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Kalp Yetmezliğinde Fiziksel Aktivite: Engeller, Değerlendirme ve Geliştirme Yöntemleri Üzerine Bir Geleneksel Derleme

Year 2025, Volume: 10 Issue: 2, 323 - 328, 14.06.2025

Müge Dereli , Elvan Felekoğlu , İlknur Naz Gürşan

https://doi.org/10.61399/ikcusbfd.1583766

Abstract

Kalp yetmezliği, kardiyak disfonksiyona bağlı olarak gelişir ve kardiyovasküler bozuklukların son aşamasını oluşturur. Biyolojik, psikolojik ve sosyal faydaları nedeniyle düzenli fiziksel aktivitenin kalp yetmezliği yönetimindeki önemi vurgulanmakta ve çeşitli egzersiz yaklaşımlarının kalp yetmezliği tanılı hastalara uyarlanması önerilmektedir. Ancak klinisyenlerin kalp yetmezliği tanılı bireylerin fiziksel aktiviteye katılımını sağlamada semptom şiddeti (dispne, yorgunluk vb.), cinsiyet, motivasyon, hazırlık, mevsimsel koşullar ve finansal nedenler gibi engelleri göz önünde bulundurmaları gerekir. Aktivite düzeyi, anketler ve günlükler gibi öznel yöntemler; pedometreler ve ivme-ölçerler gibi nesnel yöntemler ile değerlendirilebilir. Gözetimli egzersiz (orta şiddetli-sürekli egzersiz eğitimi, yüksek-düşük yoğunluklu aralıklı eğitim, solunum kası eğitimi, kuvvet eğitimi veya Tai Chi), e-Sağlık uygulamaları, egzersiz oyunları veya kalp yaşı hesaplayıcılarının kalp yetmezliği tanılı bireylerde fiziksel aktiviteyi iyileştirdiği belirtilmektedir. Fiziksel aktivite programları kalp yetmezliğinde etkilidir ve davranış değişikliği, kardiyak risk yönetimi ve hasta eğitimini birleştiren bu programlar, aktif bir yaşam tarzı kazanmak için multidisipliner bir ekip eşliğinde grup veya merkez tabanlı ortamlarda uygulanmalıdır.

Keywords

Kalp yetmezliği kardiyovasküler hastalıklar fiziksel aktivite egzersiz sedanter yaşam

