Dataset Information

Comparison of Supervised Hospital-based versus Educated Home-based Exercise Training in Korean Heart Failure Patients.

ABSTRACT:

Background and objectives

Although many clinical trials have shown that exercise training (ET) improves functional capacity and clinical outcomes in heart failure (HF) patients, data comparing supervised hospital-based and educated home-based ET in HF patients is lacking.

Subjects and methods

This was a single-center, non-randomized, prospective study of 82 HF patients with reduced ejection fraction (≤40%) who completed ET. The hospital-based group (n=30) underwent supervised ET at 60% of peak oxygen consumption (VO₂), while a physiotherapist-educated group (n=52) exercised at home without monitoring. The 2 groups were compared before and after the 3-month ET program with respect to functional capacity, quality of life (QOL), and cardiac events (all-cause mortality or hospitalization with worsening HF).

Results

After ET, peak VO₂ increased in the hospital-based group (19.4±4.4 to 21.4±4.3 mL/min/kg, p=0.006) and remained unchanged in the home-based group (18.9±4.6 to 18.4±4.6 mL/min/kg, p=0.660). The change in peak VO₂ after ET was greater in the hospital-based group compared to the home-based group by 2.5 mL/min/kg (p=0.014). QOL improved in the hospital-based group (43.1±18.0 to 28.1±21.6, p=0.003). During one year of follow-up, a comparison of the 2 groups did not reveal a statistical difference in cardiac events (hazard ratio, 0.66; 95% confidence interval, 0.2-2.8; p=0.570).

Conclusion

Hospital-based ET was beneficial for HF patients, improving functional capacity and QOL. However, no significant advantages were observed in terms of a composite endpoint compared to home-based ET. Further investigations are required to address the effects and roles of the 2 ET programs for HF patients.

SUBMITTER: Kim M

PROVIDER: S-EPMC5614950 | biostudies-literature | 2017 Sep

REPOSITORIES: biostudies-literature

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Publications

Comparison of Supervised Hospital-based versus Educated Home-based Exercise Training in Korean Heart Failure Patients.

Kim Minsu M Kim Min-Seok MS Lim Seo-Jin SJ Ahn Jung-Min JM Kim Jae-Joong JJ Park Seung-Jung SJ

Korean circulation journal 20170822 5

<h4>Background and objectives</h4>Although many clinical trials have shown that exercise training (ET) improves functional capacity and clinical outcomes in heart failure (HF) patients, data comparing supervised hospital-based and educated home-based ET in HF patients is lacking.<h4>Subjects and methods</h4>This was a single-center, non-randomized, prospective study of 82 HF patients with reduced ejection fraction (≤40%) who completed ET. The hospital-based group (n=30) underwent supervised ET a ...[more]

PMID: 28955392

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Dataset Information

Comparison of Supervised Hospital-based versus Educated Home-based Exercise Training in Korean Heart Failure Patients.

Background and objectives

Subjects and methods

Results

Conclusion

Publications

Comparison of Supervised Hospital-based versus Educated Home-based Exercise Training in Korean Heart Failure Patients.

Similar Datasets

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