Exercise training to reduce sympathetic nerve activity in heart failure patients. A systematic review and meta-analysis
| Primer Autor |
Rodriguez-Nunez, Ivan
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| Co-autores |
Saavedra, Maria Javiera#Romero, Fernando#Roa, Jorge
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| Título |
Exercise training to reduce sympathetic nerve activity in heart failure patients. A systematic review and meta-analysis
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| Editorial |
ASSOCIACAO BRASILEIRA PESQUISA POS-GRADUACAO FISIOTERAPIA-ABRAPG-FT
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| Revista |
BRAZILIAN JOURNAL OF PHYSICAL THERAPY
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| Lenguaje |
en
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| Resumen |
Objective: To determine the effects of exercise training on sympathetic nerve activity in heart failure patients. Methods: A systematic review was performed. An electronic search of MEDLINE, ProQuest, Sci-ELO, SPORTDiscus, Rehabilitation and Sport Medicine Source, Cumulative Index to Nursing and Allied Health Literature, Tripdatabase, Science Direct and PEDrO was performed from their inception to February 2017. Clinical trials and quasi-experimental studies were considered for primary article selection. The studies should include patients diagnosed with chronic heart failure that performed exercise training for at least 4 weeks. Sympathetic nerve activity should be measured by microneurography before and after the intervention. The Cochrane Collaboration's Risk of Bias Tool was used to evaluate risk of bias, and the quality of evidence was rated following the GRADE approach. Standardized mean differences (SMD) were calculated for control and experimental groups. Meta-analysis was performed using the random effects model. Results: Five trials were included. Overall, the trials had moderate risk of bias. The experimental group indicated a significant decrease in the number of bursts per minute (SMD-2.48, 95% CI-3.55 to-1.41) when compared to the control group. Meanwhile, a significant decrease was also observed in the prevalence of bursts per 100 beats in the experimental group when compared to the control group (SMD-2.66, 95% CI-3.64 to-1.69). Conclusion: Exercise training could be effective in reducing sympathetic nerve activity in patients with heart failure. The quality of evidence across the studies was moderate. Future studies are necessary to confirm these results. (C) 2017 Associacao Brasileira de Pesquisa e Pos-Graduacao em Fisioterapia. Published by Elsevier Editora Ltda. All rights reserved.
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| Tipo de Recurso |
Artículo de revisión
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| Description |
This work was supported by School of Kinesiology, San Sebastian University, Concepcion, Chile.
Este trabajo fue apoyado por la Escuela de Kinesiología, Universidad San Sebastián, Concepción, Chile.
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| doi |
10.1016/j.bjpt.2017.06.014
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| Formato Recurso |
pdf
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| Palabras Claves |
Physical training# Heart failure# Muscle sympathetic nerve activity# Autonomic nervous system
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| Ubicación del archivo |
http://dx.doi.org/10.1016/j.bjpt.2017.06.014
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| Categoría OCDE |
Cardiac & Cardiovascular Systems
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| Materias |
Entrenamiento físico# Insuficiencia cardiaca# Actividad del nervio simpático muscular# sistema nervioso autónomo
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| Disciplinas de la OCDE |
Sistema Cardiovascular y Cardiaco
Fisiología
Ciencias del Deporte y Acondicionamiento Físico
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| Id de Web of Science |
WOS:000428109800002
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| Título de la cita (Recomendado-único) |
Exercise training to reduce sympathetic nerve activity in heart failure patients. A systematic review and meta-analysis
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| Identificador del recurso (Mandatado-único) |
Artículo de revisión
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| Versión del recurso (Recomendado-único) |
version publicada
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| Editorial |
ASSOCIACAO BRASILEIRA PESQUISA POS-GRADUACAO FISIOTERAPIA-ABRAPG-FT
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| Revista/Libro |
BRAZILIAN JOURNAL OF PHYSICAL THERAPY
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| Categoría WOS |
Sistemas cardíacos y cardiovasculares
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| ISSN |
1413-3555
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| Idioma |
en
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| Referencia del Financiador (Mandatado si es aplicable-repetible) |
USS#UdeC
Universidad San Sebastian, Ecuela de Kinesiología
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| Descripción |
This work was supported by School of Kinesiology, San Sebastian University, Concepcion, Chile.
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| Formato |
pdf
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| Tipo de ruta |
hibrida#verde
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| Access Rights |
metadata
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| Derechos de acceso |
metadata
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| Página de inicio (Recomendado-único) |
1132
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| Página final (Recomendado-único) |
1139
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