Heart failureUsefulness of a Home-Based Exercise Program for Overweight and Obese Patients With Advanced Heart Failure
Section snippets
Setting and participants
The present study was a substudy of a larger prospective, controlled trial of patients with advanced HF who participated in a 6-month, supervised, home-based walking program designed to measure clinical outcomes, including mortality and rehospitalization events. Only data from overweight and obese patients (BMI ≥27 kg/m2) who completed the 6-month follow-up (n = 99, or 57.2% of the 173 patients who enrolled in the parent study) were analyzed for this study. The participants were randomized to
Results
A total of 110 participants in the parent study met the criteria for overweight and obesity (exercise group n = 53, control group n = 57), but only 99 patients (exercise group n = 48, control group n = 51) had complete baseline and 6-month follow-up data for the present analyses. However, there were no differences in the baseline demographic and clinical characteristics of participants who were included or excluded for this substudy. The mean age of participants was 53.34 ± 10.1 years, with no
Discussion
Our findings are comparable with those of other studies examining overweight and obese but otherwise healthy adults that show that exercisers lose significantly more weight during treatment than nonexercisers.8 Our findings confirm the beneficial effects of a low-level, home-based exercise program on weight loss in overweight and obese patients with systolic HF. These findings challenge the assumption that patients with relatively advanced HF who have the double burden of obesity have
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Cited by (0)
This research was partially supported by a grant from the American Heart Association Western Division, California (National Cardiovascular Research, 133-09, principal investigator: Dr. Dracup).