References

  • Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur. Heart J. 2016; 37:2129-2200m.
  • Groenewegen A, Rutten FH, Mosterd A, Hoes AW. Epidemiology of heart failure. Eur. J. Heart Fail. 2020; 22:1342–56.
  • Aune D, Sen A, Norat T, Janszky I, Romundstad P, Tonstad S, et al. Body mass index, abdominal fatness, and heart failure incidence and mortality: a systematic review and dose-response meta-analysis of prospective studies. Circulation. 2016;133;639–49.
  • Echouffo-Tcheugui JB, Butler J, Yancy C, Fonarow GC. Association of physical activity or fitness with incident heart failure: a systematic review and meta-analysis. Circ. Heart Fail. 2015; 8:853–61.
  • Aune D, Sen A, ó'Hartaigh B, Janszky I, Romundstad PR, Tonstad S, et al. Resting heart rate and the risk of cardiovascular disease, total cancer, and all-cause mortality-A systematic review and dose-response meta-analysis of prospective studies. Nutr. Metab. Cardiovasc. Dis. 2017; 27:504–17.
  • Rosengren A, Åberg M, Robertson J, Waern M, Schaufelberger M, Kuhn G, et al. Body weight in adolescence and long-term risk of early heart failure in adulthood among men in Sweden. Eur. Heart J. 2017;38:1926–33.
  • Björck L, Lundberg C, Schaufelberger M, Lissner L, Adiels M, Rosengren A. Body mass index in women aged 18 to 45 and subsequent risk of heart failure. Eur. J. Prev. Cardiol. 2020;27:1165–74.
  • Schwaab B, Henke N, Guha M, Schlitt A, Muller-Werdan U, Edelmann F, et al. Cardiac rehabilitation in patients with heart failure: Joint recommendations of the German Cardiac Society (DGK) and the German Society for Prevention and Rehabilitation of Cardiovascular Diseases (DGPR). Kardiologie. 2023;17:161–72.
  • Yin Ong JS, Lin W, Yeo TJ. The role of exercise-based cardiac rehabilitation in heart failure. Curr. Pharm. Des. 2023;29:494–501.
  • Jaarsma T, Klompstra L, Ben Gal T, Boyne J, Vellone E, Bäck M, et al. Increasing exercise capacity and quality of life of patients with heart failure through Wii gaming: the rationale, design and methodology of the HF‐Wii study; a multicentre randomized controlled trial. Eur. J. Heart Fail. 2015;17:743-8.
  • Ho FK, Zhou Z, Petermann-Rocha F, Para-Soto S, Boonpor J., Welsh, P, et al. Association between device-measured physical activity and incident heart failure: a prospective cohort study of 94 739 UK biobank participants. Circulation. 2022;146:883–891.
  • LaMonte MJ, Manson JE, Chomistek AK, Larson JC, Lewis CE, Bea JW, et al. Physical activity and incidence of heart failure in postmenopausal women. JACC. Heart Fail. 2018;6:983–95.
  • Aune D, Schlesinger S, Leitzmann MF, Tonstad S, Norat T, Riboli E, et al. Physical activity and the risk of heart failure: a systematic review and dose-response meta-analysis of prospective studies. Eur. J. Epidemiol. 2021;36:367–81.
  • Lindgren M, Börjesson M. The importance of physical activity and cardiorespiratory fitness for patients with heart failure. Diabetes Res. Clin. Pract. 2021;176:108833.
  • Pelliccia A, Sharma S, Gati S, Bäck M, Börjesson M, Caselli S, et al. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. Eur. Heart J. 2021;42:17–96.
  • Tian D, Meng J. Exercise for prevention and relief of cardiovascular disease: prognoses, mechanisms, and approaches. Oxid. Med. Cell. Longev. 2019;3756750.
  • Yancy CW, Jessup M, Bozkurt B, Butler J, Casey Jr DE, Colvin MM, et al. 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA Guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines and the Heart Failure Society of America. Circulation. 2017;136:e137–61.
