Combined endurance-resistance training vs. endurance training in patients with chronic heart failure: a prospective randomized study
Abstract
AIMS: This study was designed to compare the effects of combined endurance-resistance training (CT) with endurance training (ET) only on submaximal and maximal exercise capacity, ventilatory prognostic parameters, safety issues, and quality of life in patients with chronic heart failure (CHF). METHODS AND RESULTS: Fifty-eight CHF patients (NYHA class II-III) were randomized either to 6 months CT [n = 28, 58 years, left ventricular ejection fraction (LVEF) 26%, VO(2)peak 18.1 mL/kg/min] or ET (n = 30, 59 years, LVEF 23%, VO(2)peak 21.3 mL/kg/min). The increase in steady-state workload (P = 0.007) and the decrease in heart rate at SSW (P = 0.002) were significantly larger in CT- compared with ET-trained patients. Maximal exercise capacity (i.e. VO(2)peak, maximal workload) and work-economy (Wattmax/VO(2)peak) evolved similarly. VO(2)peak halftime was reduced following CT (P = 0.001). Maximal strength in upper limbs increased significantly (P < 0.001) in favour of the CT group. CT also had a beneficial effect on health-related quality of life, i.e. 60% of CT-trained patients vs. 28% of ET-trained patients reported a decrease in cardiac symptoms (OR = 3.86, 95% CI 1.11-12.46, P = 0.03). There were no differences with regard to improved LVEF, evolution of left ventricular dimensions, nor outcome data (mortality and cardiovascular hospital admissions during follow-up). CONCLUSION: In CHF patients, CT had a more pronounced effect on submaximal exercise capacity, muscle strength, and quality of life. The absence of unfavourable effects on left ventricular remodelling and outcome parameters is reassuring and might facilitate further implementation of this particular training modality.
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Resistance exercise is an effective means of combating the loss of muscle mass and function in a variety of populations.
“Although not specifically evaluated in older adults during bed rest, there is clear evidence that resistance exercise is an effective means of combating the loss of muscle mass and function in a variety of populations [25-34].”
From Protecting muscle mass and function in older adults during bed rest (2010) · cites this paper as [25]
In a cohort of chronic heart failure patients, improvements in strength, VO2peak, work capacity, and economy were identified following a resistance and endurance exercise program.
“Specifically, in a cohort of chronic heart failure patients, improvements in strength, VO2peak, work capacity, and economy were identified following a resistance and endurance exercise program [25].”
From Protecting muscle mass and function in older adults during bed rest (2010) · cites this paper as [25]
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- Authors
- Beckers, P. J., Denollet, J., Possemiers, N. M., Wuyts, F. L., Vrints, C. J., & Conraads, V. M.
- Affiliations
- Antwerp University Hospital (BE)
- Tilburg University (NL)
- Corresponding author
- Beckers, P. J.
- Venue
- European Heart Journal
- Publisher
- Oxford University Press (OUP)
- Published
- 2008-07-10
- Volume
- 29
- Issue
- 15
- Pages
- 1858-1866
- ISSN
- 0195-668X (ISSN-L)
- 1522-9645
- OpenAlex
- W2150763580
- Cited by
- 206
- References
- 30
- Citations by year
- 2026: 7 · 2025: 11 · 2024: 6 · 2023: 14 · 2022: 8 · 2021: 9 · 2020: 17 · 2019: 11 · 2018: 11 · 2017: 8 · 2016: 7 · 2015: 10 · 2014: 14 · 2013: 12 · 2012: 14
- FWCI
- 45.89
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Heart Journal (publishedVersion)
- Research portal (Tilburg University) (publishedVersion)
- PubMed (publishedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Heart Failure Treatment and Management
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Keywords
- chronic heart failure, endurance training, exercise capacity, submaximal exercise, maximal exercise capacity, peak oxygen uptake, muscle strength, health-related quality of life, left ventricular ejection fraction, left ventricular remodeling, cardiac rehabilitation
- MeSH terms
- Chronic Disease, Exercise Therapy, Female, Heart Failure, Heart Rate, Humans, Male, Middle Aged, Oxygen Consumption, Physical Endurance, Prospective Studies, Quality of Life, Respiratory Muscles, Ventricular Dysfunction, Left, Ventricular Remodeling, Muscle Strength, Resistance Training
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