Usefulness of a home-based exercise program for overweight and obese patients with advanced heart failure

Lorraine Evangelista, Lynn V. Doering, Terry Lennie, Debra K. Moser, Michele A. Hamilton, Gregg C. Fonarow, Kathleen Dracup

Research output: Contribution to journalArticle

26 Citations (Scopus)

Abstract

Exercise is an important behavior for long-term weight control in overweight and obese patients. However, little evidence exists confirming such findings in patients with advanced heart failure (HF). Using a prospective, experimental design, the effects of 24 weeks of a low-level, home-based walking program on weight loss were studied in overweight and obese (body mass index <27 kg/m2) patients with advanced HF who were randomized to exercise (n = 48) and control (n = 51) groups. Weight changes between the 2 groups at baseline and 6 months were compared using repeated-measures analysis of variance. Patients were on average aged 53.3 ± 10.1 years and predominantly male (75%), Caucasian (57%), and married (55%). Most patients were in New York Heart Association class III or IV (67%), with a mean ejection fraction of 25%. Patients in the exercise group showed significant weight reduction from baseline to 6 months compared with those in the control group (-6.37 ± 11.7 vs -0.33 ± 9.3 kg, p = 0.002). No significant differences were noted between the 2 groups in 6-minute walk distance or depression, although the changes were in the anticipated direction. Modest weight losses of >5% were associated with cardiopulmonary exercise test-documented workload levels at 6 months (r = 0.331, p = 0.006), as well as decreased depression (r = -0.315, p = 0.01) and hostility (r = -0.355, p = 0.005). The number of hospital admissions was significantly smaller for patients in the exercise group compared with those in the control group (0.63 ± 0.94 vs 1.07 ± 0.95, p <0.05). In conclusion, the findings demonstrate the beneficial effects of a low-level, home-based walking program on weight loss in overweight and obese patients with advanced HF.

Original languageEnglish (US)
Pages (from-to)886-890
Number of pages5
JournalAmerican Journal of Cardiology
Volume97
Issue number6
DOIs
StatePublished - Mar 15 2006
Externally publishedYes

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Heart Failure
Exercise
Weight Reduction Programs
Walking
Hostility
Workload
Exercise Test
Body Mass Index
Research Design
Depression
Weights and Measures
Control Groups

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Usefulness of a home-based exercise program for overweight and obese patients with advanced heart failure. / Evangelista, Lorraine; Doering, Lynn V.; Lennie, Terry; Moser, Debra K.; Hamilton, Michele A.; Fonarow, Gregg C.; Dracup, Kathleen.

In: American Journal of Cardiology, Vol. 97, No. 6, 15.03.2006, p. 886-890.

Research output: Contribution to journalArticle

Evangelista, Lorraine ; Doering, Lynn V. ; Lennie, Terry ; Moser, Debra K. ; Hamilton, Michele A. ; Fonarow, Gregg C. ; Dracup, Kathleen. / Usefulness of a home-based exercise program for overweight and obese patients with advanced heart failure. In: American Journal of Cardiology. 2006 ; Vol. 97, No. 6. pp. 886-890.
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