  • Nieuwenhuis MMW, Jaarsma T, Van Veldhuisen DJ, Postmus D, Van Der Wal MHL. Long-term compliance with nonpharmacologic treatment of patients with heart failure. Am. J. Cardiol. 2012;110:392–7.
  • Amirova A, Taylor L, Volkmer B, Ahmed N, Chater AM, Fteropoulli T. Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure. Health Psychol. Rev. 2023;17:456–84.
  • Cewers E, Joensson A, Weinstein JM, Ben Gal T, Jaarsma T. Physical activity recommendations for patients with heart failure based on sex: A qualitative interview study. J. Rehabil. Med. 2019;51:532–8.
  • Albert NM, Forney J, Slifcak E, Sorrell J. Understanding physical activity and exercise behaviors in patients with heart failure. Heart Lung. 2015;44.2–8.
  • Ha FJ, Hare DL, Cameron JD, Toukhsati SR. Heart failure and exercise: a narrative review of the role of self-efficacy. Heart Lung Circ. 2018;27:22–27.
  • Pandey A, Kitzman D, Reeves G. Frailty is intertwined with heart failure: mechanisms, prevalence, prognosis, assessment, and management. JACC. Heart Fail 2019;7:1001–11.
  • Conraads VM, Deaton C, Piotrowicz E, Santaularia N, Tierney S, Piepoli MF, et al. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur. J. Heart Fail. 2012;14:451–8.
  • Pulignano G, Tinti MD, Del Sindaco D, Tolone S, Minardi G, Lax A, et al. Barriers to cardiac rehabilitation access of older heart failure patients and strategies for better implementation. Monaldi Arch. Chest Dis. 2016;84:1–2.
  • Law MR, Cheng L, Dhalla IA, Heard D, Morgan SG. The effect of cost on adherence to prescription medications in Canada. CMAJ. 2012;184:297–302.
  • Dhaliwal KK, King-Shier K, Manns BJ, Hemmelgarn BR, Stone JA, Campbell DJT. Exploring the impact of financial barriers on secondary prevention of heart disease. BMC Cardiovasc. Disord. 2017;17:61.
  • Klompstra L, Jaarsma T, Strömberg A, van der Wal MHL. Seasonal variation in physical activity in patients with heart failure. Heart Lung. 2019;48:381–5.
  • Doi S, Tamura A, Minagawa T, Osaka A, Sata M. Classification of physical activity in patients with heart failure categorized as New York Heart Association class I or II. J. Med. Invest.2020;67:124–33.
  • Ryan R, Deci E. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am. Psychol. 2000;55:68–78.
  • Marques-Sule E, Almenar L, Deka P, Pathak D, López-Vilella R, Klompstra L. Physical activity readiness in patients with heart failure. Int J Env. Res Public Heal. 2022;19:16332.
  • Prince SA, Adamo KB, Hamel ME, Hardt J, Connor Gorber S, Tremblay M. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5:56.
  • Garet M, Degache F, Costes F, Da-Costa A, Roche F. DAQIHF: methodology and validation of a daily activity questionnaire in heart failure. Med Sci Sports Exerc. 2004;36:1275–82.
  • Bort-Roig J, Gilson ND, Puig-Ribera A, Contreras RS, Trost SG. Measuring and influencing physical activity with smartphone technology: a systematic review. Sports Med. 2014;44:671–86.
  • Klompstra L, Kyriakou M, Lambrinou E, Piepoli MF, Coats AJ, Cohen‐Solal A, et al. Measuring physical activity with activity monitors in patients with heart failure: from literature to practice. A position paper from the Committee on Exercise Physiology and Training of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2021;23:83–91.
  • Kelly JP, Ballew NG, Lin L, Hammill BG, Stivland TM, Jones PW, et al. Association of implantable device measured physical activity with hospitalization for heart failure. JACC Heart Fail.2020;8:280–8.
  • Tan MKH, Wong JK, Bakrania K, Abdullahi Y, Harling L, Casula R, et al. Can activity monitors predict outcomes in patients with heart failure? A systematic review. Eur Hear J Qual Care Clin Outcomes. 2019;5:11–21.
