The Effects of Physical Training on Quality of Life, Aerobic Capacity, and Cardiac Function in Older Patients With Heart Failure: A Meta-Analysis
Aim: The purposes of this meta-analysis were to quantify the effectiveness of physical training on quality of life (QoL), aerobic capacity, and cardiac functioning in older patients with heart failure (HF) and evaluate dose–response relationships of training variables (frequency, volume, and duratio...
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doaj-0cf56a8ebc994f8d89e252dc48a17f132020-11-25T00:16:19ZengFrontiers Media S.A.Frontiers in Physiology1664-042X2018-11-01910.3389/fphys.2018.01564413640The Effects of Physical Training on Quality of Life, Aerobic Capacity, and Cardiac Function in Older Patients With Heart Failure: A Meta-AnalysisMaamer Slimani0Rodrigo Ramirez-Campillo1Armin Paravlic2Lawrence D. Hayes3Nicola Luigi Bragazzi4Maha Sellami5Department of Health Sciences (DISSAL), School of Public Health, Genoa University, Genoa, ItalyLaboratory of Human Performance, Department of Physical Activity Sciences, Research Nucleus in Health, Physical Activity and Sport, Universidad de Los Lagos, Osorno, ChileScience and Research Centre, Institute for Kinesiology Research, Garibaldijeva, Koper, SloveniaActive Ageing Research Group, University of Cumbria, Lancaster, United KingdomDepartment of Health Sciences (DISSAL), School of Public Health, Genoa University, Genoa, ItalySport Science Program, College of Arts and Sciences (QU-CAS), University of Qatar, Doha, QatarAim: The purposes of this meta-analysis were to quantify the effectiveness of physical training on quality of life (QoL), aerobic capacity, and cardiac functioning in older patients with heart failure (HF) and evaluate dose–response relationships of training variables (frequency, volume, and duration).Methods: Scholarly databases (e.g., PubMed/MEDLINE, Google Scholar, and Scopus) were searched, identifying randomized controlled trials that investigated the effectiveness of different training modes on QoL (assessed by the Minnesota Living with Heart Failure Questionnaire), aerobic capacity (assessed by the 6 min walk test) and cardiac function (assessed by left ventricular ejection fraction).Results: Twenty five studies were included with a total of 2,409 patients. Results showed that exercise training improved total QoL (small ES = −0.69; 95% CI −1.00 to 0.38; p < 0.001), aerobic capacity (small ES = 0.47; 95% CI 0.15–0.71; p = 0.002) and cardiac function (moderate ES = 0.91; 95% CI 0.37–1.45; p = 0.001). In addition, univariate analyses revealed the moderating variable ‘training mode' significantly influenced aerobic capacity (Q = 9.97; p = 0.007), whereby, resistance training had the greatest effect (ES = 1.71; 95% CI 1.03–2.39; p < 0.001), followed by aerobic training (ES = 0.51; 95% CI 0.30–0.72; p < 0.001), and combined training (ES = 0.15; 95% CI −0.24 to 0.53; p = 0.45). Meta-regression analysis showed that only the duration of an intervention predicted the effect of physical training on QoL (coefficient = −0.027; p = 0.006), with shorter training durations (12 weeks) showing larger improvements.Conclusion: The present meta-analysis showed that physical training has positive effects on QoL, aerobic capacity, and cardiac function in older patients with HF. Practitioners should consider both training volume and mode when designing physical training programs in order to improve QoL and aerobic capacity in older patients with HF.https://www.frontiersin.org/article/10.3389/fphys.2018.01564/fullexercise trainingresistance trainingphysical functionhealth statuscardiac rehabilitation |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Maamer Slimani Rodrigo Ramirez-Campillo Armin Paravlic Lawrence D. Hayes Nicola Luigi Bragazzi Maha Sellami |
spellingShingle |
Maamer Slimani Rodrigo Ramirez-Campillo Armin Paravlic Lawrence D. Hayes Nicola Luigi Bragazzi Maha Sellami The Effects of Physical Training on Quality of Life, Aerobic Capacity, and Cardiac Function in Older Patients With Heart Failure: A Meta-Analysis Frontiers in Physiology exercise training resistance training physical function health status cardiac rehabilitation |
author_facet |
Maamer Slimani Rodrigo Ramirez-Campillo Armin Paravlic Lawrence D. Hayes Nicola Luigi Bragazzi Maha Sellami |
author_sort |
Maamer Slimani |
title |
The Effects of Physical Training on Quality of Life, Aerobic Capacity, and Cardiac Function in Older Patients With Heart Failure: A Meta-Analysis |
title_short |
The Effects of Physical Training on Quality of Life, Aerobic Capacity, and Cardiac Function in Older Patients With Heart Failure: A Meta-Analysis |
title_full |
The Effects of Physical Training on Quality of Life, Aerobic Capacity, and Cardiac Function in Older Patients With Heart Failure: A Meta-Analysis |
title_fullStr |
The Effects of Physical Training on Quality of Life, Aerobic Capacity, and Cardiac Function in Older Patients With Heart Failure: A Meta-Analysis |
title_full_unstemmed |
The Effects of Physical Training on Quality of Life, Aerobic Capacity, and Cardiac Function in Older Patients With Heart Failure: A Meta-Analysis |
title_sort |
effects of physical training on quality of life, aerobic capacity, and cardiac function in older patients with heart failure: a meta-analysis |
publisher |
Frontiers Media S.A. |
series |
Frontiers in Physiology |
issn |
1664-042X |
publishDate |
2018-11-01 |
description |
Aim: The purposes of this meta-analysis were to quantify the effectiveness of physical training on quality of life (QoL), aerobic capacity, and cardiac functioning in older patients with heart failure (HF) and evaluate dose–response relationships of training variables (frequency, volume, and duration).Methods: Scholarly databases (e.g., PubMed/MEDLINE, Google Scholar, and Scopus) were searched, identifying randomized controlled trials that investigated the effectiveness of different training modes on QoL (assessed by the Minnesota Living with Heart Failure Questionnaire), aerobic capacity (assessed by the 6 min walk test) and cardiac function (assessed by left ventricular ejection fraction).Results: Twenty five studies were included with a total of 2,409 patients. Results showed that exercise training improved total QoL (small ES = −0.69; 95% CI −1.00 to 0.38; p < 0.001), aerobic capacity (small ES = 0.47; 95% CI 0.15–0.71; p = 0.002) and cardiac function (moderate ES = 0.91; 95% CI 0.37–1.45; p = 0.001). In addition, univariate analyses revealed the moderating variable ‘training mode' significantly influenced aerobic capacity (Q = 9.97; p = 0.007), whereby, resistance training had the greatest effect (ES = 1.71; 95% CI 1.03–2.39; p < 0.001), followed by aerobic training (ES = 0.51; 95% CI 0.30–0.72; p < 0.001), and combined training (ES = 0.15; 95% CI −0.24 to 0.53; p = 0.45). Meta-regression analysis showed that only the duration of an intervention predicted the effect of physical training on QoL (coefficient = −0.027; p = 0.006), with shorter training durations (12 weeks) showing larger improvements.Conclusion: The present meta-analysis showed that physical training has positive effects on QoL, aerobic capacity, and cardiac function in older patients with HF. Practitioners should consider both training volume and mode when designing physical training programs in order to improve QoL and aerobic capacity in older patients with HF. |
topic |
exercise training resistance training physical function health status cardiac rehabilitation |
url |
https://www.frontiersin.org/article/10.3389/fphys.2018.01564/full |
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