Adherence to recommended exercise guidelines in patients with heart failure

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• 作者：Pallav Deka ; Bunny Pozehl ; Mark A. Williams ; Bernice Yates
• 关键词：Heart failure ; Exercise adherence ; Exercise compliance ; Exercise training
• 刊名：Heart Failure Reviews
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：22
• 期：1
• 页码：41-53
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Cardiology;
• 出版者：Springer US
• ISSN：1573-7322
• 卷排序：22

文摘

Exercise training has been shown to be beneficial in patients with heart failure, and its effectiveness is connected to adherence to the exercise program. Nonetheless, adherence to exercise in these patients remains a concern. Heart failure patients can be considered adherent to an exercise program if they meet 80 % of the recommended dose. We summarize exercise recommendations for patients with heart failure, identify exercise prescription methodologies used in studies that have reported exercise adherence, identify strategies and tools used to improve adherence and examine whether these strategies were developed using a theoretical platform with the primary aim to change behavior and improve adherence to exercise. Factors which may also impact adherence such as exercise setting, intensity and length of participation, gender, race, New York Heart Association functional class and heart failure with preserved and reduced ejection fraction were also investigated. Finally, recommendations for future studies for improving adherence to exercise in patients with heart failure are provided.