Home-based inspiratory muscle training for management of older patients with heart failure with preserved ejection fraction: does baseline inspiratory muscle pressure matter?
Background: Heart failure with preserved ejection fraction is a clinical syndrome characterised by reduced exercise capacity. Some evidence has shown that a simple and home-based programme of inspiratory muscle training offers promising results in terms of aerobic capacity improvement in patients wi...
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| Veröffentlicht in: | European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology 2019-10, Vol.18 (7), p.621-627 |
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| container_title | European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology |
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| creator | Palau, Patricia Domínguez, Eloy Ramón, José María López, Laura Briatore, Antonio Ernesto Tormo, J Pablo Ventura, Bruno Chorro, Francisco J Núñez, Julio |
| description | Background:
Heart failure with preserved ejection fraction is a clinical syndrome characterised by reduced exercise capacity. Some evidence has shown that a simple and home-based programme of inspiratory muscle training offers promising results in terms of aerobic capacity improvement in patients with heart failure with preserved ejection fraction. This study aimed to investigate whether the baseline inspiratory muscle function predicts the changes in aerobic capacity (measured as peak oxygen uptake; peak VO2) after a 12-week home-based programme of inspiratory muscle training in patients with heart failure with preserved ejection fraction.
Methods:
A total of 45 stable symptomatic patients with heart failure with preserved ejection fraction and New York Heart Association II–III received a 12-week home-based programme of inspiratory muscle training between June 2015 and December 2016. They underwent cardiopulmonary exercise testing and measurements of maximum inspiratory pressure pre and post-inspiratory muscle training. Maximum inspiratory pressure and peak VO2 were registered in both visits. Multivariate linear regression analysis was used to assess the association between changes in peak VO2 (Δ-peakVO2) and baseline predicted maximum inspiratory pressure (pp-MIP).
Results:
The median (interquartile range) age was 73 (68–77) years, 47% were women and 35.6% displayed New York Heart Association III. The mean peak VO2 at baseline and Δ-peakVO2 post-training were 10.4±2.8 ml/min/kg and +2.2±1.3 ml/min/kg (+21.3%), respectively. The median (interquartile range) of pp-MIP and Δ-MIP were 71% (64–92) and 39.2 (26.7–80.4) cmH2O, respectively. After a multivariate analysis, baseline pp-MIP was not associated with Δ-peakVO2 (β coefficient 0.005, 95% confidence interval −0.009–0.019, P=0.452).
Conclusions:
In symptomatic and deconditioned older patients with heart failure with preserved ejection fraction, a home-based inspiratory muscle training programme improves aerobic capacity regardless of the baseline maximum inspiratory pressure. |
| doi_str_mv | 10.1177/1474515119855183 |
| format | Article |
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Heart failure with preserved ejection fraction is a clinical syndrome characterised by reduced exercise capacity. Some evidence has shown that a simple and home-based programme of inspiratory muscle training offers promising results in terms of aerobic capacity improvement in patients with heart failure with preserved ejection fraction. This study aimed to investigate whether the baseline inspiratory muscle function predicts the changes in aerobic capacity (measured as peak oxygen uptake; peak VO2) after a 12-week home-based programme of inspiratory muscle training in patients with heart failure with preserved ejection fraction.
Methods:
A total of 45 stable symptomatic patients with heart failure with preserved ejection fraction and New York Heart Association II–III received a 12-week home-based programme of inspiratory muscle training between June 2015 and December 2016. They underwent cardiopulmonary exercise testing and measurements of maximum inspiratory pressure pre and post-inspiratory muscle training. Maximum inspiratory pressure and peak VO2 were registered in both visits. Multivariate linear regression analysis was used to assess the association between changes in peak VO2 (Δ-peakVO2) and baseline predicted maximum inspiratory pressure (pp-MIP).