  • David S, Kelly J, Levine JA, Koepp GA, Anstrom KJ, McNulty SE, et al. Accelerometer-measured daily activity in heart failure with preserved ejection fraction: clinical correlates and association with standard heart failure severity indices. Circ Hear Fail. 2017;10:e003878.
  • Dibben GO, Gandhi MM, Taylor RS, Dalal HM, Metcalf B, Doherty P, et al. Physical activity assessment by accelerometry in people with heart failure. BMC Sport Sci Med Rehabil. 2020;12:47.
  • Izawa KP, Kasahara Y, Watanabe S, Oka K, Brubaker PH, Kida K, et al. Association of objectively measured daily physical activity and health utility to disease severity in chronic heart failure patients: A cross-sectional study. Am Hear Hournal Plus Cardiol. Res Pract. 2021;10:2666–6022.
  • Wilhelm M. Exercise training and physical activity in patients with heart failure. Praxis (Bern. 1994). 2018;107:951–8.
  • Audrey B-S, Flávia RC, Renata GM. Exercise and Rehabilitation in Heart Failure. In Kalogeropoulos AP, Skopicki HA, Butler J Ed (eds). Heart Failure, 1st edn. CRC Press, Boca Raton.
  • Liu L, Chen J, Zhao N, Zhang M, Zhou L, Ren X, et al. Early exercise-based rehabilitation for patients with acute decompensated heart failure: a systemic review and meta-analysis. Rev Cardiovasc Med. 2022;23:356.
  • Enza N, Matsushima S, Kaku H, Tohyama T, Nezu T, Higuchi T, et al. Propensity-matched study of early cardiac rehabilitation in patients with acute decompensated heart failure. Circ Heart Fail. 2023;16:E010320.
  • Amirova A, Fteropoulli T, Williams P, Haddad M. Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis. Open Heart. 2022;8: e001687.
  • Piepoli MF, Conraads V, CorrÁ U, Dickstein K, Francis DP, Jaarsma T, et al. Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail. 2011;13:347–357.
  • Pan L, Yan J, Guo Y, Yan J. Effects of Tai Chi training on exercise capacity and quality of life in patients with chronic heart failure: a meta-analysis. Eur J Heart Fail. 2013;15:316–23.
  • Groehs RV, Antunes-Correa LM, Nobre TS, Alves MJNN, Rondon MUPB, Barreto ACP, et al. Muscle electrical stimulation improves neurovascular control and exercise tolerance in hospitalised advanced heart failure patients. Eur J Prev Cardiol. 2016;23:1599–1608.
  • Sharma A, Mentz RJ, Granger BB, Heitner JF, Cooper LB, Banerjee D et al. Utilizing mobile technologies to improve physical activity and medication adherence in patients with heart failure and diabetes mellitus: Rationale and design of the TARGET-HF-DM Trial Am Heart J. 2019;211:22–33.
  • Felker GM, Sharma A, Mentz RJ, She L, Green CL, Granger BB, et al. A randomized controlled trial of mobile health intervention in patients with heart failure and diabetes. J Card Fail. 2022;28:1575–83.
  • Nagatomi Y, Ide T, Higuchi T, Nezu T, Fujino T, Tohyama T, et al. Home-based cardiac rehabilitation using information and communication technology for heart failure patients with frailty. ESC Hear. Fail. 2022;9:2407–18.
  • Katayıfci N, Bosnak Guclu M, Sen F. A comparison of the effects of inspiratory muscle strength and endurance training on exercise capacity, respiratory muscle strength and endurance, and quality of life in pacemaker patients with heart failure: A randomized study. Heart Lung. 2022;55:49–58.
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  • Klompstra L, Jaarsma T, Strömberg A. Exergaming to increase the exercise capacity and daily physical activity in heart failure patients: a pilot study. BMC Geriatr. 2014;14:119.
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Physical Activity in Heart Failure: A Narrative Review on Barriers, Evaluation and Development Methods

