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Effects of exergami...
Effects of exergaming on exercise capacity in patients with heart failure : results of an international multicentre randomized controlled trial
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- Jaarsma, Tiny (författare)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten
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- Klompstra, Leonie (författare)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten
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- Ben Gal, Tuvia (författare)
- Heart Failure Unit, Cardiology department, Rabin Medical Center, Petah Tikva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel,Rabin Med Ctr, Israel; Tel Aviv Univ, Israel
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- Ben Avraham, Binyamin (författare)
- Heart Failure Unit, Cardiology department, Rabin Medical Center, Petah Tikva and Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel,Rabin Med Ctr, Israel; Tel Aviv Univ, Israel
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- Boyne, Josiane (författare)
- Department of Cardiology, Maastricht University Medical Center, Maastricht, Netherlands,Maastricht Univ, Netherlands
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- Bäck, Maria (författare)
- Linköpings universitet,Avdelningen för prevention, rehabilitering och nära vård,Medicinska fakulteten
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- Chialà, Oronzo (författare)
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy,Univ Roma Tor Vergata, Italy
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- Dickstein, Kenneth (författare)
- University of Bergen, Stavanger University Hospital, Stavanger, Norway,Univ Bergen, Norway
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- Evangelista, Lorraine (författare)
- University of Texas Medical Branch School of Nursing, Texas, United States,Univ Texas Med Branch, TX 77555 USA
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- Hagenow, Andreas (författare)
- Center for Clinical Research Südbrandenburg, Elsterweda, Germany,Ctr Clin Res Sudbrandenburg, Germany
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- Hoes, Arno W. (författare)
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht and Utrecht University, Utrecht, Netherlands,Univ Med Ctr Utrecht, Netherlands; Univ Utrecht, Netherlands
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- Hägglund, Eva (författare)
- Department of Cardiology, Karolinska Theme of Heart and Vessel, Heart Failure, Karolinska University Hospital, Stockholm, Sweden,Karolinska Univ Hosp, Sweden
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- Piepoli, Massimo F. (författare)
- Heart Failure Unit, G. da Saliceto Hospital, AUSL Piacenza, Italy,AUSL Piacenza, Italy; Univ Parma, Italy
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- Vellone, Ercole (författare)
- Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy,Univ Roma Tor Vergata, Italy
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- Zuithoff, Nicolaas P. A. (författare)
- Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht and Utrecht University, Utrecht, Netherlands,Univ Med Ctr Utrecht, Netherlands; Univ Utrecht, Netherlands
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- Mårtensson, Jan, 1966- (författare)
- Jönköping University,HHJ, Avdelningen för omvårdnad,HHJ. ADULT,Jonkoping Univ, Sweden
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- Strömberg, Anna (författare)
- Linköpings universitet,Avdelningen för omvårdnad och reproduktiv hälsa,Medicinska fakulteten,Region Östergötland, Kardiologiska kliniken US
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(creator_code:org_t)
- 2020-03-13
- 2021
- Engelska.
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Ingår i: European Journal of Heart Failure. - : John Wiley & Sons. - 1388-9842 .- 1879-0844. ; 23:1, s. 114-124
- Relaterad länk:
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https://doi.org/10.1...
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https://liu.diva-por... (primary) (Raw object)
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- AimsExergaming is a new tool to increase physical activity. This study aimed to determine the effects of access to a home‐based exergame (Nintendo Wii) in patients with heart failure (HF) on exercise capacity, self‐reported physical activity and patient‐reported outcome measures.Methods and resultsWe enrolled 605 HF patients in New York Heart Association functional class I–IV, independent of ejection fraction, in an international multicentre randomized controlled trial. Patients were randomized to exergame (intervention) or motivational support (control). The primary endpoint was change in submaximal aerobic exercise capacity as measured by the distance walked in 6 min (6MWT) between baseline and 3 months. Secondary endpoints included long‐term submaximal aerobic exercise capacity, muscle function, self‐reported physical activity, exercise motivation, exercise self‐efficacy at 3, 6 and 12 months. At baseline, patients on average walked 403 ± 142 m on the 6MWT. Patients in the exergame group walked further compared to controls at 3 months (454 ± 123 vs. 420 ± 127 m, P = 0.005), at 6 months (452 ± 123 vs. 426 ± 133 m, P = 0.015) and 12 months (456 ± 122 vs. 420 ± 135 m, P = 0.004). However, correcting for baseline 6MWT values by means of a linear mixed‐effects model revealed no main effect for the intervention on 6MWT. Small significant effects on muscle function were found. Statistically significant treatment effects were found for muscle function but after correction for baseline and confounders, only the treatment effect for the heel‐rise left at 6 months was significant (P < 0.05). No treatment effect was found for exercise motivation, exercise self‐efficacy, or self‐reported physical activity.ConclusionExergaming was safe and feasible in patients with HF with different profiles in different health care systems, cultures and climates. However, it was not effective in improving outcomes on submaximal aerobic exercise capacity. Subgroup analysis did not identify specific subgroups benefiting from the intervention.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kardiologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cardiac and Cardiovascular Systems (hsv//eng)
Nyckelord
- Aerobic capacity
- Exergaming
- Heart failure
- Heart failure management
- Physical activity
- Serious Games
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- ref (ämneskategori)
- art (ämneskategori)
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Jaarsma, Tiny
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Klompstra, Leoni ...
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Ben Gal, Tuvia
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Ben Avraham, Bin ...
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Boyne, Josiane
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Bäck, Maria
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visa fler...
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Chialà, Oronzo
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Dickstein, Kenne ...
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Evangelista, Lor ...
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Hagenow, Andreas
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Hoes, Arno W.
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Hägglund, Eva
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Piepoli, Massimo ...
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Vellone, Ercole
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Zuithoff, Nicola ...
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Mårtensson, Jan, ...
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Strömberg, Anna
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- MEDICIN OCH HÄLSOVETENSKAP
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MEDICIN OCH HÄLS ...
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och Klinisk medicin
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och Kardiologi
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European Journal ...
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Jönköping University
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Linköpings universitet