The impact of the getting into light exercise for heart failure (GENTLE-HF) randomized controlled trial on physical-psychological outcomes and exercise adherence

IF 2.6 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart & Lung Pub Date : 2025-09-16 DOI:10.1016/j.hrtlng.2025.09.003

Jane Kim BSN, RN , Ha Do Byon PhD, MS, MPH, RN , Katherine Platz PhD, RN , Gabriela Toledo PhD , Jill Howie-Esquivel PhD, AC/FNP-BC, FAAN

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引用次数: 0

Abstract

Background

Few investigators have tested the effect of alternative, gentle exercise interventions among patients with stable heart failure (HF).

Objectives

In a 6-month online gentle exercise vs education only intervention program, we evaluated: 1) Change in physical and psychological function; 2) whether age or sex moderates the efficacy of the intervention on physical function; 3) the relationship between quality of life (QOL) and exercise adherence.

Methods

Data from the GEtting iNTo Light Exercise for HF (GENTLE-HF) randomized controlled trial (n = 61) was analyzed. Measures included physical function, psychological function, QOL, and exercise adherence. ANCOVA-approach general linear models were used to examine physical and psychological function, adjusting for age, years of education, baseline scores, and grouping (control or intervention). The moderating effects of age and sex were tested by incorporating interaction terms into the ANCOVA-based models. Pearson correlation analysis was used to examine the relationship between QOL and adherence.

Results

Compared to control, the intervention group had improved upper body strength (p = .004), lower body strength (p = .002), and endurance (p = .003). Age moderated the effect of the intervention on upper body strength (p = .012) and endurance (p = .028). Exercise adherence was high at 84.4 %. Greater QOL was associated with higher adherence (p = .039).

Conclusions

The online yoga intervention led to improved physical function, had an additional positive effect for participants over 65 years, and had high adherence rates. These findings can inform future large-scale yoga studies that may influence future study designs and supplement physical activity guidelines, ultimately improving patient outcomes.

查看原文本刊更多论文

轻度运动治疗心力衰竭（GENTLE-HF）随机对照试验对生理-心理结果和运动依从性的影响。

背景：很少有研究者对稳定型心力衰竭（HF）患者进行替代性温和运动干预的效果进行测试。目的：在为期6个月的在线轻度运动与教育干预计划中，我们评估了：1)生理和心理功能的变化；2)年龄或性别是否会调节干预对身体功能的影响；3)生活质量（QOL）与运动依从性的关系。方法：对进行轻度运动治疗HF （GENTLE-HF）随机对照试验（n = 61）的数据进行分析。测量包括身体功能、心理功能、生活质量和运动依从性。采用ancova方法的一般线性模型来检查身体和心理功能，调整年龄、受教育年限、基线得分和分组（对照组或干预组）。年龄和性别的调节效应通过将相互作用项纳入基于ancova的模型进行了测试。采用Pearson相关分析检验生活质量与依从性的关系。结果：与对照组相比，干预组上肢力量（p = 0.004）、下肢力量（p = 0.002）和耐力（p = 0.003）均有改善。年龄调节干预对上身力量（p = 0.012）和耐力（p = 0.028）的影响。坚持锻炼的比例高达84.4%。较高的生活质量与较高的依从性相关（p = 0.039）。结论：在线瑜伽干预可以改善身体功能，对65岁以上的参与者有额外的积极影响，并且有很高的坚持率。这些发现可以为未来的大规模瑜伽研究提供信息，这些研究可能会影响未来的研究设计，并补充身体活动指南，最终改善患者的预后。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Heart & Lung 医学-呼吸系统

CiteScore

4.60

自引率

3.60%

发文量

184

审稿时长

35 days

期刊介绍： Heart & Lung: The Journal of Cardiopulmonary and Acute Care, the official publication of The American Association of Heart Failure Nurses, presents original, peer-reviewed articles on techniques, advances, investigations, and observations related to the care of patients with acute and critical illness and patients with chronic cardiac or pulmonary disorders. The Journal''s acute care articles focus on the care of hospitalized patients, including those in the critical and acute care settings. Because most patients who are hospitalized in acute and critical care settings have chronic conditions, we are also interested in the chronically critically ill, the care of patients with chronic cardiopulmonary disorders, their rehabilitation, and disease prevention. The Journal''s heart failure articles focus on all aspects of the care of patients with this condition. Manuscripts that are relevant to populations across the human lifespan are welcome.