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


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.

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