Effects of long‐term endurance and resistance training on diastolic function, exercise capacity, and quality of life in asymptomatic diastolic dysfunction vs. heart failure with preserved ejection fraction
ABSTRACT Background The long‐term effects of exercise training (ET) in diastolic dysfunction (DD) and heart failure with preserved ejection fraction (HFpEF) are unknown. The present study compared the long‐term effects of ET on exercise capacity, diastolic function, and quality of life (QoL) in pati...
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| Veröffentlicht in: | ESC Heart Failure 2014-09, Vol.1 (1), p.59-74 |
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| creator | Nolte, Kathleen Schwarz, Silja Gelbrich, Götz Mensching, Steffen Siegmund, Friederike Wachter, Rolf Hasenfuss, Gerd Düngen, Hans‐Dirk Herrmann‐Lingen, Christoph Halle, Martin Pieske, Burkert Edelmann, Frank |
| description | ABSTRACT
Background
The long‐term effects of exercise training (ET) in diastolic dysfunction (DD) and heart failure with preserved ejection fraction (HFpEF) are unknown. The present study compared the long‐term effects of ET on exercise capacity, diastolic function, and quality of life (QoL) in patients with DD vs. HFpEF.
Methods
A total of n = 43 patients with asymptomatic DD (n = 19) or HFpEF [DD and New York Heart Association (NYHA) ≥II, n = 24] and left ventricular ejection fraction ≥50% performed a combined endurance/resistance training over 6 months (2–3/week) on top of usual care. Cardiopulmonary exercise testing, echocardiography, and QoL were obtained at baseline and follow‐up.
Results
Patients were 62 ± 8 years old (37% female). In the HFpEF group, 67% of patients were in NYHA class II (33% in NYHA III). Exercise capacity (peak oxygen consumption, peak VO2) differed at baseline (DD 29.2 ± 8.7 mL/min/kg vs. HFpEF 17.8 ± 4.6 mL/min/kg; P = 0.004). After 6 months, peak VO2 increased significantly (P |
| doi_str_mv | 10.1002/ehf2.12007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1932167820</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1932167820</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3937-d2eb5fad1753321d4d2aa3a05b9973dd3fe893694107fe6793b5771e46ff3ae43</originalsourceid><addsrcrecordid>eNp9kUtuFDEQhi0ESqKQDQdAltgglBn86OcSRROCFIkNWbdq7HLGo267Y7sTescRuBl34CR0upOAWGRVf0mfvirpJ-QNZ2vOmPiIOyPWXDBWviBHguX5Kq-EePlPPiQnMe4ZYzwveC6yA3IoqkpmRVEckV8bY1ClSL2hrXfXv3_8TBg6ik4PAZxCCk7TgNHGNK8pgHXWXVPvqLYQk2-tomZwKlnvTil-x6BsRKqgB2XTeDobbgZop2U-Yw1S6yjEseuT7yBNgr8qPcZHG72Na7pDCIkasO0QkN7ZtKP99A-GW9QU97iQJsAcXpNXBtqIJw_zmFydb76dXawuv37-cvbpcqVkLcuVFrjNDWhe5lIKrjMtACSwfFvXpdRaGqxqWdQZZ6XBoqzlNi9LjllhjATM5DF5v3j74G8GjKnpbFTYtuDQD7Hh9aQtykqwCX33H7r3Q3DTd40QNau4yOpqoj4slAo-xoCm6YPtIIwNZ8190819083c9AS_fVAO2w71E_rY6wTwBbizLY7PqJrNxblYpH8AxoO4PA</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2290812498</pqid></control><display><type>article</type><title>Effects of long‐term endurance and resistance training on diastolic function, exercise capacity, and quality of life in asymptomatic diastolic dysfunction vs. heart failure with preserved ejection fraction</title><source>Wiley Online Library - AutoHoldings Journals</source><source>Wiley Online Library Open Access</source><source>DOAJ Directory of Open Access Journals</source><source>Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals</source><creator>Nolte, Kathleen ; Schwarz, Silja ; Gelbrich, Götz ; Mensching, Steffen ; Siegmund, Friederike ; Wachter, Rolf ; Hasenfuss, Gerd ; Düngen, Hans‐Dirk ; Herrmann‐Lingen, Christoph ; Halle, Martin ; Pieske, Burkert ; Edelmann, Frank</creator><creatorcontrib>Nolte, Kathleen ; Schwarz, Silja ; Gelbrich, Götz ; Mensching, Steffen ; Siegmund, Friederike ; Wachter, Rolf ; Hasenfuss, Gerd ; Düngen, Hans‐Dirk ; Herrmann‐Lingen, Christoph ; Halle, Martin ; Pieske, Burkert ; Edelmann, Frank</creatorcontrib><description>ABSTRACT
Background
The long‐term effects of exercise training (ET) in diastolic dysfunction (DD) and heart failure with preserved ejection fraction (HFpEF) are unknown. The present study compared the long‐term effects of ET on exercise capacity, diastolic function, and quality of life (QoL) in patients with DD vs. HFpEF.
