Rehabilitation Considerations for the Older Adult with Heart Failure: A Review of the Literature

Affecting more than 5.1 million Americans in 2013, heart failure (HF) is a debilitating syndrome that causes dyspnea, reduced exercise tolerance, fatigue, and diminished quality of life. Most commonly diagnosed in individuals over 65 years of age, the prevalence of HF and its associated health care...

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Published inCurrent geriatrics reports Vol. 3; no. 3; pp. 155 - 165
Main Authors McLeod, Jessica L., Van Dam, Ashley A., Heiss, Ashley K., Shoemaker, Michael J.
Format Journal Article
LanguageEnglish
Published Boston Springer US 01.09.2014
Springer Nature B.V
Subjects
Aerobics
Dyspnea
Ejection fraction
Exercise
Fitness training programs
Geriatrics/Gerontology
Heart failure
Hospitalization
Interval training
Medicine
Medicine & Public Health
Metabolism
Mortality
Neurology
Older people
Pain Medicine
Physical fitness
Physical Therapy and Rehabilitation (J Richardson
Psychopharmacology
Quality of life
Rehabilitation
Rheumatology
Section Editor
Strength training
United States > US
Heart failure
Strength training
Resistance training
Inspiratory muscle training
Exercise training
Respiratory training
Aerobic training
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Summary:Affecting more than 5.1 million Americans in 2013, heart failure (HF) is a debilitating syndrome that causes dyspnea, reduced exercise tolerance, fatigue, and diminished quality of life. Most commonly diagnosed in individuals over 65 years of age, the prevalence of HF and its associated health care costs are expected to grow significantly. Aerobic exercise, resistance training, and inspiratory muscle training (IMT) are interventions that are currently used in the treatment of older adults with HF. A literature search was conducted for meta-analyses, systematic reviews, and large randomized control trials to evaluate the effect of aerobic exercise, resistance training, and IMT interventions on exercise tolerance and quality of life in individuals with HF. Overall, aerobic exercise, resistance training, and IMT appear to be safe and effective in appropriately selected individuals for improving exercise tolerance and quality of life in individuals with HF. The benefits of resistance training in isolation are not clear.
ISSN:2196-7865
2196-7865
DOI:10.1007/s13670-014-0091-8