■运动训练通常被用作心力衰竭患者的有效补充治疗。但是最佳的运动方案仍然存在争议。这项审查的目的是比较高强度间歇训练(HIIT)和中等强度连续训练(MICT)对运动能力的影响,心功能,射血分数降低的心力衰竭患者的生活质量(QoL)和心率。
■从成立到2023年7月5日,使用以下八个数据库进行了系统搜索:PubMed,WebofScience,Embase,科克伦图书馆,临床试验,中国知网,万方数据,和中国生物医学数据库。荟萃分析结果以平均差(MD)和95%置信区间(CI)表示。Cochrane偏差风险工具用于纳入的研究。建议评估的分级,发展,评估用于评估证据的确定性。
■本研究纳入了13项随机对照试验。结果表明,HIIT对峰值摄氧量有显著的正效应(MD=1.78,95%CI为0.80-2.76),左心室射血分数(MD=3.13,1.25-5.02的95%CI),六分钟步行测试(MD=28.13,95%CI为14.56-41.70),与MICT相比,明尼苏达州心力衰竭生活问卷(MD=-4.45,-6.25至-2.64的95%CI)。然而,静息心率和峰值心率无统计学差异.
■HIIT显著提高了峰值摄氧量,左心室射血分数,六分钟步行测试,和明尼苏达州生活在心力衰竭患者的心力衰竭问卷与降低射血分数。此外,HIIT在改善体重指数较低的患者的峰值摄氧量方面表现出更大的效果。
■https://www.doi.org/10.37766/inplasy2023.7.0100,标识符(INPLASY2023.7.0100)。
UNASSIGNED: Exercise training is commonly employed as a efficacious supplementary treatment for individuals suffering from heart failure, but the optimal exercise regimen is still controversial. The objective of the
review was to compare the effects of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on the exercise capacity, cardiac function, quality of life (QoL) and heart rate among patients with heart failure with reduced ejection fraction.
UNASSIGNED: A systematic search was performed using the following eight databases from their inception to July 5, 2023: PubMed, Web of Science, Embase, Cochrane Library, Clinical Trials, China Knowledge Network, Wan fang Data, and the China Biology Medicine databases. The meta-analysis results were presented as mean difference (MD) and 95% confidence interval (CI). The Cochrane Risk of Bias tool was used for the included studies. The Grading of Recommendations Assessment, Development, and Evaluations was used to assess the certainty of evidence.
UNASSIGNED: Thirteen randomized controlled trials were included in the study. The results showed that HIIT had a significant positive effect on peak oxygen uptake (MD = 1.78, 95% CI for 0.80-2.76), left ventricular ejection fraction (MD = 3.13, 95% CI for 1.25-5.02), six-minute walk test (MD = 28.13, 95% CI for 14.56-41.70), and Minnesota Living with Heart Failure Questionnaire (MD = -4.45, 95% CI for -6.25 to -2.64) compared to MICT. However, there were no statistically significant differences observed in resting heart rate and peak heart rate.
UNASSIGNED: HIIT significantly improves peak oxygen uptake, left ventricular ejection fraction, six-minute walk test, and Minnesota Living with Heart Failure Questionnaire in patients with heart failure with reduced ejection fraction. Additionally, HIIT exhibits greater effectiveness in improving peak oxygen uptake among patients with lower body mass index.
UNASSIGNED: https://www.doi.org/10.37766/inplasy2023.7.0100, identifier (INPLASY2023.7.0100).