Year 2025, Volume: 10 Issue: 2, 323 - 328, 14.06.2025

Müge Dereli , Elvan Felekoğlu , İlknur Naz Gürşan

https://doi.org/10.61399/ikcusbfd.1583766

Abstract

Heart failure develops due to cardiac dysfunction and forms the final stage of cardiovascular disorders. The importance of regular physical activity in the management of heart failure is emphasized due to the biological, psychological, and social benefits, and it is recommended that various exercise approaches be adapted to patients diagnosed with heart failure. However, clinicians need to consider barriers such as symptom severity (dyspnea, fatigue, etc.), gender, motivation, preparation, seasonal conditions, and financial reasons for physical activity. The activity level can be evaluated with questionnaires, diaries from subjective methods, pedometers, and accelerometers from objective methods. Supervised exercise (moderate intensity-continuous exercise training, high-low-intensity interval training, respiratory muscle training, strength training, or Tai Chi), e-Health applications, Exergaming, or heart age calculators improve physical activity in individuals with sedentary heart failure physical activity programs that combine behavior change, cardiac risk management, and patient education should be implemented in group or center-based settings, accompanied by a multidisciplinary team, to gain an active lifestyle in patients with heart failure.

Keywords

Heart failure cardiovascular diseases physical activity exercise sedentary life

References

  • Ponikowski P, Voors AA, Anker SD, Bueno H, Cleland JGF, Coats AJS, et al. 2016 ESC Guidelines for the diagnosis and treatment of acute and chronic heart failure: The task force for the diagnosis and treatment of acute and chronic heart failure of the European Society of Cardiology (ESC) developed with the special contribution of the Heart Failure Association (HFA) of the ESC. Eur. Heart J. 2016; 37:2129-2200m.
  • Groenewegen A, Rutten FH, Mosterd A, Hoes AW. Epidemiology of heart failure. Eur. J. Heart Fail. 2020; 22:1342–56.
  • Aune D, Sen A, Norat T, Janszky I, Romundstad P, Tonstad S, et al. Body mass index, abdominal fatness, and heart failure incidence and mortality: a systematic review and dose-response meta-analysis of prospective studies. Circulation. 2016;133;639–49.
  • Echouffo-Tcheugui JB, Butler J, Yancy C, Fonarow GC. Association of physical activity or fitness with incident heart failure: a systematic review and meta-analysis. Circ. Heart Fail. 2015; 8:853–61.
  • Aune D, Sen A, ó'Hartaigh B, Janszky I, Romundstad PR, Tonstad S, et al. Resting heart rate and the risk of cardiovascular disease, total cancer, and all-cause mortality-A systematic review and dose-response meta-analysis of prospective studies. Nutr. Metab. Cardiovasc. Dis. 2017; 27:504–17.
  • Rosengren A, Åberg M, Robertson J, Waern M, Schaufelberger M, Kuhn G, et al. Body weight in adolescence and long-term risk of early heart failure in adulthood among men in Sweden. Eur. Heart J. 2017;38:1926–33.
  • Björck L, Lundberg C, Schaufelberger M, Lissner L, Adiels M, Rosengren A. Body mass index in women aged 18 to 45 and subsequent risk of heart failure. Eur. J. Prev. Cardiol. 2020;27:1165–74.
  • Schwaab B, Henke N, Guha M, Schlitt A, Muller-Werdan U, Edelmann F, et al. Cardiac rehabilitation in patients with heart failure: Joint recommendations of the German Cardiac Society (DGK) and the German Society for Prevention and Rehabilitation of Cardiovascular Diseases (DGPR). Kardiologie. 2023;17:161–72.
  • Yin Ong JS, Lin W, Yeo TJ. The role of exercise-based cardiac rehabilitation in heart failure. Curr. Pharm. Des. 2023;29:494–501.
  • Jaarsma T, Klompstra L, Ben Gal T, Boyne J, Vellone E, Bäck M, et al. Increasing exercise capacity and quality of life of patients with heart failure through Wii gaming: the rationale, design and methodology of the HF‐Wii study; a multicentre randomized controlled trial. Eur. J. Heart Fail. 2015;17:743-8.
  • Ho FK, Zhou Z, Petermann-Rocha F, Para-Soto S, Boonpor J., Welsh, P, et al. Association between device-measured physical activity and incident heart failure: a prospective cohort study of 94 739 UK biobank participants. Circulation. 2022;146:883–891.
