Key result
Long-term multicomponent exercise links to higher right heart function but fails to induce structural remodeling.
Why the study?
Evidence regarding how long-term supervised multicomponent exercise influences right heart characteristics and cardiopulmonary reserve over time in older adults remains limited.
Does long-term multicomponent exercise improve right heart cardiac magnetic resonance profiles and cardiopulmonary reserve in healthy older adults?
Cohort (n=155)
Single-blind (outcomes assessor)
Non-randomized
No
Does long-term multicomponent exercise improve right heart cardiac magnetic resonance profiles and cardiopulmonary reserve in healthy older adults?
Effect estimate: No significant time × group interactions
p-value: p=>0.05
Long-term multicomponent exercise in older adults favorably improves functional cardiopulmonary reserve without inducing longitudinal structural cardiac remodeling.
Supports supervised exercise for right heart function and reserve in older adults; leaves open causal structural effects and need for RCTs.
Right heart geometry and function are essential for preserving physical performance in healthy aging, yet evidence regarding how long‐term supervised multicomponent exercise influences right heart characteristics and cardiopulmonary reserve over time remains limited. To address this gap, this interim analysis of a prospective, non‐randomized, two‐armed cohort study included 155 adults aged ≥ 65 years assigned to supervised multicomponent training ( n = 75) or education control group ( n = 80). Cardiac magnetic resonance imaging and cardiopulmonary exercise testing were performed at baseline, 1‐year, and 2‐year follow‐ups, with right heart structure and function as the primary outcomes; post hoc analyses were stratified by training adherence. Among these participants, 92 (training: n = 54; control: n = 38) completed the 2‐year follow‐up and were included in the final analysis. No significant time × group interactions were detected for right or left heart parameters (all p > 0.05). After multivariable adjustment, the exercise group showed higher overall adjusted mean values for right atrial volumes and selected right ventricular functional measures, including stroke volume, cardiac index, and peak filling rate (all p < 0.05). In contrast, significant time × group interactions were identified for peak VO 2 ( p = 0.003), and VO 2 at AT ( p = 0.033), indicating distinct longitudinal cardiopulmonary trajectories between groups. Post hoc subgroup analyses showed that between‐group differences in right heart volumetric measures persisted through 2 years in the high‐adherence group, whereas those in the low‐adherence group were less consistent. Overall, long‐term multicomponent exercise was associated with higher levels of selected right heart volumetric and functional measures without detectable alterations in longitudinal cardiac remodeling trajectories in older adults, alongside favorable longitudinal changes in cardiopulmonary reserve. These findings suggest that exercise‐related benefits in healthy aging may be characterized primarily by functional adaptations rather than longitudinal structural cardiac remodeling. Trial Registration: The original study was registered at https://www.chictr.org.
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Liu et al. (2026) conducted a cohort in Healthy aging (n=155). Supervised multicomponent exercise vs. Health education alone was evaluated on Resting right heart structure and function parameters (time × group interactions) (No significant time × group interactions, p=>0.05). Long-term supervised multicomponent exercise in older adults was associated with higher right heart functional measures but did not result in significant longitudinal structural cardiac remodeling compared to control.
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