The HEART Camp Exercise Intervention Improves Exercise Adherence, Physical Function, and Patient-Reported Outcomes in Adults With Preserved Ejection Fraction Heart Failure.

Background: Despite exercise being one of few strategies to improve outcomes for individuals with heart failure with preserved ejection fraction (HFpEF), exercise clinical trials in HFpEF are plagued by poor interventional adherence. Over the last 2 decades, our research team has developed, tested, and refined Heart failure Exercise And Resistance Training (HEART) Camp, a multicomponent behavioral intervention to promote adherence to exercise in HF. We evaluated the effects of this intervention designed to promote adherence to exercise in HF focusing on subgroups of participants with HFpEF and heart failure with reduced ejection fraction (HFrEF).

Predicting maximal oxygen uptake from the 6 min walk test in patients with heart failure.

Aims: A cardiopulmonary exercise (CPX) test is considered the gold standard in evaluating maximal oxygen uptake. This study aimed to evaluate the predictive validity of equations provided by Burr et al., Ross et al.

The influence of the HEART Camp intervention on physical function, health-related quality of life, depression, anxiety and fatigue in patients with heart failure.

Background: Regular exercise training has beneficial effects on quality of life, physical function, depression and anxiety in individuals with heart failure. Unfortunately, individuals with heart failure have low levels of adherence to exercise. Thus, studies are needed to assess intervention strategies which may enhance clinical outcomes.

MOVE-HF: an internet-based pilot study to improve adherence to exercise in patients with heart failure.

Aim: The use of the internet and newer activity monitors such as the Fitbit Charge HR to improve exercise adherence is limited. The primary aim of the Move on Virtual Engagement (MOVE-HF) was to investigate the effects of group social support by internet-based synchronized face-to-face video and objective physical activity feedback on adherence to recommended exercise guidelines.

Methods: Thirty stable heart failure patients (New York Heart Association class I-III), aged 64.

Feasibility of using the Fitbit Charge HR in validating self-reported exercise diaries in a community setting in patients with heart failure.

Background: Use of wrist-worn activity monitors has increased over the past few years; however, the use of the Fitbit® Charge HR (FCHR) in a community setting in patients with heart failure has not been tested.

Purpose: The purpose of the study was to assess the feasibility, practicality and acceptability of utilizing the FCHR to validate self-reported exercise diaries and monitor exercise in community dwelling patients with heart failure.

Methods: Thirty heart failure patients (12 females and 18 males) aged 64.

A Home-Based Diaphragmatic Breathing Retraining in Rural Patients With Heart Failure.

Dyspnea limits physical activity and functional status in heart failure patients. This feasibility study examined effects of a diaphragmatic breathing retraining (DBR) intervention delivered over 8 weeks with follow-up at 5 months. The intervention group (n = 18) was trained at baseline and received four telephone calls.

Study of adherence to exercise in heart failure: the HEART camp trial protocol.

Background: Adherence to the Heart Failure Society of America (HFSA) 2010 guidelines recommending 30 minutes of supervised moderate intensity exercise five days per week is difficult for patients with heart failure (HF). Innovative programs are needed to assist HF patients to adhere to long-term exercise. The objective of this prospective randomized two-group repeated measures experimental design is to determine the efficacy of a behavioral exercise training intervention on long-term adherence to exercise at 18 months in patients with heart failure.

Reducing cardiovascular risk in spouses of cardiac patients: a randomized controlled trial.

Few studies have examined risk-reducing interventions in spouses of coronary artery bypass patients. This study examined the effects of the Partners Together in Health (PaTH) intervention versus usual care on cardiovascular risk factors. Spouses in the experimental group (n = 17/group) attended cardiac rehabilitation with patients and made the same physical activity and healthy eating changes as patients.

Psychological responses and adherence to exercise in heart failure.

Purpose: The purpose of this study was to describe psychological effects and exercise adherence during a multicomponent exercise training intervention.

Methods: A sample of 42 patients with heart failure were randomized into an exercise (INV) group (n = 22) and an attention control (AC) group (n = 20). The exercise protocol included two 12-week phases, a structured phase and a self-managed phase.

Effects of Exercise Training versus Attention on Plasma B-type Natriuretic Peptide, 6-Minute Walk Test and Quality of Life in Individuals with Heart Failure.