Methods
A total of n = 43 patients with asymptomatic DD (n = 19) or HFpEF [DD and New York Heart Association (NYHA) ≥II, n = 24] and left ventricular ejection fraction ≥50% performed a combined endurance/resistance training over 6 months (2–3/week) on top of usual care. Cardiopulmonary exercise testing, echocardiography, and QoL were obtained at baseline and follow‐up.
Results
Patients were 62 ± 8 years old (37% female). In the HFpEF group, 67% of patients were in NYHA class II (33% in NYHA III). Exercise capacity (peak oxygen consumption, peak VO2) differed at baseline (DD 29.2 ± 8.7 mL/min/kg vs. HFpEF 17.8 ± 4.6 mL/min/kg; P = 0.004). After 6 months, peak VO2 increased significantly (P < 0.044) to 19.7 ± 5.8 mL/min/kg in the HFpEF group and also in the DD group (to 32.8 ± 8.5 mL/min/kg; P < 0.002) with no overall difference between the groups (P = 0.217). E/e′ ratio (left ventricular filling index) decreased from 12.2 ± 3.5 to 10.1 ± 3.0 (P < 0.002) in patients with HFpEF and also in patients with DD (10.7 ± 3.1 vs. 9.5 ± 2.3; P = 0.03; difference between groups P = 0.210). In contrast, left atrial volume index decreased in the HFpEF group (P < 0.001) but remained stable within the DD group (difference between groups P = 0.015). After 6 months, physical QoL (Minnesota living with heart failure Questionnaire, 36‐item short form health survey), general health perception, and 9‐item patient health questionnaire score only improved in HFpEF (P < 0.05). In contrast, vitality improved in both groups (difference between groups P = 0.708).
Conclusion
A structured 6 months ET programme effectively improves exercise capacity and diastolic function in patients with DD and overt HFpEF. Therefore, controlled lifestyle modification with physical activity is effective both in DD and HFpEF.</description><identifier>ISSN: 2055-5822</identifier><identifier>EISSN: 2055-5822</identifier><identifier>DOI: 10.1002/ehf2.12007</identifier><identifier>PMID: 28834666</identifier><language>eng</language><publisher>England: John Wiley & Sons, Inc</publisher><subject>Angina pectoris ; Blood pressure ; Cardiovascular disease ; Coronary vessels ; Diabetes ; Diastolic dysfunction ; Exercise ; Exercise training ; Fitness training programs ; Heart attacks ; Heart failure ; Heart failure with preserved ejection fraction ; Heart rate ; Morbidity ; Mortality ; Patients ; Physical fitness ; Quality of life ; Questionnaires ; Strength training ; Workloads</subject><ispartof>ESC Heart Failure, 2014-09, Vol.1 (1), p.59-74</ispartof><rights>2014 The Authors. published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.</rights><rights>2014 The Authors. ESC Heart Failure published by John Wiley & Sons Ltd on behalf of the European Society of Cardiology.