A Randomized Study Examining the Effects of Mild-to-Moderate Group Exercises on Cardiovascular, Physical, and Psychological Well-being in Patients With Heart Failure.
A Randomized Study Examining the Effects of Mild-to-Moderate Group Exercises on Cardiovascular, Physical, and Psychological Well-being in Patients With Heart Failure.
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一项随机研究，探讨轻度至中度团体运动对心力衰竭患者心血管、身体和心理健康的影响。
DOI：
10.1097/hcr.0000000000000430
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发表时间：
2019
影响因子：
3.8
通讯作者：
Smith,Barbara
中科院分区：
文献类型：
--
作者：
Redwine,LauraS;Wilson,Kathleen;Pung,MeredithA;Chinh,Kelly;Rutledge,Thomas;Mills,PaulJ;Smith,Barbara
目的：比较2轻中度组锻炼和治疗照常（TAU）改善身体功能和抑郁症状。方法：心力衰竭患者（n= 70，平均年龄= 66岁，范围= 45-89岁）被随机分配到16周的太极拳（TC），阻力带（RB）运动，或TAU.Results：身体功能不同的组从基线到随访，在6分钟步行试验（F= 3.19，P=. 001）步行距离测量。03）。太极参与者表现出162英尺的非显著性下降（95%置信区间[CI]，21至-345，P=. 08)而RB参与者的步行距离保持稳定，无显著性增加70英尺（95% CI，267至-127，P=. 48）。常规治疗组显著降低了205英尺（95% CI，-35至-374，P=. 02)收缩末期容积无组间差异（P=. 43)左室功能（LVEF）（P=. 67）。然而，随着时间的推移，贝克抑郁量表（F= 9.2，P<. 01）。TC组和RB组均改善（降低）3.5分（95% CI，2-5，P<0.05）。01）。常规治疗组无显著性降低1分（95% CI，-1至3，P=.结论：太极拳和RB参与者避免了TAU所见的身体功能下降。各组的心功能无变化。与TAU相比，TC和RB组的抑郁症状均有所减轻。因此，与TAU相比，TC和RB组均避免了身体功能的下降，并改善了心理功能。
Purpose:To compare 2 mild-to-moderate group exercises and treatment as usual (TAU) for improvements in physical function and depressive symptoms.Methods:Patients with heart failure (n= 70, mean age= 66 yr, range= 45-89 yr) were randomized to 16 wk of tai chi (TC), resistance band (RB) exercise, or TAU.Results:Physical function differed by group from baseline to follow-up, measured by distance walked in the 6-min walk test (F= 3.19, P=. 03). Tai chi participants demonstrated a nonsignificant decrease of 162 ft (95% confidence interval [CI], 21 to− 345, P=. 08) while distance walked by RB participants remained stable with a nonsignificant increase of 70 ft (95% CI, 267 to− 127, P=. 48). Treatment as usual group significantly decreased by 205 ft (95% CI,− 35 to− 374, P=. 02) and no group differences occurred over time in end-systolic volume (P=. 43) and left ventricular function (LVEF)(P=. 67). However, groups differed over time in the Beck Depression Inventory (F= 9.2, P<. 01). Both TC and RB groups improved (decreased) by 3.5 points (95% CI, 2-5, P<. 01). Treatment as usual group decreased insignificantly 1 point (95% CI,− 1 to 3, P=. 27).Conclusions:Tai chi and RB participants avoided a decrease in physical function decrements as seen with TAU. No groups changed in cardiac function. Both TC and RB groups saw reduced depression symptoms compared with TAU. Thus, both TC and RB groups avoided a decrease in physical function and improved their psychological function when compared with TAU.