Format

Send to

Choose Destination
Eur J Heart Fail. 2009 Feb;11(2):205-13. doi: 10.1093/eurjhf/hfn029.

A randomized trial of the addition of home-based exercise to specialist heart failure nurse care: the Birmingham Rehabilitation Uptake Maximisation study for patients with Congestive Heart Failure (BRUM-CHF) study.

Author information

1
Department of Public Health and Epidemiology, University of Birmingham, Public Health Building, and University Department of Medicine, City Hospital, Birmingham B15 2TT, UK. c.b.jolly@bham.ac.uk

Abstract

AIMS:

Supervised exercise can benefit selected patients with heart failure, however the effectiveness of home-based exercise remains uncertain. We aimed to assess the effectiveness of a home-based exercise programme in addition to specialist heart failure nurse care.

METHODS AND RESULTS:

This was a randomized controlled trial of a home-based walking and resistance exercise programme plus specialist nurse care (n=84) compared with specialist nurse care alone (n=85) in a heart failure population in the West Midlands, UK.

PRIMARY OUTCOME:

Minnesota Living with Heart Failure Questionnaire (MLwHFQ) at 6 and 12 months.

SECONDARY OUTCOMES:

composite of death, hospital admission with heart failure or myocardial infarction; psychological well-being; generic quality of life (EQ-5D); exercise capacity. There was no statistically significant difference between groups in the MLwHFQ at 6 month (mean, 95% CI) (-2.53, -7.87 to 2.80) and 12 month (-0.55, -5.87 to 4.76) follow-up or secondary outcomes with the exception of a higher EQ-5D score (0.11, 0.04 to 0.18) at 6 months and lower Hospital Anxiety and Depression Scale score (-1.07, -2.00 to -0.14) at 12 months, in favour of the exercise group. At 6 months, the control group showed deterioration in physical activity, exercise capacity, and generic quality of life.

CONCLUSION:

Home-based exercise training programmes may not be appropriate for community-based heart failure patients.

PMID:
19168520
PMCID:
PMC2639417
DOI:
10.1093/eurjhf/hfn029
[Indexed for MEDLINE]
Free PMC Article

Supplemental Content

Full text links

Icon for Wiley Icon for PubMed Central
Loading ...
Support Center