</rights><rights>2014. This work is published under http://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3937-d2eb5fad1753321d4d2aa3a05b9973dd3fe893694107fe6793b5771e46ff3ae43</citedby><cites>FETCH-LOGICAL-c3937-d2eb5fad1753321d4d2aa3a05b9973dd3fe893694107fe6793b5771e46ff3ae43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fehf2.12007$$EPDF$$P50$$Gwiley$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fehf2.12007$$EHTML$$P50$$Gwiley$$Hfree_for_read</linktohtml><link.rule.ids>314,776,780,860,1411,11541,27901,27902,45550,45551,46027,46451</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/28834666$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nolte, Kathleen</creatorcontrib><creatorcontrib>Schwarz, Silja</creatorcontrib><creatorcontrib>Gelbrich, Götz</creatorcontrib><creatorcontrib>Mensching, Steffen</creatorcontrib><creatorcontrib>Siegmund, Friederike</creatorcontrib><creatorcontrib>Wachter, Rolf</creatorcontrib><creatorcontrib>Hasenfuss, Gerd</creatorcontrib><creatorcontrib>Düngen, Hans‐Dirk</creatorcontrib><creatorcontrib>Herrmann‐Lingen, Christoph</creatorcontrib><creatorcontrib>Halle, Martin</creatorcontrib><creatorcontrib>Pieske, Burkert</creatorcontrib><creatorcontrib>Edelmann, Frank</creatorcontrib><title>Effects of long‐term endurance and resistance training on diastolic function, exercise capacity, and quality of life in asymptomatic diastolic dysfunction vs. heart failure with preserved ejection fraction</title><title>ESC Heart Failure</title><addtitle>ESC Heart Fail</addtitle><description>ABSTRACT
Background
The long‐term effects of exercise training (ET) in diastolic dysfunction (DD) and heart failure with preserved ejection fraction (HFpEF) are unknown. The present study compared the long‐term effects of ET on exercise capacity, diastolic function, and quality of life (QoL) in patients with DD vs. HFpEF.
Methods
A total of n = 43 patients with asymptomatic DD (n = 19) or HFpEF [DD and New York Heart Association (NYHA) ≥II, n = 24] and left ventricular ejection fraction ≥50% performed a combined endurance/resistance training over 6 months (2–3/week) on top of usual care. Cardiopulmonary exercise testing, echocardiography, and QoL were obtained at baseline and follow‐up.
Results
Patients were 62 ± 8 years old (37% female). In the HFpEF group, 67% of patients were in NYHA class II (33% in NYHA III). Exercise capacity (peak oxygen consumption, peak VO2) differed at baseline (DD 29.2 ± 8.7 mL/min/kg vs. HFpEF 17.8 ± 4.6 mL/min/kg; P = 0.004). After 6 months, peak VO2 increased significantly (P < 0.044) to 19.7 ± 5.8 mL/min/kg in the HFpEF group and also in the DD group (to 32.8 ± 8.5 mL/min/kg; P < 0.002) with no overall difference between the groups (P = 0.217). E/e′ ratio (left ventricular filling index) decreased from 12.2 ± 3.5 to 10.1 ± 3.0 (P < 0.002) in patients with HFpEF and also in patients with DD (10.7 ± 3.1 vs. 9.5 ± 2.3; P = 0.03; difference between groups P = 0.210). In contrast, left atrial volume index decreased in the HFpEF group (P < 0.001) but remained stable within the DD group (difference between groups P = 0.015). After 6 months, physical QoL (Minnesota living with heart failure Questionnaire, 36‐item short form health survey), general health perception, and 9‐item patient health questionnaire score only improved in HFpEF (P < 0.05). In contrast, vitality improved in both groups (difference between groups P = 0.708).
