Effects of Exercise Training versus Attention on Plasma B‐type Natriuretic Peptide, 6‐Minute Walk Test and Quality of Life in Individuals with Heart Failure
Effects of Exercise Training versus Attention on Plasma B‐type Natriuretic Peptide, 6‐Minute Walk Test and Quality of Life in Individuals with Heart Failure
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运动训练与注意力对心力衰竭患者血浆 B 型钠尿肽、6 分钟步行测试和生活质量的影响
DOI：
10.1097/01823246-201223040-00004
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发表时间：
2012
期刊：
影响因子：
--
通讯作者：
S. Krueger
中科院分区：
文献类型：
--
作者：
J. Norman;B. Pozehl;K. Duncan;M. Hertzog;S. Krueger
目的：本研究的目的是比较运动训练组(EX)和注意控制组(AT-C)，以更具体地评估运动训练对心力衰竭(HF)个体的影响。方法：42例心衰患者被随机分为AT-C组或EX组，研究人员互动的频率和形式相同。分别于基线、12周和24周测定B型利钠肽(BNP)、6分钟步行试验(6-MWT)和堪萨斯城心肌病问卷(KCCQ)。结果：随着时间的推移，AT-C中BNP呈增加趋势，而EX中BNP保持稳定。6-MWT在12周时有显著变化，24周时有进一步改善，而AT-C在24周时有明显变化。结论：注意力本身不足以积极影响BNP水平或6-MWT距离，但确实对24周后的生活质量有积极影响。尽管锻炼提供了更多的好处，但无法参加锻炼计划的心力衰竭患者仍然可以通过参加讨论与心力衰竭相关话题的同伴支持小组来获得生活质量方面的好处。
Purpose: The purpose of this study was to compare an Exercise Training Group (EX) with an Attention‐Control Group (AT‐C) to more specifically assess the impact of exercise training on individuals with heart failure (HF). Methods: Forty‐two individuals with HF were randomized to AT‐C or EX that met with the same frequency and format of investigator interaction. Baseline, 12‐ and 24‐week measurements of B‐type naturetic peptide (BNP), 6‐minute walk test (6‐MWT), and the Kansas City Cardiomyopathy Questionnaire (KCCQ) were obtained. Results: BNP tended to increase in the AT‐C while remaining stable in the EX over time. A clinically significant increase in 6‐MWT was demonstrated by the EX but not the AT‐C. The EX achieved a clinically significant change on the KCCQ at 12 weeks, with further improvement by 24 weeks, while the AT‐C demonstrated a clinically significant change at 24 weeks. Conclusions: Attention alone was inadequate to positively impact BNP levels or 6‐MWT distances, but did have a positive impact on quality of life after 24 weeks. Although exercise offers enhanced benefits, individuals with HF unable to participate in an exercise program may still gain quality of life benefits from participation in a peersupport group that discusses topics pertinent to HF.
针对心力衰竭患者完成有氧运动和阻力运动联合训练的自我指导依从性管理计划。
DOI：
10.1016/j.apnr.2009.08.003
发表时间：
2011
期刊：
Applied nursing research : ANR
影响因子：
--
作者：
Duncan,Kathleen;Pozehl,Bunny;Norman,JosephF;Hertzog,Melody
通讯作者：
Hertzog,Melody
影响因子：
120.7
作者：
Flynn, Kathryn E.;Pina, Ileana L.;Whellan, David J.;Lin, Li;Blumenthal, James A.;Ellis, Stephen J.;Fine, Lawrence J.;Howlett, Jonathan G.;Keteyian, Steven J.;Kitzman, Dalane W.;Kraus, William E.;Miller, Nancy Houston;Schulman, Kevin A.;Spertus, John A.;O'Connor, Christopher M.;Weinfurt, Kevin P.
通讯作者：
Weinfurt, Kevin P.
影响因子：
120.7
作者：
O'Connor, Christopher M.;Whellan, David J.;Lee, Kerry L.;Keteyian, Steven J.;Cooper, Lawton S.;Ellis, Stephen J.;Leifer, Eric S.;Kraus, William E.;Kitzman, Dalane W.;Blumenthal, James A.;Rendall, David S.;Miller, Nancy Houston;Fleg, Jerome L.;Schulman, Kevin A.;McKelvie, Robert S.;Zannad, Faiez;Pina, Ileana L.
通讯作者：
Pina, Ileana L.