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Impact of Walking and Respiratory Training on Cardiopulmonary Function and Activity Endurance in Patients With Chronic Heart Failure.

Clinical cardiology
April 1, 2025
Qiu-Chen Wang et al. (6 authors)
Journal ArticleRandomized Controlled TrialHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether combining walking with respiratory training improves cardiopulmonary function and activity tolerance in patients with chronic heart failure (CHF).

Results Summary

The study found that walking combined with respiratory training significantly improved cardiac function (lower HR, LVEDD, LVESD; higher LVEF), pulmonary function (higher FVC, FEV1, FEV1/FVC), and activity tolerance (greater 6-min walking distance) compared to standard rehabilitation alone.

Population

80 patients with CHF admitted to a cardiology department.

Effective Dosage

Not specified

Duration

3 months

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
walking combined with respiratory training along with standard rehabilitation care
decrease
heart rate (HR)
patients with chronic heart failure (CHF)
-
exhibited lower levels
#1
walking combined with respiratory training along with standard rehabilitation care
decrease
left ventricular end-diastolic diameter (LVEDD)
patients with chronic heart failure (CHF)
-
exhibited lower levels
#2
walking combined with respiratory training along with standard rehabilitation care
decrease
left ventricular end-systolic diameter (LVESD)
patients with chronic heart failure (CHF)
-
exhibited lower levels
#3
walking combined with respiratory training along with standard rehabilitation care
increase
left ventricular ejection fraction (LVEF)
patients with chronic heart failure (CHF)
-
significantly higher
#4
walking combined with respiratory training along with standard rehabilitation care
increase
forced vital capacity (FVC)
patients with chronic heart failure (CHF)
-
greater
#5
walking combined with respiratory training along with standard rehabilitation care
increase
forced expiratory volume in 1 s (FEV1)
patients with chronic heart failure (CHF)
-
greater
#6
walking combined with respiratory training along with standard rehabilitation care
increase
FEV1/FVC ratio
patients with chronic heart failure (CHF)
-
greater
#7
walking combined with respiratory training along with standard rehabilitation care
increase
6-min walking distance
patients with chronic heart failure (CHF)
-
greater
#8
walking combined with respiratory training along with standard rehabilitation care
increase
cardiopulmonary function
patients with CHF
-
significantly enhances
#9
walking combined with respiratory training along with standard rehabilitation care
increase
activity tolerance
patients with CHF
-
significantly enhances
#10
Abstract

OBJECTIVE: This study aimed to examine the impact of combining walking with respiratory training in patients with chronic heart failure (CHF). METHODS: Eighty patients with CHF, admitted to the Department of Cardiology at the Affiliated Taizhou People's Hospital of Nanjing Medical University between January 2024 and June 2024, were selected as study participants. They were randomly assigned to either a control group or an observation group, with 40 patients in each group. The control group received standard rehabilitation care, while the observation group underwent walking combined with respiratory training along with standard rehabilitation care. Cardiac function, pulmonary function, and activity tolerance were compared between the two groups. RESULTS: After 3 months of intervention, the observation group exhibited lower levels of heart rate (HR), left ventricular end-diastolic diameter (LVEDD), and left ventricular end-systolic diameter (LVESD) compared to the control group, while the left ventricular ejection fraction (LVEF) was significantly higher (p < 0.05). Additionally, the forced vital capacity (FVC), forced expiratory volume in 1 s (FEV1), FEV1/FVC ratio, and 6-min walking distance were greater in the observation group compared to the control group (p < 0.05). CONCLUSION: In patients with CHF, combining walking and respiratory training significantly enhances cardiopulmonary function and activity tolerance, demonstrating potential clinical use.

Medical Subject Headings (MeSH)
HumansHeart FailureMaleFemaleWalkingMiddle AgedVentricular Function, LeftChronic DiseaseExercise ToleranceStroke VolumeAgedTreatment OutcomeBreathing ExercisesLungCardiac RehabilitationHeart RateChina
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality80/10
Research Impact Scores
APT Score0.05
Weight Score2.60
Normalized Score0.70
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