Conclusion
A structured 6 months ET programme effectively improves exercise capacity and diastolic function in patients with DD and overt HFpEF. Therefore, controlled lifestyle modification with physical activity is effective both in DD and HFpEF.</description><subject>Angina pectoris</subject><subject>Blood pressure</subject><subject>Cardiovascular disease</subject><subject>Coronary vessels</subject><subject>Diabetes</subject><subject>Diastolic dysfunction</subject><subject>Exercise</subject><subject>Exercise training</subject><subject>Fitness training programs</subject><subject>Heart attacks</subject><subject>Heart failure</subject><subject>Heart failure with preserved ejection fraction</subject><subject>Heart rate</subject><subject>Morbidity</subject><subject>Mortality</subject><subject>Patients</subject><subject>Physical fitness</subject><subject>Quality of life</subject><subject>Questionnaires</subject><subject>Strength training</subject><subject>Workloads</subject><issn>2055-5822</issn><issn>2055-5822</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>24P</sourceid><sourceid>BENPR</sourceid><recordid>eNp9kUtuFDEQhi0ESqKQDQdAltgglBn86OcSRROCFIkNWbdq7HLGo267Y7sTescRuBl34CR0upOAWGRVf0mfvirpJ-QNZ2vOmPiIOyPWXDBWviBHguX5Kq-EePlPPiQnMe4ZYzwveC6yA3IoqkpmRVEckV8bY1ClSL2hrXfXv3_8TBg6ik4PAZxCCk7TgNHGNK8pgHXWXVPvqLYQk2-tomZwKlnvTil-x6BsRKqgB2XTeDobbgZop2U-Yw1S6yjEseuT7yBNgr8qPcZHG72Na7pDCIkasO0QkN7ZtKP99A-GW9QU97iQJsAcXpNXBtqIJw_zmFydb76dXawuv37-cvbpcqVkLcuVFrjNDWhe5lIKrjMtACSwfFvXpdRaGqxqWdQZZ6XBoqzlNi9LjllhjATM5DF5v3j74G8GjKnpbFTYtuDQD7Hh9aQtykqwCX33H7r3Q3DTd40QNau4yOpqoj4slAo-xoCm6YPtIIwNZ8190819083c9AS_fVAO2w71E_rY6wTwBbizLY7PqJrNxblYpH8AxoO4PA</recordid><startdate>201409</startdate><enddate>201409</enddate><creator>Nolte, Kathleen</creator><creator>Schwarz, Silja</creator><creator>Gelbrich, Götz</creator><creator>Mensching, Steffen</creator><creator>Siegmund, Friederike</creator><creator>Wachter, Rolf</creator><creator>Hasenfuss, Gerd</creator><creator>Düngen, Hans‐Dirk</creator><creator>Herrmann‐Lingen, Christoph</creator><creator>Halle, Martin</creator><creator>Pieske, Burkert</creator><creator>Edelmann, Frank</creator><general>John Wiley & Sons, Inc</general><scope>24P</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>201409</creationdate><title>Effects of long‐term endurance and resistance training on diastolic function, exercise capacity, and quality of life in asymptomatic diastolic dysfunction vs. heart failure with preserved ejection fraction</title><author>Nolte, Kathleen ; Schwarz, Silja ; Gelbrich, Götz ; Mensching, Steffen ; Siegmund, Friederike ; Wachter, Rolf ; Hasenfuss, Gerd ; Düngen, Hans‐Dirk ; Herrmann‐Lingen, Christoph ; Halle, Martin ; Pieske, Burkert ; Edelmann, Frank</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3937-d2eb5fad1753321d4d2aa3a05b9973dd3fe893694107fe6793b5771e46ff3ae43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Angina pectoris</topic><topic>Blood pressure</topic><topic>Cardiovascular disease</topic><topic>Coronary vessels</topic><topic>Diabetes</topic><topic>Diastolic dysfunction</topic><topic>Exercise</topic><topic>Exercise training</topic><topic>Fitness training programs</topic><topic>Heart attacks</topic><topic>Heart failure</topic><topic>Heart failure with preserved ejection fraction</topic><topic>Heart rate</topic><topic>Morbidity</topic><topic>Mortality</topic><topic>Patients</topic><topic>Physical fitness</topic><topic>Quality of life</topic><topic>Questionnaires</topic><topic>Strength training</topic><topic>Workloads</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nolte, Kathleen</creatorcontrib><creatorcontrib>Schwarz, Silja</creatorcontrib><creatorcontrib>Gelbrich, Götz</creatorcontrib><creatorcontrib>Mensching, Steffen</creatorcontrib><creatorcontrib>Siegmund, Friederike</creatorcontrib><creatorcontrib>Wachter, Rolf</creatorcontrib><creatorcontrib>Hasenfuss, Gerd</creatorcontrib><creatorcontrib>Düngen, Hans‐Dirk</creatorcontrib><creatorcontrib>Herrmann‐Lingen, Christoph</creatorcontrib><creatorcontrib>Halle, Martin</creatorcontrib><creatorcontrib>Pieske, Burkert</creatorcontrib><creatorcontrib>Edelmann, Frank</creatorcontrib><collection>Wiley