Therapeutic Effects of Exercise Training On Selected Cardio-Pulmonary Parameters and Body Composition of Nigerians with Chronic Heart Failure (A Preliminary Study).

O A Ajiboye, C N Anigbogu, J N Ajuluchukwu, S I Jaja
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Abstract

Background: The use of exercise training in the management of individuals with chronic heart failure has not been widely accepted by health care providers especially in Sub-Saharan Africa because of the possibility that the failing hearts may have a negative response to the increased workload and stress of exercise.

Objective: The study aimed to evaluate the effects of exercise training (ET) on selected cardio-respiratory and body composition variables of Nigerians with chronic heart failure (CHF).

Methods: Thirty two Nigerians with CHF (male - 17), aged 30 to 71 years, mean age 54.2 ± 1.9 years and New York Heart Association Functional Class (NYHA) II-III recruited from Cardiology Clinic of Lagos University Teaching Hospital Nigeria participated in the study. They were randomized into exercise (EG) and control groups (CG). Exercise group performed 12-weeks of aerobic and resistance training for 60 minutes, three sessions per week. Selected cardio-respiratory and body composition variables were measured pre and post intervention in both groups. Data was analyzed using SPSS-17 package. Level of significance was set at 0.05.

Results: There was no significant difference in the measured variables between the groups at baseline (p > 0.05). Significant improvement was seen in EG in all the measured variables except the systolic (p = 0.29) and diastolic blood pressure (p = 0.45). No adverse effect was observed during the exercise training. No significant improvement was observed in the control group (p > 0.05).

Conclusion: Exercise training may improve cardiorespiratory and body composition variables in patients with chronic heart failure.

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运动训练对尼日利亚慢性心力衰竭患者选定的心肺参数和身体成分的治疗作用(初步研究)
背景:在慢性心力衰竭患者的管理中使用运动训练尚未被卫生保健提供者广泛接受,特别是在撒哈拉以南非洲,因为心力衰竭可能会对增加的工作量和运动压力产生负面反应。目的:本研究旨在评估运动训练(ET)对尼日利亚慢性心力衰竭(CHF)患者心肺和身体组成变量的影响。方法:从尼日利亚拉各斯大学教学医院心脏科诊所招募32名尼日利亚CHF患者(男- 17岁),年龄30 ~ 71岁,平均年龄54.2±1.9岁,纽约心脏协会功能分级(NYHA) II-III级。随机分为运动组(EG)和对照组(CG)。运动组进行为期12周的有氧和阻力训练,每次60分钟,每周三次。在两组患者干预前和干预后测量选定的心肺和身体组成变量。数据分析采用SPSS-17软件包。显著性水平设为0.05。结果:两组在基线时各项指标比较,差异均无统计学意义(p > 0.05)。除收缩压(p = 0.29)和舒张压(p = 0.45)外,所有测量变量的EG均有显著改善。在运动训练期间未观察到不良反应。对照组无明显改善(p > 0.05)。结论:运动训练可以改善慢性心力衰竭患者的心肺和身体成分变量。
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