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J Appl Physiol 88: 1565-1570, 2000;
8750-7587/00 $5.00
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Vol. 88, Issue 5, 1565-1570, May 2000

Combined aerobic and resistance exercise training improves functional capacity and strength in CHF

Andrew Maiorana1,2, Gerard O'Driscoll2,3, Craig Cheetham1, Julie Collis1, Carmel Goodman1, Sarah Rankin1,2, Roger Taylor3,4, and Daniel Green1,2,3

1 Departments of Human Movement and Exercise Science and 4 Medicine, The University of Western Australia, Nedlands 6907; and 2 Cardiac Transplant Unit, 3 Department of Cardiology and West Australian Heart Research Institute, Royal Perth Hospital, Perth 6000, Western Australia, Australia

This study examined the effect of a novel circuit weight training (CWT) program on cardiorespiratory fitness, muscular strength, and body composition in 13 patients with chronic heart failure (CHF), using a prospective randomized crossover protocol. Peak exercise oxygen uptake (VO2 peak) increased after the 8-wk CWT program (19.5 ± 1.2 vs. 22.0 ± 1.5 ml · kg-1 · min-1, P < 0.01), as did exercise test duration (15.2 ± 0.9 vs. 18.0 ± 1.1 min, P < 0.001). Submaximal exercise heart rate was lower after training at 60 and 80 W (121 ± 3 vs. 134 ± 5 beats/min, P < 0.01) as was rate pressure product, whereas ventilatory threshold increased, from 52 ± 3 to 58 ± 3% of VO2 peak (P < 0.05). CWT also increased maximal isotonic voluntary contractile strength for seven different muscle groups, from 392 to 462 kg (P = 0.001). CWT, an exercise prescription specifically targeting peripheral abnormalities in CHF, improves functional capacity and muscular strength in these patients.

chronic heart failure; exercise training; peak oxygen uptake; maximal voluntary contraction; anthropometry


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