Online Library Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>ESC Heart Failure</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nolte, Kathleen</au><au>Schwarz, Silja</au><au>Gelbrich, Götz</au><au>Mensching, Steffen</au><au>Siegmund, Friederike</au><au>Wachter, Rolf</au><au>Hasenfuss, Gerd</au><au>Düngen, Hans‐Dirk</au><au>Herrmann‐Lingen, Christoph</au><au>Halle, Martin</au><au>Pieske, Burkert</au><au>Edelmann, Frank</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of long‐term endurance and resistance training on diastolic function, exercise capacity, and quality of life in asymptomatic diastolic dysfunction vs. heart failure with preserved ejection fraction</atitle><jtitle>ESC Heart Failure</jtitle><addtitle>ESC Heart Fail</addtitle><date>2014-09</date><risdate>2014</risdate><volume>1</volume><issue>1</issue><spage>59</spage><epage>74</epage><pages>59-74</pages><issn>2055-5822</issn><eissn>2055-5822</eissn><abstract>ABSTRACT
Background
The long‐term effects of exercise training (ET) in diastolic dysfunction (DD) and heart failure with preserved ejection fraction (HFpEF) are unknown. The present study compared the long‐term effects of ET on exercise capacity, diastolic function, and quality of life (QoL) in patients with DD vs. HFpEF.
Methods
A total of n = 43 patients with asymptomatic DD (n = 19) or HFpEF [DD and New York Heart Association (NYHA) ≥II, n = 24] and left ventricular ejection fraction ≥50% performed a combined endurance/resistance training over 6 months (2–3/week) on top of usual care. Cardiopulmonary exercise testing, echocardiography, and QoL were obtained at baseline and follow‐up.
Results
Patients were 62 ± 8 years old (37% female). In the HFpEF group, 67% of patients were in NYHA class II (33% in NYHA III). Exercise capacity (peak oxygen consumption, peak VO2) differed at baseline (DD 29.2 ± 8.7 mL/min/kg vs. HFpEF 17.8 ± 4.6 mL/min/kg; P = 0.004). After 6 months, peak VO2 increased significantly (P < 0.044) to 19.7 ± 5.8 mL/min/kg in the HFpEF group and also in the DD group (to 32.8 ± 8.5 mL/min/kg; P < 0.002) with no overall difference between the groups (P = 0.217). E/e′ ratio (left ventricular filling index) decreased from 12.2 ± 3.5 to 10.1 ± 3.0 (P < 0.002) in patients with HFpEF and also in patients with DD (10.7 ± 3.1 vs. 9.5 ± 2.3; P = 0.03; difference between groups P = 0.210). In contrast, left atrial volume index decreased in the HFpEF group (P < 0.001) but remained stable within the DD group (difference between groups P = 0.015). After 6 months, physical QoL (Minnesota living with heart failure Questionnaire, 36‐item short form health survey), general health perception, and 9‐item patient health questionnaire score only improved in HFpEF (P < 0.05). In contrast, vitality improved in both groups (difference between groups P = 0.708).
Conclusion
A structured 6 months ET programme effectively improves exercise capacity and diastolic function in patients with DD and overt HFpEF. Therefore, controlled lifestyle modification with physical activity is effective both in DD and HFpEF.</abstract><cop>England</cop><pub>John Wiley & Sons, Inc</pub><pmid>28834666</pmid><doi>10.1002/ehf2.12007</doi><tpages>16</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Angina pectoris Blood pressure Cardiovascular disease Coronary vessels Diabetes Diastolic dysfunction Exercise Exercise training Fitness training programs Heart attacks Heart failure Heart failure with preserved ejection fraction Heart rate Morbidity Mortality Patients Physical fitness Quality of life Questionnaires Strength training Workloads |
| title | Effects of long‐term endurance and resistance training on diastolic function, exercise capacity, and quality of life in asymptomatic diastolic dysfunction vs. heart failure with preserved ejection fraction |
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