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Heart 2009;95:1399-1408 doi:10.1136/hrt.2008.159582
  • Systematic review

Effects of moderate-to-high intensity resistance training in patients with chronic heart failure

  1. M A Spruit1,
  2. R-M A Eterman1,
  3. V A C V Hellwig1,
  4. P P Janssen1,
  5. E F M Wouters2,3,
  6. N H M K Uszko-Lencer4,5
  1. 1
    Department of Research, Development and Education, Centre for Integrated Rehabilitation of Organ Failure (CIRO), Horn, The Netherlands
  2. 2
    Centre for Integrated Rehabilitation of Organ failure (CIRO), Horn, The Netherlands
  3. 3
    Department of Respiratory Medicine, Maastricht University Medical Centre + (MUMC+), Maastricht, The Netherlands
  4. 4
    Department of Cardiology, Centre for Integrated Rehabilitation of Organ Failure (CIRO), Horn, the Netherlands
  5. 5
    Department of Cardiology, Maastricht University Medical Centre + (MUMC+), Maastricht, the Netherlands
  1. Correspondence to Dr M A Spruit, Department of Research, Development and Education, Centre for Integrated Rehabilitation of Organ Failure, Hornerheide 1, 6085 NM Horn, the Netherlands; martijnspruit{at}proteion.nl
  • Accepted 24 March 2009
  • Published Online First 1 April 2009

Abstract

Context: Resistance training may be beneficial for patients with chronic heart failure (CHF).

Objective: To systematically review the methodological quality of, and summarise the effects of, moderate-to-high intensity resistance training in CHF.

Data sources: Medline/PubMed, Science Citation Index Expanded, SSCI and A&HCI.

Study selection: English language (non-)randomised controlled trials.

Data extraction: A predesigned data extraction form was used to obtain data on trial design and relevant results. Methodological quality of the identified trials were scored using the Delphi list.

Results: Most of the 10 trials identified had moderate-to-severe methodological limitations. Effects of resistance training (alone or in combination with endurance training) are inconclusive for outcomes like exercise capacity and disease-specific quality of life.

Conclusions: Even though moderate-to-high intensity resistance training does not seem be harmful for patients with CHF, the current peer-reviewed evidence seems inadequate to generally recommend incorporation of resistance training into exercise-based rehabilitation programmes for patients with CHF.

Footnotes

  • Competing interests None.

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