Aktywność fizyczna i trening wysiłkowy u osób z niewydolnością serca – czy to możliwe?

Autorzy

Eliza Barczyk
studenckie koło naukowe przy katedrze i zakładzie biofizyki im. prof. zbigniewa religi, wydział nauk medycznych w katowicach, śląski, uniwersytet medyczny w katowicach
Wojciech Dobczyński

Streszczenie

Jak powszechnie wiadomo ćwiczenia wytrzymałościowe powodują fizjologiczne zwiększone szczytowe zużycie tlenu. W niewydolności serca wysiłek nie jest dobrze tolerowany co znacznie obniża jakość życia oraz wiąże się ze zwiększonym współczynnikiem śmiertelności. Z drugiej strony trening aerobowy jest zalecany jako forma rehabilitacji kardiologicznej, która jest bezpieczna i znacząco poprawia parametry sprawności fizycznej.

Bibliografia

Mueller S, Winzer EB, Duvinage A, et al. Effect of High-Intensity Interval Training, Moderate Continuous Training, or Guideline-Based Physical Activity Advice on Peak Oxygen Consumption in Patients With Heart Failure With Preserved Ejection Fraction: A Randomized Clinical Trial. JAMA. 2021;325(6):542-551. doi:10.1001/jama.2020.26812

Del Buono MG, Arena R, Borlaug BA, et al. Exercise Intolerance in Patients With Heart Failure: JACC State-of-the-Art Review. J Am Coll Cardiol. 2019;73(17):2209-2225. doi:10.1016/j.jacc.2019.01.072

Sachdev V, Sharma K, Keteyian SJ, et al. Supervised Exercise Training for Chronic Heart Failure With Preserved Ejection Fraction: A Scientific Statement From the American Heart Association and American College of Cardiology. Circulation. 2023;147(16):e699-e715. doi:10.1161/CIR.0000000000001122

Marques-Sule E, Deka P, Almenar L, Pathak D, López-Vilella R, Klompstra L. Physical Activity Readiness in Patients with Heart Failure. Int J Environ Res Public Health. 2022;19(23):16332. Published 2022 Dec 6. doi:10.3390/ijerph192316332

GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017 [published correction appears in Lancet. 2019 Jun 22;393(10190):e44]. Lancet. 2018;392(10159):1789-1858. doi:10.1016/S0140-6736(18)32279-7

Yancy CW, Jessup M, Bozkurt B, et al. 2017 ACC/AHA/HFSA Focused Update of the 2013 ACCF/AHA Guideline for the Management of Heart Failure: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Failure Society of America. J Am Coll Cardiol. 2017;70(6):776-803. doi:10.1016/j.jacc.2017.04.025

Piepoli MF, Conraads V, Corrà U, et al. Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail. 2011;13(4):347-357. doi:10.1093/eurjhf/hfr017

Arena R, Myers J, Williams MA, et al. Assessment of functional capacity in clinical and research settings: a scientific statement from the American Heart Association Committee on Exercise, Rehabilitation, and Prevention of the Council on Clinical Cardiology and the Council on Cardiovascular Nursing. Circulation. 2007;116(3):329-343. doi:10.1161/CIRCULATIONAHA.106.184461

Guazzi M, Arena R, Halle M, Piepoli MF, Myers J, Lavie CJ. 2016 focused update: clinical recommendations for cardiopulmonary exercise testing data assessment in specific patient populations. Eur Heart J. 2018;39(14):1144-1161. doi:10.1093/eurheartj/ehw180

Guazzi M, Bandera F, Ozemek C, Systrom D, Arena R. Cardiopulmonary Exercise Testing: What Is its Value?. J Am Coll Cardiol. 2017;70(13):1618-1636. doi:10.1016/j.jacc.2017.08.012

Haykowsky M, Brubaker P, Kitzman D. Role of physical training in heart failure with preserved ejection fraction. Curr Heart Fail Rep. 2012 Jun;9(2):101-6. doi: 10.1007/s11897-012-0087-7. PMID: 22430146; PMCID: PMC4415355.

Borlaug BA, Olson TP, Lam CS, et al. Global cardiovascular reserve dysfunction in heart failure with preserved ejection fraction. J Am Coll Cardiol. 2010;56(11):845-854. doi:10.1016/j.jacc.2010.03.077

Abudiab MM, Redfield MM, Melenovsky V, et al. Cardiac output response to exercise in relation to metabolic demand in heart failure with preserved ejection fraction. Eur J Heart Fail. 2013;15(7):776-785. doi:10.1093/eurjhf/hft026

Borlaug BA. Mechanisms of exercise intolerance in heart failure with preserved ejection fraction. Circ J. 2014;78(1):20-32. doi:10.1253/circj.cj-13-1103

Giannitsi S, Bougiakli M, Bechlioulis A, Kotsia A, Michalis LK, Naka KK. 6-minute walking test: a useful tool in the management of heart failure patients. Ther Adv Cardiovasc Dis. 2019;13:1753944719870084. doi:10.1177/1753944719870084

Ponikowski P, Voors AA, Anker SD, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The Task Force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC)Developed with the special contribution of the Heart Failure Association (HFA) of the ESC [published correction appears in Eur Heart J. 2016 Dec 30;:]. Eur Heart J. 2016;37(27):2129-2200. doi:10.1093/eurheartj/ehw128