Results:
The median (interquartile range) age was 73 (68–77) years, 47% were women and 35.6% displayed New York Heart Association III. The mean peak VO2 at baseline and Δ-peakVO2 post-training were 10.4±2.8 ml/min/kg and +2.2±1.3 ml/min/kg (+21.3%), respectively. The median (interquartile range) of pp-MIP and Δ-MIP were 71% (64–92) and 39.2 (26.7–80.4) cmH2O, respectively. After a multivariate analysis, baseline pp-MIP was not associated with Δ-peakVO2 (β coefficient 0.005, 95% confidence interval −0.009–0.019, P=0.452).
Conclusions:
In symptomatic and deconditioned older patients with heart failure with preserved ejection fraction, a home-based inspiratory muscle training programme improves aerobic capacity regardless of the baseline maximum inspiratory pressure.</description><identifier>ISSN: 1474-5151</identifier><identifier>EISSN: 1873-1953</identifier><identifier>DOI: 10.1177/1474515119855183</identifier><identifier>PMID: 31148459</identifier><language>eng</language><publisher>London, England: SAGE Publications</publisher><subject>Aged ; Beta blockers ; Breathing Exercises - methods ; Ejection fraction ; Exercise ; Exercise Tolerance - physiology ; Female ; Heart failure ; Heart Failure - rehabilitation ; Humans ; Male ; Muscle Contraction - physiology ; Older people ; Physical fitness ; Rehabilitation Nursing - methods ; Stroke Volume - physiology</subject><ispartof>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2019-10, Vol.18 (7), p.621-627</ispartof><rights>The European Society of Cardiology 2019</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c365t-7e02e7d9fb8a17d9a6897145f7889aa281109606edb9f229e57d0f919fa8f4183</citedby><cites>FETCH-LOGICAL-c365t-7e02e7d9fb8a17d9a6897145f7889aa281109606edb9f229e57d0f919fa8f4183</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1177/1474515119855183$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1177/1474515119855183$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,777,781,21800,27905,27906,43602,43603</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31148459$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Palau, Patricia</creatorcontrib><creatorcontrib>Domínguez, Eloy</creatorcontrib><creatorcontrib>Ramón, José María</creatorcontrib><creatorcontrib>López, Laura</creatorcontrib><creatorcontrib>Briatore, Antonio Ernesto</creatorcontrib><creatorcontrib>Tormo, J Pablo</creatorcontrib><creatorcontrib>Ventura, Bruno</creatorcontrib><creatorcontrib>Chorro, Francisco J</creatorcontrib><creatorcontrib>Núñez, Julio</creatorcontrib><title>Home-based inspiratory muscle training for management of older patients with heart failure with preserved ejection fraction: does baseline inspiratory muscle pressure matter?</title><title>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</title><addtitle>Eur J Cardiovasc Nurs</addtitle><description>Background:
Heart failure with preserved ejection fraction is a clinical syndrome characterised by reduced exercise capacity. Some evidence has shown that a simple and home-based programme of inspiratory muscle training offers promising results in terms of aerobic capacity improvement in patients with heart failure with preserved ejection fraction. This study aimed to investigate whether the baseline inspiratory muscle function predicts the changes in aerobic capacity (measured as peak oxygen uptake; peak VO2) after a 12-week home-based programme of inspiratory muscle training in patients with heart failure with preserved ejection fraction.
Methods:
A total of 45 stable symptomatic patients with heart failure with preserved ejection fraction and New York Heart Association II–III received a 12-week home-based programme of inspiratory muscle training between June 2015 and December 2016. They underwent cardiopulmonary exercise testing and measurements of maximum inspiratory pressure pre and post-inspiratory muscle training. Maximum inspiratory pressure and peak VO2 were registered in both visits. Multivariate linear regression analysis was used to assess the association between changes in peak VO2 (Δ-peakVO2) and baseline predicted maximum inspiratory pressure (pp-MIP).
