PMID- 19808280
OWN - NLM
STAT- MEDLINE
DCOM- 20091027
LR  - 20220409
IS  - 1941-3297 (Electronic)
IS  - 1941-3289 (Linking)
VI  - 1
IP  - 2
DP  - 2008 Jul
TI  - Waltz dancing in patients with chronic heart failure: new form of exercise 
      training.
PG  - 107-14
LID - 10.1161/CIRCHEARTFAILURE.108.765727 [doi]
AB  - BACKGROUND: There is evidence that aerobic exercise improves functional capacity 
      in patients with New York Heart Association (NYHA) class II and III chronic heart 
      failure. However, it is unknown whether dancing is safe and able to improve 
      functional capacity in patients with chronic heart failure. METHODS AND RESULTS: 
      We prospectively studied 130 patients with stable chronic heart failure (107 men; 
      mean age, 59+/-11 years) in New York Heart Association class II and III and left 
      ventricle ejection fraction <40%. Patients were randomized to supervised aerobic 
      exercise training at 70% of peak o(2) 3 times a week for 8 weeks (group E, n=44) 
      or to a dance protocol of alternate slow (5 minutes) and fast (3 minutes) waltz 
      lasting 21 minutes (group D, n=44). A group that did not undergo exercise 
      training served as control (group C, n=42). On study entry and at 8 weeks, all 
      patients underwent cardiopulmonary exercise testing on a cycle ergometer until 
      volitional fatigue, 2D-echo with Doppler, and endothelium-dependent dilation of 
      the brachial artery. Heart rate was 111+/-15 bpm during exercise training and 
      113+/-19 bpm during dancing (P=0.59). Peak o(2), anaerobic threshold, e/co(2) 
      slope, and o(2)/W slope were all similarly improved in both E and D groups (+16% 
      and 18%, 20% and 21%, 14% and 15%, 18% and 19%, respectively; P not significant 
      for all comparisons; P<0.001 versus controls). Endothelium-dependent relaxation 
      was also similarly improved (group E, from 2.6+/-1.3% to 5.2+/-1.5%, P<0.001 
      versus control; group D, from 2.2+/-1.4% to 5.0+/-1.5%, P<0.001 versus control 
      for both E and D). The change in peak o(2) in E and D groups was correlated with 
      changes in peak velocity of early filling wave/peak velocity of late filling 
      ratio (r=-0.58, P<0.001) and endothelium-dependent dilation (r=0.64, P<0.001). 
      Untoward events were rare in both E and D groups. CONCLUSIONS: In patients with 
      stable chronic heart failure, waltz dancing is safe and able to improve 
      functional capacity and endothelium-dependent dilation similar to traditional 
      aerobic exercise training. Waltz dancing may be considered in clinical practice 
      in combination with aerobic exercise training or as an alternative to it.
FAU - Belardinelli, Romualdo
AU  - Belardinelli R
AD  - Cardiologia Riabilitativa, Presidio Cardiologico Lancisi, Ospedali Riuniti, 
      Ancona, Via Conca 71, 60020 Ancona, Italy. 
      r.belardinelli@ao-umbertoprimo.marche.it
FAU - Lacalaprice, Francesca
AU  - Lacalaprice F
FAU - Ventrella, Chiara
AU  - Ventrella C
FAU - Volpe, Loretta
AU  - Volpe L
FAU - Faccenda, Ernesto
AU  - Faccenda E
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Randomized Controlled Trial
DEP - 20080528
PL  - United States
TA  - Circ Heart Fail
JT  - Circulation. Heart failure
JID - 101479941
SB  - IM
MH  - *Dancing
MH  - Echocardiography, Doppler
MH  - Exercise Test
MH  - Exercise Therapy/*methods
MH  - Exercise Tolerance/*physiology
MH  - Female
MH  - Follow-Up Studies
MH  - Heart Failure/diagnosis/physiopathology/*rehabilitation
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Prospective Studies
MH  - Quality of Life
MH  - Stroke Volume/physiology
MH  - Treatment Outcome
MH  - Vasodilation
EDAT- 2008/07/01 00:00
MHDA- 2009/10/29 06:00
CRDT- 2009/10/08 06:00
PHST- 2009/10/08 06:00 [entrez]
PHST- 2008/07/01 00:00 [pubmed]
PHST- 2009/10/29 06:00 [medline]
AID - CIRCHEARTFAILURE.108.765727 [pii]
AID - 10.1161/CIRCHEARTFAILURE.108.765727 [doi]
PST - ppublish
SO  - Circ Heart Fail. 2008 Jul;1(2):107-14. doi: 10.1161/CIRCHEARTFAILURE.108.765727. 
      Epub 2008 May 28.