Mueller S, Winzer EB, Duvinage A, et al. Effect of High-Intensity Interval Training, Moderate Continuous Training, or Guideline-Based Physical Activity Advice on Peak Oxygen Consumption in Patients With Heart Failure With Preserved Ejection Fraction: A Randomized Clinical Trial. JAMA. 2021;325(6):542-551. doi:10.1001/jama.2020.26812

Fukuta H, Goto T, Wakami K, Kamiya T, Ohte N. Effects of exercise training on cardiac function, exercise capacity, and quality of life in heart failure with preserved ejection fraction: a meta-analysis of randomized controlled trials. Heart Fail Rev. 2019;24(4):535-547. doi:10.1007/s10741-019-09774-5

Amjad A, Brubaker PH, Upadhya B. Exercise training for prevention and treatment of older adults with heart failure with preserved ejection fraction. Exp Gerontol. 2021;155:111559. doi:10.1016/j.exger.2021.111559

Sachdev V, Sharma K, Keteyian SJ, et al. Supervised Exercise Training for Chronic Heart Failure With Preserved Ejection Fraction: A Scientific Statement From the American Heart Association and American College of Cardiology. J Am Coll Cardiol. 2023;81(15):1524-1542. doi:10.1016/j.jacc.2023.02.012

Pandey A, Parashar A, Kumbhani D, et al. Exercise training in patients with heart failure and preserved ejection fraction: meta-analysis of randomized control trials. Circ Heart Fail. 2015;8(1):33-40. doi:10.1161/CIRCHEARTFAILURE.114.001615

Hwang CL, Chien CL, Wu YT. Resistance training increases 6-minute walk distance in people with chronic heart failure: a systematic review. J Physiother. 2010;56(2):87-96. doi:10.1016/s1836-9553(10)70038-2

Anagnostakou V, Chatzimichail K, Dimopoulos S, et al. Effects of interval cycle training with or without strength training on vascular reactivity in heart failure patients. J Card Fail. 2011;17(7):585-591. doi:10.1016/j.cardfail.2011.02.009

Wang C, Xing J, Zhao B, et al. The Effects of High-Intensity Interval Training on Exercise Capacity and Prognosis in Heart Failure and Coronary Artery Disease: A Systematic Review and Meta-Analysis. Cardiovasc Ther. 2022;2022:4273809. Published 2022 Jun 9. doi:10.1155/2022/4273809

Morris BA, Sinaei R, Smart NA. Resistance is not futile: a systematic review of the benefits, mechanisms and safety of resistance training in people with heart failure. Heart Fail Rev. Published online April 15, 2024. doi:10.1007/s10741-024-10402-0

Kenchaiah S, Evans JC, Levy D, et al. Obesity and the risk of heart failure. N Engl J Med. 2002;347(5):305-313. doi:10.1056/NEJMoa020245

Kenchaiah S, Sesso HD, Gaziano JM. Body mass index and vigorous physical activity and the risk of heart failure among men. Circulation. 2009;119(1):44-52. doi:10.1161/CIRCULATIONAHA.108.807289

Pandey A, Patel KV, Vaduganathan M, et al. Physical Activity, Fitness, and Obesity in Heart Failure With Preserved Ejection Fraction. JACC Heart Fail. 2018;6(12):975-982. doi:10.1016/j.jchf.2018.09.006

Brubaker PH, Nicklas BJ, Houston DK, et al. A Randomized, Controlled Trial of Resistance Training Added to Caloric Restriction Plus Aerobic Exercise Training in Obese Heart Failure With Preserved Ejection Fraction. Circ Heart Fail. 2023;16(2):e010161. doi:10.1161/CIRCHEARTFAILURE.122.010161

Malandish A, Gulati M. The impacts of exercise interventions on inflammaging markers in overweight/obesity patients with heart failure: A systematic review and meta-analysis of randomized controlled trials. Int J Cardiol Heart Vasc. 2023;47:101234. Published 2023 Jun 27. doi:10.1016/j.ijcha.2023.101234

Mora S, Redberg RF, Sharrett AR, Blumenthal RS. Enhanced risk assessment in asymptomatic individuals with exercise testing and Framingham risk scores. Circulation. 2005;112(11):1566-1572. doi:10.1161/CIRCULATIONAHA.105.542993

Lindgren M, Börjesson M. The importance of physical activity and cardiorespiratory fitness for patients with heart failure. Diabetes Res Clin Pract. 2021;176:108833. doi:10.1016/j.diabres.2021.108833

Pelliccia A, Sharma S, Gati S, et al. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease [published correction appears in Eur Heart J. 2021 Feb 1;42(5):548-549]. Eur Heart J. 2021;42(1):17-96. doi:10.1093/eurheartj/ehaa605

Cider A, Tygesson H, Hedberg M, Seligman L, Wennerblom B, Sunnerhagen KS. Peripheral muscle training in patients with clinical signs of heart failure. Scand J Rehabil Med. 1997;29(2):121-127.

Gomes Neto M, Ferrari F, Helal L, Lopes AA, Carvalho VO, Stein R. The impact of high-intensity inspiratory muscle training on exercise capacity and inspiratory muscle strength in heart failure with reduced ejection fraction: a systematic review and meta-analysis. Clin Rehabil. 2018;32(11):1482-1492. doi:10.1177/0269215518784345

Sadek Z, Salami A, Joumaa WH, Awada C, Ahmaidi S, Ramadan W. Best mode of inspiratory muscle training in heart failure patients: a systematic review and meta-analysis. Eur J Prev Cardiol. 2018;25(16):1691-1701. doi:10.1177/2047487318792315

Opublikowane

13 sierpnia 2024