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Cardiovascular and metabolic science
On-line version ISSN 2954-3835Print version ISSN 2683-2828
Abstract
PEREIRA-RODRIGUEZ, Javier Eliecer et al. Comparison of the effects of aerobic and force exercise in patients with heart failure after a cardiovascular rehabilitation program: randomized controlled trial. Cardiovasc. metab. sci [online]. 2019, vol.30, n.1, pp.14-27. Epub Aug 12, 2024. ISSN 2954-3835.
Introduction and objectives: Cardiovascular diseases are the leading cause of mortality worldwide. Currently, rehabilitation programs are shown as adequate treatments to mitigate the effects of heart failure. The main objective is to compare the effects of aerobic exercise and strength in patients with heart failure after a cardiovascular rehabilitation program.
Material and methods:
Randomized controlled trial over a period of three years with a sample of 920 patients with heart failure distributed in two groups (aerobic exercise plus upper limb -MMSS- training and aerobic exercise plus training of lower limbs -MMII-). Blood samples were taken to determine blood glucose levels and lipid profile. In addition, tests for aerobic capacity, maximum heart rate, anthropometry, depression, anxiety, clinical and hemodynamic parameters. The tests were performed before and after 24 training sessions, 60 min, three times a week for two months.
Results:
Comparing the results between the groups, it was possible to show better results in the majority of the variables of group 2 (aerobic exercise + strength training MMII) (p ≤ 0.05%). However, no significant post training differences were found in the HDL, LDL and triglyceride variables (p ≥ 0.05%).
Conclusions:
An aerobic training program combined with strength for patients with heart failure improves aerobic capacity, exercise tolerance, ejection fraction, glycemic indexes, MHR, muscle percentage and decreases body fat percentage and levels of depression and anxiety. These benefits stand out to a greater extent in an aerobic workout combined with MMII strength.
Keywords : Exercise; heart failure; cardiac rehabilitation; resistance training.
