Exercise and Quality of Life in Patients with Chronic Heart Failure

Fatemeh Bahramnezhad, Ahmad Ali Asadi Noughabi, Pouya Farokhnezhad Afshar, Simin Marandi

Background: Guidelines recommend that exercise training can beconsidered for medically stable outpatients with heart failure; thus, this study sought to determine the effect of exercise on quality of life in patients with heart failure.

Patients and Methods: In this cross sectional study 160 patients were included and divided into 2 groups (n=80). Intervention group performed the exercise (poly striding), 30 minutes three times a week, for 8 weeks. After 8 weeks, the exercises have not been followed for six months; SF36 Questionnaire was filled to assess the quality of life for the individuals in both groups in three steps: before the intervention, and 3 and 6 months after. After completion of questionnaires, quality of life was compared between the two groups and all the data were analyzed using descriptive and inferential statistics.

Results: The mean ages of the intervention and control groups were 61.65±17.5 and 64.116±17.4 years, respectively. Control group had significant decrease in quality of life at different stages of the study. Quality of life was significantly better in the intervention group comparing to the control group three months after the intervention despite the lack of significant difference before the intervention and after 6 months.

Conclusion: Results showed a positive effect of exercise on quality of life in patients but the failures and lack of continuity did not improve the overall quality of life of patients as compared with their condition before the exercise. Overall, regular exercise is recommended for these patients.

Exercise; Quality of life; Heart failure

- O`Connor M, Whellan J, Lee L. Efficacy and Safety of Exercise Training in Patients with Chronic Heart Failure. JAMA. 2009;301(14):1439-50.

- Collins E, Langbein W , Dilan-koetie J. Effect of exercise training on aerobic capacity and quality of life in individual with heart failure .Preventive Medicine. Journal of acute and critical care. 2004;39:424-34

- Klabunde RE. Cardiovascular Physiology Concepts. Lippincott William & Wilkins,2009.

- Rahnavard Z, Zolfaghari M, Kazemnejad A, Hatamipour Kh. An investigation of quality of life and factors affecting it in the patients with congestive heart failure. HYAT. 2006;1(12):77-86.

- Roelleke E, Zoller B, Wirtz U, Schneider M, Huerst M, Amelang M,et al. A longitudinal study of quality of life in patients with chronic heart failure following an exercise training program. European Journal of Cardiovascular Nursing. 2009;8:281-7.

- Hosainifar H. Epidemiology for Nursing. Tehran, Boshra publication, 1999.

- Holland R, Rechel B, Stepien K, Brooksby I. Patients' Self-Assessed Functional Status in Heart Failure by New York Heart Association Class: A Prognostic Predictor of Hospitalizations, Quality of Life and Death. J Card fail. 2010;16(2):150-8.

- Brubaka C. Comparison of changes exercise toleranc Between CHF and CABG patient following a hospital Based care Rehabilitation program. Journal of exercise physiology online. 2003;1(2):12-8.

- Collins E, Langbein WE, Dilan-Koetje J, Bammert C, Hanson K, Reda D, et al. Effect of exercise training on aerobic capacity and quality of life in individual with heart failure. Heart & Lung. 2004;33(3):21-5.

- Montazari A, Vahdani Nia M, Gashtasbi A. Translation and to determine the reliability and validity of the Persian version of the questionnaire SF 36. Payesh. 2004;5(1):20-9.

- Pina I, Belaedinelli R, Chaitman B, Dusch B. Exercise and heart failure a statement from the America heart association committee on exercise, rehabilitation and prevention. American heart association statement. 2003;107:1210-5.

- Willenheimer R. Effects on quality of life, symptoms and daily activity 6 months after termination of an exercise training programmed in heart failure patients. International Journal of Cardiology. 2001;77:25-31.

- Jankowska E. The 12-week progressive quadriceps resistance training improves muscle strength, exercise capacity and quality of life in patients with stable chronic heart failure. International Journal of Cardiology. 2008;130:36-43.

- Belardinelli R. Effects of short-term moderate exercise training on sexual function in male patients with chronic stable heart failure. International Journal of Cardiology. 2005;101:83-90.


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