PMID- 25261268
OWN - NLM
STAT- MEDLINE
DCOM- 20160802
LR  - 20151014
IS  - 2047-4881 (Electronic)
IS  - 2047-4873 (Linking)
VI  - 22
IP  - 11
DP  - 2015 Nov
TI  - Home-based telemonitored Nordic walking training is well accepted, safe, 
      effective and has high adherence among heart failure patients, including those 
      with cardiovascular implantable electronic devices: a randomised controlled 
      study.
PG  - 1368-77
LID - 10.1177/2047487314551537 [doi]
AB  - BACKGROUND: The benefits of rehabilitation in heart failure (HF) patients are 
      well established. Little is known about Nordic walking (NW) training in HF 
      patients especially in those with cardiovascular implantable electronic devices 
      (CIEDs). PURPOSE: The purpose of this study was to assess safety, effectiveness, 
      adherence to and acceptance of home-based telemonitored NW in HF patients, 
      including those with CIEDs (i.e. cardiac resynchronisation therapy, implantable 
      cardioverter-defibrillator). METHODS: The study design was a single-centre, 
      prospective, parallel-group, randomised (2:1), controlled trial among 111 HF 
      patients, New York Heart Association (NYHA) II-III; left ventricular ejection 
      fraction (EF) </= 40%. The intervention was a home-based telemonitored eight-week 
      NW (training group (TG) n = 77) five times weekly vs usual care alone (control 
      group (CG) n = 34). Outcome measures included a primary end point of functional 
      capacity assessed by peak oxygen consumption (VO2peak). Secondary end points 
      included: workload duration (t) in cardiopulmonary exercise test (CPET), 
      six-minute walking test (6-MWT) distance and quality of life (QoL), Medical 
      Outcome Survey Short Form 36 (SF-36); safety; adherence to and acceptance of NW. 
      Measurements were made before and after intervention. RESULTS: NW resulted in 
      significant improvement in: VO2peak (16.1 +/- 4.0 vs 18.4 +/- 4.1(ml/kg/min), 
      p = 0.0001), t (471 +/- 141 vs 577 +/- 158 (s), p = 0.0001), 6-MWT(428 +/- 93 vs 
      480 +/- 87 (m), p = 0.0001) and QoL (79.0 +/- 31.3 vs 70.8 +/- 30.3 (score), 
      p = 0.0001). We did not observe favourable results in the CG. The differences 
      between the TG and CG were significant in: DeltaVO2peak (Delta2.0 +/- 2.4 vs Delta-0.2 +/- 2.1, 
      p = 0.0004); Deltat (Delta108 +/- 108 vs Delta0.94 +/- 109, p = 0.0031); Delta6-MWT (Delta53.8 +/- 63.9 vs 
      Delta22.0 +/- 68.7, p = 0.0483). In neither group were there deaths nor necessity for 
      hospitalisation. We did not observe any intervention from CIEDs during NW. All 
      patients in the TG completed rehabilitation and accepted it well. CONCLUSION: In 
      HF patients, including those with CIEDs, home-based telemonitored NW is safe and 
      effective. NW was well accepted by patients and adherence was high and promising.
CI  - (c) The European Society of Cardiology 2014.
FAU - Piotrowicz, Ewa
AU  - Piotrowicz E
AD  - Telecardiology Center, Institute of Cardiology, Poland epiotrowicz@ikard.pl.
FAU - Zielinski, Tomasz
AU  - Zielinski T
AD  - Department of Heart Failure and Transplantology, Institute of Cardiology, Poland.
FAU - Bodalski, Robert
AU  - Bodalski R
AD  - Department of Arrhythmia, Institute of Cardiology, Poland.
FAU - Rywik, Tomasz
AU  - Rywik T
AD  - Department of Heart Failure and Transplantology, Institute of Cardiology, Poland.
FAU - Dobraszkiewicz-Wasilewska, Barbara
AU  - Dobraszkiewicz-Wasilewska B
AD  - Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Institute 
      of Cardiology, Poland.
FAU - Sobieszczanska-Malek, Malgorzata
AU  - Sobieszczanska-Malek M
AD  - Department of Heart Failure and Transplantology, Institute of Cardiology, Poland.
FAU - Stepnowska, Monika
AU  - Stepnowska M
AD  - Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Institute 
      of Cardiology, Poland.
FAU - Przybylski, Andrzej
AU  - Przybylski A
AD  - Department of Arrhythmia, Institute of Cardiology, Poland.
FAU - Browarek, Aldona
AU  - Browarek A
AD  - Department of Heart Failure and Transplantology, Institute of Cardiology, Poland.
FAU - Szumowski, Lukasz
AU  - Szumowski L
AD  - Department of Arrhythmia, Institute of Cardiology, Poland.
FAU - Piotrowski, Walerian
AU  - Piotrowski W
AD  - Statistics Laboratory, Institute of Cardiology, Poland.
FAU - Piotrowicz, Ryszard
AU  - Piotrowicz R
AD  - Department of Cardiac Rehabilitation and Noninvasive Electrocardiology, Institute 
      of Cardiology, Poland.
LA  - eng
PT  - Journal Article
PT  - Randomized Controlled Trial
PT  - Research Support, Non-U.S. Gov't
DEP - 20140926
PL  - England
TA  - Eur J Prev Cardiol
JT  - European journal of preventive cardiology
JID - 101564430
SB  - IM
MH  - Adult
MH  - Aged
MH  - *Cardiac Resynchronization Therapy
MH  - *Cardiac Resynchronization Therapy Devices
MH  - *Defibrillators, Implantable
MH  - Electric Countershock/*instrumentation
MH  - Exercise Test
MH  - Exercise Therapy/*methods
MH  - Exercise Tolerance
MH  - Female
MH  - Heart Failure/diagnosis/physiopathology/*rehabilitation
MH  - *Home Care Services, Hospital-Based
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Oxygen Consumption
MH  - *Patient Compliance
MH  - Poland
MH  - Prospective Studies
MH  - Quality of Life
MH  - Recovery of Function
MH  - Stroke Volume
MH  - Surveys and Questionnaires
MH  - Telerehabilitation/*methods
MH  - Time Factors
MH  - Treatment Outcome
MH  - Ventricular Function, Left
MH  - *Walking
OTO - NOTNLM
OT  - Nordic walking training
OT  - Telerehabilitation
OT  - heart failure
EDAT- 2014/09/28 06:00
MHDA- 2016/08/03 06:00
CRDT- 2014/09/28 06:00
PHST- 2014/03/31 00:00 [received]
PHST- 2014/08/26 00:00 [accepted]
PHST- 2014/09/28 06:00 [entrez]
PHST- 2014/09/28 06:00 [pubmed]
PHST- 2016/08/03 06:00 [medline]
AID - 2047487314551537 [pii]
AID - 10.1177/2047487314551537 [doi]
PST - ppublish
SO  - Eur J Prev Cardiol. 2015 Nov;22(11):1368-77. doi: 10.1177/2047487314551537. Epub 
      2014 Sep 26.