  • LaMonte MJ, Manson JE, Chomistek AK, Larson JC, Lewis CE, Bea JW, et al. Physical activity and incidence of heart failure in postmenopausal women. JACC. Heart Fail. 2018;6:983–95.
  • Aune D, Schlesinger S, Leitzmann MF, Tonstad S, Norat T, Riboli E, et al. Physical activity and the risk of heart failure: a systematic review and dose-response meta-analysis of prospective studies. Eur. J. Epidemiol. 2021;36:367–81.
  • Lindgren M, Börjesson M. The importance of physical activity and cardiorespiratory fitness for patients with heart failure. Diabetes Res. Clin. Pract. 2021;176:108833.
  • Pelliccia A, Sharma S, Gati S, Bäck M, Börjesson M, Caselli S, et al. 2020 ESC Guidelines on sports cardiology and exercise in patients with cardiovascular disease. Eur. Heart J. 2021;42:17–96.
  • Tian D, Meng J. Exercise for prevention and relief of cardiovascular disease: prognoses, mechanisms, and approaches. Oxid. Med. Cell. Longev. 2019;3756750.
  • Yancy CW, Jessup M, Bozkurt B, Butler J, Casey Jr DE, Colvin MM, et al. 2017 ACC/AHA/HFSA focused update of the 2013 ACCF/AHA Guideline for the management of heart failure: a report of the American College of Cardiology/American Heart Association task force on clinical practice guidelines and the Heart Failure Society of America. Circulation. 2017;136:e137–61.
  • Nieuwenhuis MMW, Jaarsma T, Van Veldhuisen DJ, Postmus D, Van Der Wal MHL. Long-term compliance with nonpharmacologic treatment of patients with heart failure. Am. J. Cardiol. 2012;110:392–7.
  • Amirova A, Taylor L, Volkmer B, Ahmed N, Chater AM, Fteropoulli T. Informing behaviour change intervention design using systematic review with Bayesian meta-analysis: physical activity in heart failure. Health Psychol. Rev. 2023;17:456–84.
  • Cewers E, Joensson A, Weinstein JM, Ben Gal T, Jaarsma T. Physical activity recommendations for patients with heart failure based on sex: A qualitative interview study. J. Rehabil. Med. 2019;51:532–8.
  • Albert NM, Forney J, Slifcak E, Sorrell J. Understanding physical activity and exercise behaviors in patients with heart failure. Heart Lung. 2015;44.2–8.
  • Ha FJ, Hare DL, Cameron JD, Toukhsati SR. Heart failure and exercise: a narrative review of the role of self-efficacy. Heart Lung Circ. 2018;27:22–27.
  • Pandey A, Kitzman D, Reeves G. Frailty is intertwined with heart failure: mechanisms, prevalence, prognosis, assessment, and management. JACC. Heart Fail 2019;7:1001–11.
  • Conraads VM, Deaton C, Piotrowicz E, Santaularia N, Tierney S, Piepoli MF, et al. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur. J. Heart Fail. 2012;14:451–8.
  • Pulignano G, Tinti MD, Del Sindaco D, Tolone S, Minardi G, Lax A, et al. Barriers to cardiac rehabilitation access of older heart failure patients and strategies for better implementation. Monaldi Arch. Chest Dis. 2016;84:1–2.
  • Law MR, Cheng L, Dhalla IA, Heard D, Morgan SG. The effect of cost on adherence to prescription medications in Canada. CMAJ. 2012;184:297–302.
  • Dhaliwal KK, King-Shier K, Manns BJ, Hemmelgarn BR, Stone JA, Campbell DJT. Exploring the impact of financial barriers on secondary prevention of heart disease. BMC Cardiovasc. Disord. 2017;17:61.
  • Klompstra L, Jaarsma T, Strömberg A, van der Wal MHL. Seasonal variation in physical activity in patients with heart failure. Heart Lung. 2019;48:381–5.
  • Doi S, Tamura A, Minagawa T, Osaka A, Sata M. Classification of physical activity in patients with heart failure categorized as New York Heart Association class I or II. J. Med. Invest.2020;67:124–33.
  • Ryan R, Deci E. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am. Psychol. 2000;55:68–78.
  • Marques-Sule E, Almenar L, Deka P, Pathak D, López-Vilella R, Klompstra L. Physical activity readiness in patients with heart failure. Int J Env. Res Public Heal. 2022;19:16332.
  • Prince SA, Adamo KB, Hamel ME, Hardt J, Connor Gorber S, Tremblay M. A comparison of direct versus self-report measures for assessing physical activity in adults: a systematic review. Int J Behav Nutr Phys Act. 2008;5:56.
