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Aquatic exercise training and stable heart failure: A systematic review and meta-analysis.

Abstract：

AIM:A meta-analysis and review of the evidence was conducted to determine the efficacy of aquatic exercise training for individuals with heart failure compared to traditional land-based programmes. METHODS:A systematic search was conducted for studies published prior to March 2014, using MEDLINE, PUBMED, Cochrane Library, CINAHL and PEDro databases. Key words and synonyms relating to aquatic exercise and heart failure comprised the search strategy. Interventions included aquatic exercise or a combination of aquatic plus land-based training, whilst comparator protocols included usual care, no exercise or land-based training alone. The primary outcome of interest was exercise performance. Studies reporting on muscle strength, quality of life and a range of haemodynamic and physiological parameters were also reviewed. RESULTS:Eight studies met criteria, accounting for 156 participants. Meta-analysis identified studies including aquatic exercise to be superior to comparator protocols for 6 minute walk test (p < 0.004) and peak power (p < 0.044). Compared to land-based training programmes, aquatic exercise training provided similar benefits for VO(2peak), muscle strength and quality of life, though was not superior. Cardiac dimensions, left ventricular ejection fraction, cardiac output and BNP were not influenced by aquatic exercise training. CONCLUSIONS:For those with stable heart failure, aquatic exercise training can improve exercise capacity, muscle strength and quality of life similar to land-based training programmes. This form of exercise may provide a safe and effective alternative for those unable to participate in traditional exercise programmes.

journal_name

Int J Cardiol

journal_title

International journal of cardiology

authors

Adsett JA,Mudge AM,Morris N,Kuys S,Paratz JD

doi

10.1016/j.ijcard.2015.03.095

subject

Has Abstract

pub_date

2015-01-01 00:00:00

pages

22-8

eissn

0167-5273

issn

1874-1754

pii

S0167-5273(15)00334-4

journal_volume

186

pub_type

杂志文章,meta分析,评审

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