TY - JOUR
T1 - A randomized trial of the addition of home-based exercise to specialist heart failure nurse care: the Birmingham Rehabilitation Uptake Maximisation study for patients with Congestive Heart Failure (BRUM-CHF) study
AU - Jolly, Catherine
AU - Taylor, RS
AU - Lip, Gregory
AU - Davies, M
AU - Davis, Russell
AU - Mant, Jonathan
AU - Singh, S
AU - Greenfield, Sheila
AU - Ingram, Jackie
AU - Stubley, J
AU - Bryan, Stirling
AU - Stevens, Andrew
PY - 2009/2/1
Y1 - 2009/2/1
N2 - Supervised exercise can benefit selected patients with heart failure, however the effectiveness of home-based exercise remains uncertain. We aimed to assess the effectiveness of a home-based exercise programme in addition to specialist heart failure nurse care.
This was a randomized controlled trial of a home-based walking and resistance exercise programme plus specialist nurse care (n = 84) compared with specialist nurse care alone (n = 85) in a heart failure population in the West Midlands, UK. Primary outcome: Minnesota Living with Heart Failure Questionnaire (MLwHFQ) at 6 and 12 months. Secondary outcomes: composite of death, hospital admission with heart failure or myocardial infarction; psychological well-being; generic quality of life (EQ-5D); exercise capacity. There was no statistically significant difference between groups in the MLwHFQ at 6 month (mean, 95% CI) (-2.53, -7.87 to 2.80) and 12 month (-0.55, -5.87 to 4.76) follow-up or secondary outcomes with the exception of a higher EQ-5D score (0.11, 0.04 to 0.18) at 6 months and lower Hospital Anxiety and Depression Scale score (-1.07, -2.00 to -0.14) at 12 months, in favour of the exercise group. At 6 months, the control group showed deterioration in physical activity, exercise capacity, and generic quality of life.
Home-based exercise training programmes may not be appropriate for community-based heart failure patients.
AB - Supervised exercise can benefit selected patients with heart failure, however the effectiveness of home-based exercise remains uncertain. We aimed to assess the effectiveness of a home-based exercise programme in addition to specialist heart failure nurse care.
This was a randomized controlled trial of a home-based walking and resistance exercise programme plus specialist nurse care (n = 84) compared with specialist nurse care alone (n = 85) in a heart failure population in the West Midlands, UK. Primary outcome: Minnesota Living with Heart Failure Questionnaire (MLwHFQ) at 6 and 12 months. Secondary outcomes: composite of death, hospital admission with heart failure or myocardial infarction; psychological well-being; generic quality of life (EQ-5D); exercise capacity. There was no statistically significant difference between groups in the MLwHFQ at 6 month (mean, 95% CI) (-2.53, -7.87 to 2.80) and 12 month (-0.55, -5.87 to 4.76) follow-up or secondary outcomes with the exception of a higher EQ-5D score (0.11, 0.04 to 0.18) at 6 months and lower Hospital Anxiety and Depression Scale score (-1.07, -2.00 to -0.14) at 12 months, in favour of the exercise group. At 6 months, the control group showed deterioration in physical activity, exercise capacity, and generic quality of life.
Home-based exercise training programmes may not be appropriate for community-based heart failure patients.
KW - Exercise therapy
KW - Heart failure
KW - Randomized controlled trial
U2 - 10.1093/eurjhf/hfn029
DO - 10.1093/eurjhf/hfn029
M3 - Article
C2 - 19168520
SN - 1879-0844
VL - 11
SP - 205
EP - 213
JO - European Journal of Heart Failure
JF - European Journal of Heart Failure
IS - 2
ER -