  • Garet M, Degache F, Costes F, Da-Costa A, Roche F. DAQIHF: methodology and validation of a daily activity questionnaire in heart failure. Med Sci Sports Exerc. 2004;36:1275–82.
  • Bort-Roig J, Gilson ND, Puig-Ribera A, Contreras RS, Trost SG. Measuring and influencing physical activity with smartphone technology: a systematic review. Sports Med. 2014;44:671–86.
  • Klompstra L, Kyriakou M, Lambrinou E, Piepoli MF, Coats AJ, Cohen‐Solal A, et al. Measuring physical activity with activity monitors in patients with heart failure: from literature to practice. A position paper from the Committee on Exercise Physiology and Training of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2021;23:83–91.
  • Kelly JP, Ballew NG, Lin L, Hammill BG, Stivland TM, Jones PW, et al. Association of implantable device measured physical activity with hospitalization for heart failure. JACC Heart Fail.2020;8:280–8.
  • Tan MKH, Wong JK, Bakrania K, Abdullahi Y, Harling L, Casula R, et al. Can activity monitors predict outcomes in patients with heart failure? A systematic review. Eur Hear J Qual Care Clin Outcomes. 2019;5:11–21.
  • David S, Kelly J, Levine JA, Koepp GA, Anstrom KJ, McNulty SE, et al. Accelerometer-measured daily activity in heart failure with preserved ejection fraction: clinical correlates and association with standard heart failure severity indices. Circ Hear Fail. 2017;10:e003878.
  • Dibben GO, Gandhi MM, Taylor RS, Dalal HM, Metcalf B, Doherty P, et al. Physical activity assessment by accelerometry in people with heart failure. BMC Sport Sci Med Rehabil. 2020;12:47.
  • Izawa KP, Kasahara Y, Watanabe S, Oka K, Brubaker PH, Kida K, et al. Association of objectively measured daily physical activity and health utility to disease severity in chronic heart failure patients: A cross-sectional study. Am Hear Hournal Plus Cardiol. Res Pract. 2021;10:2666–6022.
  • Wilhelm M. Exercise training and physical activity in patients with heart failure. Praxis (Bern. 1994). 2018;107:951–8.
  • Audrey B-S, Flávia RC, Renata GM. Exercise and Rehabilitation in Heart Failure. In Kalogeropoulos AP, Skopicki HA, Butler J Ed (eds). Heart Failure, 1st edn. CRC Press, Boca Raton.
  • Liu L, Chen J, Zhao N, Zhang M, Zhou L, Ren X, et al. Early exercise-based rehabilitation for patients with acute decompensated heart failure: a systemic review and meta-analysis. Rev Cardiovasc Med. 2022;23:356.
  • Enza N, Matsushima S, Kaku H, Tohyama T, Nezu T, Higuchi T, et al. Propensity-matched study of early cardiac rehabilitation in patients with acute decompensated heart failure. Circ Heart Fail. 2023;16:E010320.
  • Amirova A, Fteropoulli T, Williams P, Haddad M. Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis. Open Heart. 2022;8: e001687.
  • Piepoli MF, Conraads V, CorrÁ U, Dickstein K, Francis DP, Jaarsma T, et al. Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail. 2011;13:347–357.
  • Pan L, Yan J, Guo Y, Yan J. Effects of Tai Chi training on exercise capacity and quality of life in patients with chronic heart failure: a meta-analysis. Eur J Heart Fail. 2013;15:316–23.
  • Groehs RV, Antunes-Correa LM, Nobre TS, Alves MJNN, Rondon MUPB, Barreto ACP, et al. Muscle electrical stimulation improves neurovascular control and exercise tolerance in hospitalised advanced heart failure patients. Eur J Prev Cardiol. 2016;23:1599–1608.
  • Sharma A, Mentz RJ, Granger BB, Heitner JF, Cooper LB, Banerjee D et al. Utilizing mobile technologies to improve physical activity and medication adherence in patients with heart failure and diabetes mellitus: Rationale and design of the TARGET-HF-DM Trial Am Heart J. 2019;211:22–33.
  • Felker GM, Sharma A, Mentz RJ, She L, Green CL, Granger BB, et al. A randomized controlled trial of mobile health intervention in patients with heart failure and diabetes. J Card Fail. 2022;28:1575–83.
  • Nagatomi Y, Ide T, Higuchi T, Nezu T, Fujino T, Tohyama T, et al. Home-based cardiac rehabilitation using information and communication technology for heart failure patients with frailty. ESC Hear. Fail. 2022;9:2407–18.
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There are 57 citations in total.

