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Efficacy of home-based exercise programmes for people with chronic heart failure: a meta-analysis
Citation
Hwang, R and Marwick, TH, Efficacy of home-based exercise programmes for people with chronic heart failure: a meta-analysis, European Journal of Preventive Cardiology, 16, (5) pp. 527-535. ISSN 2047-4873 (2009) [Refereed Article]
Copyright Statement
copyright 2009 The European Society of Cardiology
DOI: doi:10.1097/HJR.0b013e32832e097f
Abstract
Home-based programmes may offer an alternative to conventional programmes or as a means of maintaining physical
fitness after graduating from centre-based programmes. We sought to examine the effectiveness of home-based exercise
programmes on exercise capacity in patients with heart failure compared with usual medical care. Electronic databases
were searched to identify randomized controlled trials. Protocols included an initial period of centre-based exercise
followed by exercise at home, home-based exercise only and concurrent centre and home-based exercise. Outcome
measures included peak oxygen consumption, exercise duration and the six-minute walk test. Nineteen relevant studies
were identified for review. The mean improvement in peak oxygen consumption was 2.86 ml/kg per min [95% confidence
interval (CI): 1.43–4.29]. Exercise duration increased by 1.94 min (95% CI: 0.89–2.98) and distance on the six-minute walk
test was increased by 30.41m (95% CI: 6.13–54.68). Other reported benefits of home-based programmes include
increased quality of life and lowered hospital admission rates. In conclusion, home-based exercise programmes have
been shown to benefit people with heart failure in the short term. Further research is required to investigate the long-term
effects of home exercise and to determine the optimal strategies for improving exercise adherence in patients with heart
failure.
Item Details
Item Type: | Refereed Article |
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Keywords: | exercise therapy, heart failure, home case services |
Research Division: | Biomedical and Clinical Sciences |
Research Group: | Cardiovascular medicine and haematology |
Research Field: | Cardiology (incl. cardiovascular diseases) |
Objective Division: | Health |
Objective Group: | Clinical health |
Objective Field: | Clinical health not elsewhere classified |
UTAS Author: | Marwick, TH (Professor Tom Marwick) |
ID Code: | 90808 |
Year Published: | 2009 |
Web of Science® Times Cited: | 40 |
Deposited By: | Menzies Institute for Medical Research |
Deposited On: | 2014-04-24 |
Last Modified: | 2021-01-04 |
Downloads: | 0 |
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