Effect of different types of aerobic training on peak VO2 and ejection fraction for diastolic heart failure patients; a comparative randomized control trial.

IF 1.5 Q3 REHABILITATION
Physiotherapy Research International Pub Date : 2024-01-01 Epub Date: 2023-08-03 DOI:10.1002/pri.2044
Hany Ezzat Obaya, Ahmed Abd El-Moneim Abd El-Hakim, Hany Mahmoud Fares, Moustafa Kamal Eldin Saad, Tamer I Abo Elyazed
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Abstract

Background: Heart failure is described by a lack of confirmed efficient therapies and exercise intolerance. Engagement in physical activity decreases the possibility of adverse cardiovascular consequences involving heart failure.

The purpose of the study: Determine the effect of different types of aerobic training on peak VO2 and ejection fraction in diastolic heart failure patients.

Subject and methods: The study was designed as a randomized control trail. Forty-eight eligible male patients with diastolic heart failure, aged between 50 and 65 years old, enrolled in this study. They were picked up from Police hospital outpatient clinic and were assigned to 2 equal groups in numbers. The first group (A) received aerobic exercise for the upper limb in the form of arm ergometer exercises, while the second group (B) received aerobic exercise for the lower limb in the form of cycling. Training duration for both groups was 3 sessions/week for 12 weeks. Peak VO2, and ejection fraction of both groups were measured and compared pre- and post-treatment.

Results: There was no significant difference (p > 0.05) in the ejection fraction between groups post-treatment. However, a significant increase (p < 0.001) was observed in the peak VO2 of group B when compared to group A post-treatment.

Conclusion: There is no effect of different types of aerobic training on ejection fraction in diastolic heart failure patients, but lower limb exercise is more effective than upper limb exercise in improving peak VO2 in diastolic heart failure patients. Therefore, the current study recommended the use of lower limb exercise over upper limb exercise in training diastolic heart failure patients.

Clinical trial registration: The study was registered in ClinicalTrial.gov as a clinical trial ID (NCT05637125).

不同类型的有氧训练对舒张性心力衰竭患者峰值 VO2 和射血分数的影响;随机对照对比试验。
背景:心力衰竭表现为缺乏有效的治疗方法和运动不耐受。参与体育锻炼可降低心力衰竭对心血管造成不良后果的可能性:研究目的:确定不同类型的有氧训练对舒张性心力衰竭患者峰值 VO2 和射血分数的影响:研究设计为随机对照试验。48名符合条件的舒张性心力衰竭男性患者参加了这项研究,他们的年龄在50至65岁之间。他们都是从警察医院门诊部挑选出来的,并被分配到人数相等的两组。第一组(A)接受手臂测力计运动形式的上肢有氧运动,第二组(B)接受自行车运动形式的下肢有氧运动。两组的训练时间均为每周 3 次,持续 12 周。测量两组的峰值 VO2 和射血分数,并对治疗前后进行比较:结果:治疗后,两组的射血分数没有明显差异(P > 0.05)。结果:治疗后两组的射血分数无明显差异(P > 0.05),但有明显增加(P不同类型的有氧训练对舒张性心力衰竭患者的射血分数没有影响,但在改善舒张性心力衰竭患者的峰值 VO2 方面,下肢运动比上肢运动更有效。因此,本研究建议在训练舒张性心力衰竭患者时使用下肢运动而非上肢运动:本研究已在 ClinicalTrial.gov 注册临床试验 ID(NCT05637125)。
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来源期刊
CiteScore
3.30
自引率
5.90%
发文量
53
期刊介绍: Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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