J Korean Phys Ther.  2018 Oct;30(5):181-186. 10.18857/jkpt.2018.30.5.181.

Influence of Home Based Exercise Intensity on the Aerobic Capacity and 1 Year Re-Hospitalization Rate in Patients with Chronic Heart Failure

Affiliations
  • 1Cardiac Wellness Center, Severance Cardiovascular Hospital, Yonsei University Health System, Seoul, Korea.
  • 2Department of Physical Therapy, College of Life & Health Science, Hoseo University, Asan, Korea. kskim68@hoseo.edu

Abstract

PURPOSE
This study investigated the effects of home-based exercise intensity on the aerobic capacity and 1 year re-hospitalization rate in patients with chronic heart failure (CHF).
METHODS
Forty seven patients with CHF (males 33, females 14, age 61.3±9.8 years) participated in this study. The patients were allocated randomly to 3 groups in accordance with home-based exercise intensity: no home based exercise (NHE, 40%, n=19), moderate intensity home-based exercise (MIHE, 43%, n=20), and high intensity home based exercise (HIHE, 17%, n=8). All patients completed the symptom-limited cardiopulmonary exercise (CPX) test safely at the cardiac rehabilitation hospital.
RESULTS
The NHE group significantly showed lower peak VO2 and a higher VE/VCO2 slope than the MIHE (p < 0.05) and HIHE (p < 0.01) groups. On the other hand, the NHE group did not show significant differences in the other hemodynamic responses, such as heart rate (HR) max, HR reserve, maximal systolic blood pressure (SBP), and SBP reserve. Nine out of 19 NHE patients (47%) were re-hospitalized related to heart disease and two out of 20 MIHE (10%) patients were re-hospitalized, but nobody in the HIHE group were re-hospitalized within 1 year from the CPX test.
CONCLUSION
In patients with CHF, home-based self-exercise is one of the important factors for reducing the re-hospitalization rate. In addition, improved aerobic capacity is strongly associated with a lower re-hospitalization rate. In particular, re-hospitalized CHF patients showed significant differences in respiratory parameters and hemodynamic parameters compared to the non-re-hospitalized patients.

Keyword

Heart failure; Aerobic capacity; Self-management

MeSH Terms

Blood Pressure
Female
Hand
Heart Diseases
Heart Failure*
Heart Rate
Heart*
Hemodynamics
Humans
Rehabilitation
Self Care
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