12-Week-Combined Physical Training In Heart Failure Patients
- Conditions
- Heart Failure Patients
- Interventions
- Other: Combined aerobic and resistance physical training program
- Registration Number
- NCT02571270
- Lead Sponsor
- Universidade Estadual Paulista Júlio de Mesquita Filho
- Brief Summary
Purpose: Physical exercise exerts favorable impact on functional capacity (FC) and quality of life (QL) in patients with heart failure (HF). It is believed that the combined aerobic and resistance physical training (CPT) supervised by physical educator is better than only prescription of unsupervised exercise. The aim of this study is to compare the effects of a CPT program on the FC and QL of HF patients with reduced ejection fraction (HFREF) with the practice medical routine prescription of regular physical activity and correlate these findings with clinical and echocardiographic variables.
Methods: A longitudinal prospective study included 28 consecutive HFREF patients randomly divided in two age- and gender- matched groups: Trained Group (TG, n = 17), patients undergoing 12 weeks of supervised CPT and Non Trained Group (NTG, n = 11), patients receiving only medical prescription to practice regular physical exercise. All patients were submitted to clinical evaluation, transthoracic echocardiography, Cooper walk test and QL questionnaire before and after the study protocol. Student t test or Mann-Whitney test were performed for groups comparison and correlation tests for the same group variable associations.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 28
- Patients with heart failure with LVEF <50%;
- Patients with optimized drug therapy;
- Age over 18 years.
- Heart failure NYHA class IV and/or Stage D;
- Decompensated HF in the last three months;
- Atrial fibrillation and/or implantable device at the moment of inclusion;
- Patients with chronic obstructive pulmonary disease (COPD);
- Patients with biomechanical limitations of physical activity.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Lifestyle counseling Combined aerobic and resistance physical training program Lifestyle counseling helps patients to have better self-care. Active lifestyle Combined aerobic and resistance physical training program Active lifestyle involves nutritional education, physical activity and active recreation. survival Combined aerobic and resistance physical training program The survival of patients with heart failure may increase with exercise training. secondary prevention Combined aerobic and resistance physical training program Secondary prevention it is essential to prevent a new unfavorable event.
- Primary Outcome Measures
Name Time Method Questionnaire about quality of life up to 12 weeks of research Cardiorespiratory evaluation (VO2 in Mets) up to 12 weeks of research Morphological echocardiographic variables (mm) up to 12 weeks of research Sistolic Function echocardiographic variables (Percentage) up to 12 weeks of research Diastolic Function echocardiographic variables (cm/s) up to 12 weeks of research
- Secondary Outcome Measures
Name Time Method Anthropometric measurements (cm) up to 12 weeks of research Body composition (%fat percentage) up to 12 weeks of research Presence of comorbidities up to 12 weeks of research Blood pressure measurement (mmHg) up to 12 weeks of research