Effects of Concurrent, Within-Session, Aerobic and Resistance Exercise Training on Functional Capacity and Muscle Performance in Elderly Male Patients with Chronic Heart Failure
Background. The best format of exercise training (ET) in the setting of cardiac rehabilitation in patients with chronic heart failure (CHF) is still to be defined. Current guidelines recommend aerobic exercises, such as running and cycling, including some sessions per week of resistance exercise. Ai...
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| Format: | Article |
| Language: | English |
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MDPI AG
2023-01-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/12/3/750 |
| _version_ | 1797624125690216448 |
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| author | Maurizio Volterrani Giuseppe Caminiti Marco Alfonso Perrone Anna Cerrito Alessio Franchini Vincenzo Manzi Ferdinando Iellamo |
| author_facet | Maurizio Volterrani Giuseppe Caminiti Marco Alfonso Perrone Anna Cerrito Alessio Franchini Vincenzo Manzi Ferdinando Iellamo |
| author_sort | Maurizio Volterrani |
| collection | DOAJ |
| description | Background. The best format of exercise training (ET) in the setting of cardiac rehabilitation in patients with chronic heart failure (CHF) is still to be defined. Current guidelines recommend aerobic exercises, such as running and cycling, including some sessions per week of resistance exercise. Aim. The aim of this study was to address the effectiveness of a concurrent exercise training program utilizing a circuit of sequential endurance and resistance exercises on functional capacity and muscular strength in patients with CHF. Methods. Ninety-five consecutive male patients (age 63.1 ± 6 years) with CHF (EF < 40%) in NYHA functional class II/III, were randomly assigned on 1:1 basis to a 12-week aerobic continuous training (AT) or concurrent CT), aerobic + resistance, training (CT), three times a week, with each session lasting 80 min. We used high quality, specifically designed ergometers, connected with each other and governed by a central console, and managed by a single physiotherapist. Before and after training all patients performed a symptoms-limited exercise test on a treadmill and a 6-min walking test (6MWT). Patients in the CT group also performed resistance exercises of upper and lower body. Results. The 6MWT and exercise duration at ergometric test increased significantly in both AT and CT groups, with the increase being greater in CT group (<i>p</i> < 0.001; ES = 0.13; <i>p</i> < 0.01; ES = 0.07). Muscular strength increased significantly in the CT group, particularly in the lower body muscular districts (<i>p</i> < 0.001). Quality of life improved in both groups, with a significantly greater improvement in the CT group (<i>p</i> < 0.05). No side effects leading to discontinuation of training were observed. Conclusions. These findings indicate that concurrent, within-session training results in larger improvements in functional capacity, in addition to muscle performance, in patients with CHF, in comparison to single-mode aerobic training. |
| first_indexed | 2024-03-11T09:38:41Z |
| format | Article |
| id | doaj.art-29f618b8672f45a1964ec062aad38eec |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-11T09:38:41Z |
| publishDate | 2023-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-29f618b8672f45a1964ec062aad38eec2023-11-16T17:06:40ZengMDPI AGJournal of Clinical Medicine2077-03832023-01-0112375010.3390/jcm12030750Effects of Concurrent, Within-Session, Aerobic and Resistance Exercise Training on Functional Capacity and Muscle Performance in Elderly Male Patients with Chronic Heart FailureMaurizio Volterrani0Giuseppe Caminiti1Marco Alfonso Perrone2Anna Cerrito3Alessio Franchini4Vincenzo Manzi5Ferdinando Iellamo6Department of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, ItalyDepartment of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, ItalyDepartment of Clinical Science and Translational Medicine, University of Rome Tor Vergata, 00133 Rome, ItalyDepartment of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, ItalyDepartment of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, ItalyDepartment of Humanities, Università Telematica Pegaso, 80132 Naples, ItalyDepartment of Rehabilitation Cardiology, IRCCS San Raffaele Pisana, 00163 Rome, ItalyBackground. The best format of exercise training (ET) in the setting of cardiac rehabilitation in patients with chronic heart failure (CHF) is still to be defined. Current guidelines recommend aerobic exercises, such as running and cycling, including some sessions per week of resistance exercise. Aim. The aim of this study was to address the effectiveness of a concurrent exercise training program utilizing a circuit of sequential endurance and resistance exercises on functional capacity and muscular strength in patients with CHF. Methods. Ninety-five consecutive male patients (age 63.1 ± 6 years) with CHF (EF < 40%) in NYHA functional class II/III, were randomly assigned on 1:1 basis to a 12-week aerobic continuous training (AT) or concurrent CT), aerobic + resistance, training (CT), three times a week, with each session lasting 80 min. We used high quality, specifically designed ergometers, connected with each other and governed by a central console, and managed by a single physiotherapist. Before and after training all patients performed a symptoms-limited exercise test on a treadmill and a 6-min walking test (6MWT). Patients in the CT group also performed resistance exercises of upper and lower body. Results. The 6MWT and exercise duration at ergometric test increased significantly in both AT and CT groups, with the increase being greater in CT group (<i>p</i> < 0.001; ES = 0.13; <i>p</i> < 0.01; ES = 0.07). Muscular strength increased significantly in the CT group, particularly in the lower body muscular districts (<i>p</i> < 0.001). Quality of life improved in both groups, with a significantly greater improvement in the CT group (<i>p</i> < 0.05). No side effects leading to discontinuation of training were observed. Conclusions. These findings indicate that concurrent, within-session training results in larger improvements in functional capacity, in addition to muscle performance, in patients with CHF, in comparison to single-mode aerobic training.https://www.mdpi.com/2077-0383/12/3/750chronic heart failureconcurrent trainingaerobic exerciseresistance exercise |
| spellingShingle | Maurizio Volterrani Giuseppe Caminiti Marco Alfonso Perrone Anna Cerrito Alessio Franchini Vincenzo Manzi Ferdinando Iellamo Effects of Concurrent, Within-Session, Aerobic and Resistance Exercise Training on Functional Capacity and Muscle Performance in Elderly Male Patients with Chronic Heart Failure Journal of Clinical Medicine chronic heart failure concurrent training aerobic exercise resistance exercise |
| title | Effects of Concurrent, Within-Session, Aerobic and Resistance Exercise Training on Functional Capacity and Muscle Performance in Elderly Male Patients with Chronic Heart Failure |
| title_full | Effects of Concurrent, Within-Session, Aerobic and Resistance Exercise Training on Functional Capacity and Muscle Performance in Elderly Male Patients with Chronic Heart Failure |
| title_fullStr | Effects of Concurrent, Within-Session, Aerobic and Resistance Exercise Training on Functional Capacity and Muscle Performance in Elderly Male Patients with Chronic Heart Failure |
| title_full_unstemmed | Effects of Concurrent, Within-Session, Aerobic and Resistance Exercise Training on Functional Capacity and Muscle Performance in Elderly Male Patients with Chronic Heart Failure |
| title_short | Effects of Concurrent, Within-Session, Aerobic and Resistance Exercise Training on Functional Capacity and Muscle Performance in Elderly Male Patients with Chronic Heart Failure |
| title_sort | effects of concurrent within session aerobic and resistance exercise training on functional capacity and muscle performance in elderly male patients with chronic heart failure |
| topic | chronic heart failure concurrent training aerobic exercise resistance exercise |
| url | https://www.mdpi.com/2077-0383/12/3/750 |
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