Purpose: The purpose of this study was to compare an Exercise Training Group (EX) with an Attention-Control Group (AT-C) to more specifically assess the impact of exercise training on individuals with heart failure (HF).

Methods: Forty-two individuals with HF were randomized to AT-C or EX that met with the same frequency and format of investigator interaction. Baseline, 12- and 24-week measurements of B-type naturetic peptide (BNP), 6-minute walk test (6-MWT), and the Kansas City Cardiomyopathy Questionnaire (KCCQ) were obtained.

ExPAAC proceedings: Exercise training for individuals with heart failure.

Heart failure (HF) is considered a condition primarily associated with the older population, with approximately 80% of individuals admitted to the hospital with a diagnosis of HF being over the age of 65 years. With the 'aging of the population' in the United States the incidence of HF is expected to continue to rise. Therefore many of the older individuals seen by physical therapists for an array of conditions will have HF as a primary diagnosis or comorbidity which needs to be addressed in developing their plan of care.

A self-directed adherence management program for patients with heart failure completing combined aerobic and resistance exercise training.

This study measured the impact of the Exercise Adherence Management Program (EAMP) provided to 20 patients with heart failure (HF) who participated in a combined resistance and aerobic exercise training program during two 12-week phases. The EAMP included strategies designed to support exercise self-efficacy and adherence. Results indicate that an improvement in exercise self-efficacy occurred during the study period, whereas exercise adherence declined during the unsupervised phase.

Consistency of the counting talk test for exercise prescription.

The purpose of this study was to assess the consistency of the counting talk test (CTT) method for estimating exercise intensity across various modes of exercise in healthy young adults. Thirty-six individuals completed the study, which required participation in 3 separate sessions within a 2-week time period. During the first session, the individuals completed a maximal effort treadmill test from which each individual's heart rate reserve (HRR) was calculated.

Heart Failure Exercise And Training Camp: effects of a multicomponent exercise training intervention in patients with heart failure.

Background: This study tested the effects of a multicomponent exercise training intervention called "Heart Failure Exercise And Training Camp" (HEART CAMP). The intervention was theoretically derived from Bandura's social cognitive theory.

Methods: An experimental repeated-measures design was used.

Relationship of resting B-type natriuretic peptide level to cardiac work and total physical work capacity in heart failure patients.

Purpose: Plasma B-type natriuretic peptide (BNP) levels obtained at rest have been previously shown to be correlated with the global functional capacity measures of peak oxygen uptake (V(O(2peak))) and the minute ventilation/carbon dioxide (VE/V(O(2))) slope. The purpose of this study was to assess the relationship of the plasma BNP level to the rate-pressure product (RPP) as an indicator of central or cardiac work capacity.

Methods: Twenty-two subjects (12 men), mean age 57 +/- 12 years, diagnosed with heart failure (8 ischemic/14 nonischemic) were recruited.

Validity of the counting talk test in comparison with standard methods of estimating exercise intensity in young healthy adults.

Purpose: The Talk Test is a method for recommending exercise intensity on the basis of the ability of an individual to carry on a conversation during exercise and has been associated with defining the upper recommended limits of exercise intensity for cardiorespiratory training. The purpose of this study was to assess the validity of a novel variation of the Talk Test method, the "Counting Talk Test" (CTT), as a semiquantitative approach for estimating exercise intensity in healthy individuals.

Methods: Forty young adults (22.

Comparison of the energy expenditure index and oxygen consumption index during self-paced walking in children with spastic diplegia cerebral palsy and children without physical disabilities.

The aim of this study was to assess whether the Energy Expenditure Index (EEI), based on heart rate (HR) adjusted for speed, was a clinical indicator of the Oxygen Consumption Index (OCI), oxygen consumption (VO(2)) adjusted for speed, during self-paced walking in children with spastic diplegia cerebral palsy (CP) and children without physical disabilities (ND). Ten children with spastic diplegia CP and 15 children who are ND participated. VO(2) and HR were measured at rest and during self-paced ambulation using an AeroSport KB1-C portable metabolic system, and the EEI and OCI were calculated.

Physical demands of vacuuming in women using different models of vacuum cleaners.

Purpose: Women continue to have the primary responsibility for housekeeping, even after a cardiac event. Vacuuming is one housekeeping task that is often reported as difficult to perform due to angina symptoms. The aim of this study was to evaluate the energy expenditure and hemodynamic responses associated with vacuuming using five different models of vacuum cleaners.