Eur Heart J. 1998;19:774–781
  21. Guyatt G. Use of the 6-minute walk test as an outcome measure in clinical trials in chronic heart failure. Heart Fail. 1987;3:211–217
  22. Cahalin LP, Mathier MA, Semigranm MJ, et al. The 6-minute walk test predicts peak oxygen uptake and survival in patients with heart failure. Chest. 1996;110:325–332
  23. Dracup K, Walden J, Stevenson LW, et al. Quality of life in patients with heart failure. J Heart Lung Transplant. 1992;11:273–279
  24. Rektor TS, Johnson G, Dunkman B. Evaluation by patients with heart failure of the effects of enalapril compared with hydralazine plus isosorbide dinitrate on quality of life, V-HeFT II. Circulation. 1993;87:71–77
  25. Lubin B, Zuckerman M, Hanson PG, et al. Reliability and validity of the Multiple Affect Adjective Check List—Revised. J Psychopathol Behav Assess. 1986;8:103–117
  26. SPSS user's guide. 3rd ed.. Chicago (IL): SPSS Inc; 2001;
  27. Elashoff JD. nQuery advisor. Boston (MA): Statistical Solutions; 1995;
  28. Vaccarino V, Kasl SV, Abramson J, et al. Depressive symptoms and risk of functional decline and death in patients with heart failure. J Am Coll Cardiol. 2001;38:199–205
  29. http://www.hfaction.org/index.html accessed June 5, 2007.
  30. Neaton J, Gray G, Zuckerman B, et al. Key issues in end point selection for heart failure trials: composite end points. J Card Fail. 2005;11:567–575

☆ This study was supported by a grant from the American Heart Association Western Division (NCR, 133-09).

PII: S0002-8703(07)00602-3

doi: 10.1016/j.ahj.2007.07.019

American Heart Journal
Volume 154, Issue 5 , Pages 877-883 , November 2007

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