Details

Primary Language English
Subjects Physiotherapy
Journal Section Review
Authors

Müge Dereli 0000-0002-9494-5034

Elvan Felekoğlu 0000-0001-6633-1572

İlknur Naz Gürşan 0000-0003-1160-6561

Publication Date June 14, 2025
Submission Date November 12, 2024
Acceptance Date April 21, 2025
Published in Issue Year 2025 Volume: 10 Issue: 2

Cite

APA Dereli, M., Felekoğlu, E., & Naz Gürşan, İ. (2025). Physical Activity in Heart Failure: A Narrative Review on Barriers, Evaluation and Development Methods. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, 10(2), 323-328. https://doi.org/10.61399/ikcusbfd.1583766
AMA Dereli M, Felekoğlu E, Naz Gürşan İ. Physical Activity in Heart Failure: A Narrative Review on Barriers, Evaluation and Development Methods. İKÇÜSBFD. June 2025;10(2):323-328. doi:10.61399/ikcusbfd.1583766
Chicago Dereli, Müge, Elvan Felekoğlu, and İlknur Naz Gürşan. “Physical Activity in Heart Failure: A Narrative Review on Barriers, Evaluation and Development Methods”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 10, no. 2 (June 2025): 323-28. https://doi.org/10.61399/ikcusbfd.1583766.
EndNote Dereli M, Felekoğlu E, Naz Gürşan İ (June 1, 2025) Physical Activity in Heart Failure: A Narrative Review on Barriers, Evaluation and Development Methods. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 10 2 323–328.
IEEE M. Dereli, E. Felekoğlu, and İ. Naz Gürşan, “Physical Activity in Heart Failure: A Narrative Review on Barriers, Evaluation and Development Methods”, İKÇÜSBFD, vol. 10, no. 2, pp. 323–328, 2025, doi: 10.61399/ikcusbfd.1583766.
ISNAD Dereli, Müge et al. “Physical Activity in Heart Failure: A Narrative Review on Barriers, Evaluation and Development Methods”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 10/2 (June 2025), 323-328. https://doi.org/10.61399/ikcusbfd.1583766.
JAMA Dereli M, Felekoğlu E, Naz Gürşan İ. Physical Activity in Heart Failure: A Narrative Review on Barriers, Evaluation and Development Methods. İKÇÜSBFD. 2025;10:323–328.
MLA Dereli, Müge et al. “Physical Activity in Heart Failure: A Narrative Review on Barriers, Evaluation and Development Methods”. İzmir Katip Çelebi Üniversitesi Sağlık Bilimleri Fakültesi Dergisi, vol. 10, no. 2, 2025, pp. 323-8, doi:10.61399/ikcusbfd.1583766.
Vancouver Dereli M, Felekoğlu E, Naz Gürşan İ. Physical Activity in Heart Failure: A Narrative Review on Barriers, Evaluation and Development Methods. İKÇÜSBFD. 2025;10(2):323-8.
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