key message

– There was no evidence of a difference in death from any cause in heart failure patients compared with no exercise. Participation in exercise-based cardiac rehabilitation is likely to reduce the risk of all-cause hospitalization and heart failure-related hospitalization, and improves health-related quality of life as assessed by the Living with Heart Failure in Minnesota survey. This can lead to important improvements.

– Importantly, this latest review provides additional evidence supporting the use of alternative modes of exercise-based cardiac rehabilitation delivery, including home-based and digital assistance programs.

– Future studies should recruit people who don’t usually appear in research, such as older patients, women with heart failure, and heart failure patients with preserved ejection fraction.

What is heart failure?

Heart failure is a condition in which the heart is unable to pump blood around the body properly. People with heart failure experience fatigue and shortness of breath. This can make daily life difficult and affect people’s quality of life. People with heart failure are at increased risk of hospitalization and death.

What is cardiac rehabilitation?

Cardiac rehabilitation aims to help people recover from heart problems, including heart failure. Cardiac rehabilitation programs may include exercise training and education about lifestyle and risk factor management, as well as counseling and psychological support.

What did we want to know?

We wanted to know whether exercise-based rehabilitation was more effective in improving outcomes than no exercise.

– Number of deaths

– hospitalization

– Health-related quality of life

what did we do?

We searched for studies that evaluated the effects of exercise-based cardiac rehabilitation in patients with heart failure. We compared and summarized the results of related studies and assessed confidence in the evidence based on factors such as study method and size.

What did we find?

We found 60 studies involving 8,728 heart failure patients. The study was conducted in countries around the world. About 40% of the people come from his two large studies. All studies lasted approximately 6 months or longer.

Participating in exercise-based cardiac rehabilitation:

– Likely to reduce the risk of hospitalization for heart failure of any cause for up to 12 months from the start of the study.
• There is probably little difference in the risk of death from any cause.
• May improve health-related quality of life as measured by the Minnesota Heart Failure Lifestyle Survey.

The effects of exercise-based cardiac rehabilitation appear to be consistent.

• Whether the birth will take place in a hospital or medical center or at home.
• Regardless of the amount of exercise or whether the program includes other components such as education or counseling.
• Regardless of the type of training (aerobic training only or a combination of aerobic and resistance training).

What are the limits of the evidence?

Our confidence in the evidence is limited because not all studies use robust methods. Further research is needed to evaluate the impact of alternative models of exercise-based rehabilitation compared to traditional center-based programs, especially home-based digital assistance programs. Future studies will strengthen the generalizability of the study population (women, older adults, and patients with heart failure with preserved ejection fraction remain underrepresented in the study population), exercise training, and long-term maintenance of results. Consideration should be given to applying interventions to And it costs money.

How current is this evidence?

This review updates our previous review in 2018. The evidence is from him through December 2021.