Reasonable Expectations How Much Aerobic Capacity, Muscle Strength, and Quality of Life Can Improve with Exercise Training in Heart Failure》.pdf

Reasonable Expectations How Much Aerobic Capacity, Muscle Strength, and Quality of Life Can Improve with Exercise Training in Heart Failure Mark A. Williams, PhD, MAACVPR, FACSMa,*, Bunny Pozehl, PhD, APRN-NP, FAHA, FAANb KEYWORDS Exercise training Functional capacity Health-related quality of life Reduced ejection fraction (HFrEF) Preserved ejection fraction (HFpEF) KEY POINTS Despite variability in regimens, aerobic exercise training, which may include resistance training, provides for significant increases in functional capacity in patients with heart failure. Using moderate-intensity exercise training, benefits seem to be similar in patients with reduced ejection fraction (HFrEF) as well as those with preserved ejection fraction (HFpEF). Although some inconsistencies exist, overall, exercise training in HFrEF results in positive effects on health-related quality of life (HRQoL). Despite small sample sizes and underpowered trials, findings also suggest a positive impact on HRQoL of exercise training in HFpEF. INTRODUCTION oxygen consumption (VO2), as well as the impact on QoL using a variety of tools. This discussion Over the previous 25 years, the use of exercise also describes reported comparisons between training in patients with diagnoses of heart failure the impact of exercise training in patients with (HF) has been shown to improve exercise capacity, HFrEF versus HFpEF. In addition, exercise training functional disability, and overall clinical outcomes, methodology is discussed in relation to these pa- including quality of life (QoL).1–8 Patients included tient groups within the population with HF. within these investigations of exercise training have generally been those with a diagnosis of HF MAGNITUDE OF