Results:
The median (interquartile range) age was 73 (68–77) years, 47% were women and 35.6% displayed New York Heart Association III. The mean peak VO2 at baseline and Δ-peakVO2 post-training were 10.4±2.8 ml/min/kg and +2.2±1.3 ml/min/kg (+21.3%), respectively. The median (interquartile range) of pp-MIP and Δ-MIP were 71% (64–92) and 39.2 (26.7–80.4) cmH2O, respectively. After a multivariate analysis, baseline pp-MIP was not associated with Δ-peakVO2 (β coefficient 0.005, 95% confidence interval −0.009–0.019, P=0.452).
Conclusions:
In symptomatic and deconditioned older patients with heart failure with preserved ejection fraction, a home-based inspiratory muscle training programme improves aerobic capacity regardless of the baseline maximum inspiratory pressure.</description><subject>Aged</subject><subject>Beta blockers</subject><subject>Breathing Exercises - methods</subject><subject>Ejection fraction</subject><subject>Exercise</subject><subject>Exercise Tolerance - physiology</subject><subject>Female</subject><subject>Heart failure</subject><subject>Heart Failure - rehabilitation</subject><subject>Humans</subject><subject>Male</subject><subject>Muscle Contraction - physiology</subject><subject>Older people</subject><subject>Physical fitness</subject><subject>Rehabilitation Nursing - methods</subject><subject>Stroke Volume - physiology</subject><issn>1474-5151</issn><issn>1873-1953</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kUFv1jAMhiPExMbgzglF4sKlLG6bJuGC0AQMaRIXOFf-WmfLpzYpSQran-I3kvINkKbtENmyH7-O_DL2AsQbAKXOoFWtBAlgtJSgm0fsBLRqKjCyeVzy0q62_jF7mtJeCFDlPWHHDUCrW2lO2K-LMFO1w0Qjdz4tLmIO8YbPaxom4jmi885fcRsin9HjFc3kMw-Wh2mkyBfMrhQS_-nyNb8mjJlbdNMa6VBaIiWKP4o87WnILnhuI_5J3vIxUOLb8sl5um__Np02rRlzpvjuGTuyOCV6fhtP2bePH76eX1SXXz59Pn9_WQ1NJ3OlSNSkRmN3GqFE7LRR0EqrtDaItQYQphMdjTtj69qQVKOwBoxFbdtyyFP2-qC7xPB9pZT72aWBpgk9hTX1dd00uoNaqYK-uoPuwxp9-V2hjBLlzqorlDhQQwwpRbL9Et2M8aYH0W9e9ne9LCMvb4XX3Uzjv4G_5hWgOgCp2PJ_64OCvwGphaoa</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Palau, Patricia</creator><creator>Domínguez, Eloy</creator><creator>Ramón, José María</creator><creator>López, Laura</creator><creator>Briatore, Antonio Ernesto</creator><creator>Tormo, J Pablo</creator><creator>Ventura, Bruno</creator><creator>Chorro, Francisco J</creator><creator>Núñez, Julio</creator><general>SAGE Publications</general><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>201910</creationdate><title>Home-based inspiratory muscle training for management of older patients with heart failure with preserved ejection fraction: does baseline inspiratory muscle pressure matter?</title><author>Palau, Patricia ; Domínguez, Eloy ; Ramón, José María ; López, Laura ; Briatore, Antonio Ernesto ; Tormo, J Pablo ; Ventura, Bruno ; Chorro, Francisco J ; Núñez, Julio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c365t-7e02e7d9fb8a17d9a6897145f7889aa281109606edb9f229e57d0f919fa8f4183</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Aged</topic><topic>Beta blockers</topic><topic>Breathing Exercises - methods</topic><topic>Ejection fraction</topic><topic>Exercise</topic><topic>Exercise Tolerance - physiology</topic><topic>Female</topic><topic>Heart failure</topic><topic>Heart Failure - rehabilitation</topic><topic>Humans</topic><topic>Male</topic><topic>Muscle Contraction - physiology</topic><topic>Older people</topic><topic>Physical fitness</topic><topic>Rehabilitation Nursing - methods</topic><topic>Stroke Volume - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Palau, Patricia</creatorcontrib><creatorcontrib>Domínguez, Eloy</creatorcontrib><creatorcontrib>Ramón, José María</creatorcontrib><creatorcontrib>López, Laura</creatorcontrib><creatorcontrib>Briatore, Antonio Ernesto</creatorcontrib><creatorcontrib>Tormo, J Pablo</creatorcontrib><creatorcontrib>Ventura, Bruno</creatorcontrib><creatorcontrib>Chorro, Francisco J</creatorcontrib><creatorcontrib>Núñez, Julio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Palau, Patricia</au><au>Domínguez, Eloy</au><au>Ramón, José María</au><au>López, Laura</au><au>Briatore, Antonio Ernesto</au><au>Tormo, J Pablo</au><au>Ventura, Bruno</au><au>Chorro, Francisco J</au><au>Núñez, Julio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Home-based inspiratory muscle training for management of older patients with heart failure with preserved ejection fraction: does baseline inspiratory muscle pressure matter?