Summary of best evidence for aerobic exercise regimens in patients with chronic heart failure
10.3760/cma.j.cn115682-20200728-04629
- VernacularTitle:慢性心力衰竭患者有氧运动方案的最佳证据总结
- Author:
Xiaoman ZHANG
1
;
Zhenxiang LI
;
Qi ZHANG
;
Baosheng ZHAO
;
Wei WANG
Author Information
1. 山东大学附属省立医院门诊部，济南 250021
- Keywords:
Heart failure;
Aerobic exercise;
Best evidence
- From:
Chinese Journal of Modern Nursing
2021;27(7):851-857
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To search and obtain the best evidence of aerobic exercise for patients with chronic heart failure (CHF) to provide a basis for clinically formulating scientific and standardized aerobic exercise programs for CHF patients.Methods:BMJ Best Practice, Joanna Briggs Institute (JBI) Evidence-Based Health Care Center Database, Guideline International Network (GIN) , UpToDate, National Guideline Clearinghouse (NGC) , National Institute for Health and Clinical Excellence (NICE) , Scottish Intercollegiate Guidelines Network (SIGN) , CINAHL, Embase, Cochrane Library, Chinese Guidelines Network, PubMed, China Biomedical Literature Database (CBM) , WHO and cardiology professional websites were searched to collect all evidence for aerobic exercise for CHF patients. The search time limit was from the establishment of the database to May 31, 2020.Results:A total of 14 articles were included, including 6 guidelines, 1 expert consensus and 7 systematic reviews. Finally, a total of 17 best evidence for 4 aspects including the necessity of aerobic exercise, preparation before aerobic exercise, 4 elements of aerobic exercise and the mode of aerobic exercise were summarized.Conclusions:Aerobic exercise is safe and effective for patients with heart failure with decreased ejection fraction. The setting of exercise intensity should be based on the results of a symptom-restricted cardiopulmonary exercise test. Exercise for more than 6 months is effective for CHF patients. Intermittent aerobic training assisted resistance exercise can improve peak oxygen uptake, cardiorespiratory fitness and muscle strength of patients, so as to improve cardiac function and quality of life, which should be regarded as an important way of exercise for patients with stable CHF.
