Why the study?
Do different training advices (home training, supervised training, or preferred training) improve submaximal exercise capacity in patients with chronic heart failure after cardiac rehabilitation compared to usual care?
Population
69 patients with chronic heart failure (CHF) who completed a 6-month supervised cardiac rehabilitation period
Comparison
Controlled home training, prolonged supervised… vs Usual care (UC) alone
Design
RCT, randomized
Follow-up
1 year
Key result
Preferred training (PT) maintained or increased submaximal workload (WattRCP and SMW/HR ratio) in CHF patients compared to other training modalities (P=0.045 and <0.0001 for interaction).
Authors
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Supports preferred training to sustain capacity in CHF post-rehab; extends RCT evidence on individualized exercise modalities.
RCT (n=69)
randomized
Do different training advices (home training, supervised training, or preferred training) improve submaximal exercise capacity in patients with chronic heart failure after cardiac rehabilitation compared to usual care?
p-value: p=0.045 and <0.0001
Engagement in physical training of the patient's own choice may be the optimal modality for maintaining physical capacity in chronic heart failure patients after supervised rehabilitation.
Beckers et al. (2010) conducted an RCT in chronic heart failure (CHF) (n=69). Controlled home training (HT), prolonged supervised training (ST), or preferred training (PT) vs. Usual care (UC) was evaluated on Submaximal exercise capacity (VO2RCP, WattRCP, and SMW/HR at 70% of initial maximal workload) (p=0.045 and <0.0001). Preferred training (PT) maintained or increased submaximal workload (WattRCP and SMW/HR ratio) in CHF patients compared to other training modalities (P=0.045 and <0.0001 for interaction).