</atitle><jtitle>European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology</jtitle><addtitle>Eur J Cardiovasc Nurs</addtitle><date>2019-10</date><risdate>2019</risdate><volume>18</volume><issue>7</issue><spage>621</spage><epage>627</epage><pages>621-627</pages><issn>1474-5151</issn><eissn>1873-1953</eissn><abstract>Background:
Heart failure with preserved ejection fraction is a clinical syndrome characterised by reduced exercise capacity. Some evidence has shown that a simple and home-based programme of inspiratory muscle training offers promising results in terms of aerobic capacity improvement in patients with heart failure with preserved ejection fraction. This study aimed to investigate whether the baseline inspiratory muscle function predicts the changes in aerobic capacity (measured as peak oxygen uptake; peak VO2) after a 12-week home-based programme of inspiratory muscle training in patients with heart failure with preserved ejection fraction.
Methods:
A total of 45 stable symptomatic patients with heart failure with preserved ejection fraction and New York Heart Association II–III received a 12-week home-based programme of inspiratory muscle training between June 2015 and December 2016. They underwent cardiopulmonary exercise testing and measurements of maximum inspiratory pressure pre and post-inspiratory muscle training. Maximum inspiratory pressure and peak VO2 were registered in both visits. Multivariate linear regression analysis was used to assess the association between changes in peak VO2 (Δ-peakVO2) and baseline predicted maximum inspiratory pressure (pp-MIP).
Results:
The median (interquartile range) age was 73 (68–77) years, 47% were women and 35.6% displayed New York Heart Association III. The mean peak VO2 at baseline and Δ-peakVO2 post-training were 10.4±2.8 ml/min/kg and +2.2±1.3 ml/min/kg (+21.3%), respectively. The median (interquartile range) of pp-MIP and Δ-MIP were 71% (64–92) and 39.2 (26.7–80.4) cmH2O, respectively. After a multivariate analysis, baseline pp-MIP was not associated with Δ-peakVO2 (β coefficient 0.005, 95% confidence interval −0.009–0.019, P=0.452).
Conclusions:
In symptomatic and deconditioned older patients with heart failure with preserved ejection fraction, a home-based inspiratory muscle training programme improves aerobic capacity regardless of the baseline maximum inspiratory pressure.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>31148459</pmid><doi>10.1177/1474515119855183</doi><tpages>7</tpages></addata></record> |
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| identifier | ISSN: 1474-5151 |
| ispartof | European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology, 2019-10, Vol.18 (7), p.621-627 |
| issn | 1474-5151 1873-1953 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2233861277 |
| source | MEDLINE; SAGE Complete; Oxford University Press Journals All Titles (1996-Current) |
| subjects | Aged Beta blockers Breathing Exercises - methods Ejection fraction Exercise Exercise Tolerance - physiology Female Heart failure Heart Failure - rehabilitation Humans Male Muscle Contraction - physiology Older people Physical fitness Rehabilitation Nursing - methods Stroke Volume - physiology |
| title | Home-based inspiratory muscle training for management of older patients with heart failure with preserved ejection fraction: does baseline inspiratory muscle pressure matter? |
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