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Exercise in elderly patients with chronic heart failure in primary care: effects on physical capacity and health-related quality of life
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. ADULT.
Physiotherapy Department, Sahlgrenska University Hospital.
Department of medicine and health sciences, division of nursing, Linköping University.
Jönköping University, School of Health and Welfare, HHJ, Dep. of Nursing Science. Jönköping University, School of Health and Welfare, HHJ. Quality improvements, innovations and leadership in health care and social work.
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2011 (English)In: European Journal of Cardiovascular Nursing, ISSN 1474-5151, E-ISSN 1873-1953, Vol. 10, no 3, p. 150-158Article in journal (Refereed) Published
Abstract [en]

INTRODUCTION: Chronic heart failure (CHF) limits exercise capacity which influences physical fitness and health-related quality of life (HRQoL).

AIM: The aim was to determine the effects on physical capacity and HRQoL of an exercise programme in elderly patients with CHF in primary care.

METHODS: An exercise intervention was conducted as a prospective, longitudinal and controlled clinical study in primary care in elderly patients with CHF. Endurance exercise and resistance training were conducted as group-training at the primary care centre and as home training. Follow-up on physical capacity and HRQoL was done at 3, 6 and 12months.

RESULTS: Exercise significantly improved muscle endurance in the intervention group (n=29, mean age 76.2years) compared to the control group (n=31, mean age 74.4years) at all follow-ups except for shoulder flexion right at 12months (shoulder abduction p=0.006, p=0.048, p=0.029; shoulder flexion right p=0.002, p=0.032, p=0.585; shoulder flexion left p=0.000, p=0.046, p=0.004). Six minute walk test improved in the intervention group at 3months (p=0.013) compared to the control group. HRQoL measured by EQ5D-VAS significantly improved in the intervention group at 3 and 12months (p=0.016 and p=0.034) and SF-36, general health (p=0.048) and physical component scale (p=0.026) significantly improved at 3months compared to the control group.

CONCLUSION: This study shows that exercise conducted in groups in primary care and in the patients' homes could be used in elderly patients with CHF. The combination of endurance exercise and resistance training has positive effects on physical capacity. However, the minor effects in HRQoL need further verification in a study with a larger study population.

Place, publisher, year, edition, pages
Sage Publications, 2011. Vol. 10, no 3, p. 150-158
National Category
Nursing
Identifiers
URN: urn:nbn:se:hj:diva-13450DOI: 10.1016/j.ejcnurse.2011.03.002ISI: 000294037100004PubMedID: 21470913Scopus ID: 2-s2.0-79960316103OAI: oai:DiVA.org:hj-13450DiVA, id: diva2:354648
Available from: 2010-10-04 Created: 2010-10-04 Last updated: 2019-08-30Bibliographically approved
In thesis
1. The Couples' Experiences of Patients' Physical Limitation in Daily Life Activities and Effects of Physical Exercise in Primary Care when having Chronic Heart Failure
Open this publication in new window or tab >>The Couples' Experiences of Patients' Physical Limitation in Daily Life Activities and Effects of Physical Exercise in Primary Care when having Chronic Heart Failure
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Place, publisher, year, edition, pages
Jönköping: School of Health Sciences, 2010. p. 122
Series
Hälsohögskolans avhandlingsserie, ISSN 1654-3602 ; 12
National Category
Nursing
Identifiers
urn:nbn:se:hj:diva-13451 (URN)978-91-85835-11-9 (ISBN)
Public defence
2010-10-22, R4312, Halmstad Högskola, Halmstad, 11:51 (Swedish)
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Supervisors
Available from: 2010-10-04 Created: 2010-10-04 Last updated: 2011-01-13Bibliographically approved

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Fridlund, BengtMårtensson, Jan

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