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:: Volume 30, Issue 3 (Fall 2020) ::
MEDICAL SCIENCES 2020, 30(3): 267-276 Back to browse issues page
Changes in the structure of the heart and blood pressure after a period of concurrent endurance-resistance training in patients with chronic heart failure
Zahra Mahmoodi1 , Ramin Shabani 2, Zahra Hojjati Zidashti3 , Mahboubeh Gholipour4
1- PhD Candidate of Exercise Physiology, Faculty of Humanities, Department of Physical Education and sport sciences, Rasht Branch, Islamic Azad University, Rasht, Iran
2- Associate Professor, Faculty of Humanities, Department of Physical Education and sport sciences, Rasht Branch, Islamic Azad University, Rasht, Iran , dr.ramin.shabani@gmail.com
3- Associate Professor, Faculty of Humanities, Department of Physical Education and sport sciences, Rasht Branch, Islamic Azad University, Rasht, Iran
4- Assistant Professor, Cardiovascular Diseases Research Center, Department of Cardiology, Dr Heshmat Hospital, Guilan University of Medical Sciences, Rasht, Iran
Abstract:   (2827 Views)
Background: Exercise improves functional capacity by improving endothelial function and musculoskeletal aerobic metabolism, but its effects on hemodynamic control are not well known. The aim of this study was to investigate the effect of aerobic and resistance trainings on structural changes and blood pressure in patients with heart failure.
Materials and methods: 76 patients aged 65 to 79 years with EF≤40% were divided into two groups of training and control. The training group exercised endurance and resistance training for 8 weeks, three times a week for 45-60 minutes in hospital and had walking program for 4 days a week at home. Echocardiography and blood pressure indicators were measured before and after exercise. Data analysis were done using SPSS software at a significant level of 0.05.
Results: Intra-group analysis of the experimental group by paired t-test and Wilcoxon tests showed a significant increase in LV ejection fraction and decreased end systolic and diastolic volume, diastolic interventricular septum and end diastolic and systolic diameters (p<0.05), and no changes in posterior wall thickness, and systolic and diastolic blood pressure (p>0.05). There were no significant changes in the control group in all the variables (p> 0.05).
Conclusion: According to the results, it seems that concurrent endurance and resistance training improves the structure and function of the heart in patients with chronic heart failure.
Keywords: Heart failure, Systolic- endurance training, Resistance training, Concurrent training, Left ventricular ejection fraction
Full-Text [PDF 616 kb]   (2226 Downloads)    
Semi-pilot: Survey/Cross Sectional/Descriptive | Subject: Physiology
Received: 2019/04/13 | Accepted: 2019/08/25 | Published: 2020/09/20
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Mahmoodi Z, Shabani R, Hojjati Zidashti Z, Gholipour M. Changes in the structure of the heart and blood pressure after a period of concurrent endurance-resistance training in patients with chronic heart failure. MEDICAL SCIENCES 2020; 30 (3) :267-276
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Volume 30, Issue 3 (Fall 2020) Back to browse issues page
فصلنامه علوم پزشکی دانشگاه آزاد اسلامی واحد پزشکی تهران Medical Science Journal of Islamic Azad Univesity - Tehran Medical Branch
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