Supervised exercise training improved peak oxygen consumption from baseline in chronic heart failure patients, while home-based training did not, though between-group differences were not significant.
RCT (n=29)
Randomly assigned
No
Does supervised exercise training improve peak exercise duration and peak VO2 compared to home-based exercise training in patients with stable chronic heart failure?
Supervised exercise training significantly improves peak VO2 compared to home-based training in chronic heart failure patients, though both modalities improve peak exercise duration.
Absolute Event Rate: 23.3% vs 23.6%
p-value: p=>0.05
OBJECTIVE: This study was planned to compare the outcomes between supervised and home-based exercise training in patients with chronic heart failure. METHODS: The study was conducted at the Department of Physical Therapy in Ankara University, Faculty of Medicine, Turkey between 2000 and 2001. Twenty-two patients with stable chronic heart failure were randomly assigned to the supervised exercise training group (n=11) or the home-based exercise training group (n=11). Symptom-limited maximal exercise tests with gas exchange analysis were carried out before randomization. Work load equivalent to 60% of achieved peak heart rate at the tests was determined as exercise training work load for each subject. Both groups participated in a program of 3 exercise training sessions per week for 3 months. The exercise tests were repeated after 3 months. RESULTS: After training, peak exercise duration increased significantly in the supervised exercise training group and the home-based exercise training group (p0.05). CONCLUSION: Supervised and home-based exercise training enhanced exercise capacity in patients with chronic heart failure. The training program must be tailored to each patient's specific limitations, individual needs and possibilities. Home-based exercise training may be a training alternative to stable chronic heart failure patients who prefer not to participate in an outpatient supervised training program.
Daşkapan et al. (Sun,) conducted a rct in Chronic heart failure (n=29). Supervised exercise training vs. Home-based exercise training was evaluated on Peak oxygen consumption (ml/kg/min) at 12 weeks (p=>0.05). Supervised exercise training improved peak oxygen consumption from baseline in chronic heart failure patients, while home-based training did not, though between-group differences were not significant.
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