Evidence map›Paper›PMID 26953895›Full record

Trial reportAging2016

Exercise: a "new drug" for elderly patients with chronic heart failure.

Roberto Antonicelli, Liana Spazzafumo, Simonetta Scalvini, Fabiola Olivieri, Maria Vittoria Matassini, Gianfranco Parati, Donatella Del Sindaco, Raffaella Gallo, Fabrizia Lattanzio

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Aging, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
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  3. Exercise-based cardiac rehabilitation for adults with heart failure.The Cochrane database of systematic reviews · 2024
    Pooled it
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  6. Exercise-based cardiac rehabilitation for adults with heart failure.The Cochrane database of systematic reviews · 2019
    Pooled it
  7. Review
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  14. Observational
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Roberto AntonicelliDepartment of Cardiology, INRCA-IRCCS National Institute, Ancona, Italy.
Liana SpazzafumoBiostatistics Centre, INRCA-IRCCS National Institute, Ancona, Italy.
Simonetta ScalviniDepartment of Cardiology, Maugeri Foundation IRCCS, Lumezzane (BS), Italy.
Fabiola OlivieriDepartment of Clinical and Molecular Sciences, DISCLIMO, Università Politecnica delle Marche, Ancona, Italy.
Maria Vittoria MatassiniClinic of Cardiology, Università Politecnica delle Marche, Ancona, Italy.
Gianfranco ParatiDepartment of Cardiovascular, Neural and Metabolic Sciences, S. Luca Hospital, Italian Auxology Institute, Milan, Italy.
Donatella Del SindacoDepartment of Cardiology, INRCA-IRCCS National Institute, Roma, Italy.
Raffaella GalloDepartment of Cardiology, INRCA-IRCCS National Institute, Cosenza, Italy.
Fabrizia LattanzioScientific Direction, INRCA-IRCCS National Institute, Ancona, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with chronic heart failure (CHF) experience progressive deterioration of functional capacity and quality of life (QoL). This prospective, randomized, controlled trial assesses the effect of exercise training (ET) protocol on functional capacity, rehospitalization, and QoL in CHF patients older than 70 years compared with a control group. A total of 343 elderly patients with stable CHF (age, 76.90±5.67, men, 195, 56.9%) were randomized to ET (TCG, n=170) or usual care (UCG, n=173). The ET protocol involved supervised training sessions for 3 months in the hospital followed by home-telemonitored sessions for 3 months. Assessments, performed at baseline and at 3 and 6 months, included: ECG, resting echocardiography, NT-proBNP, 6-minute walk test (6MWT), Minnesota Living with Heart Failure Questionnaire, and comprehensive geriatric assessment with the InterRAI-HC instrument. As compared to UCG, ET patients at 6 months showed: i) significantly increased 6MWT distance (450±83 vs. 290±97 m, p=0.001); ii) increased ADL scores (5.00±2.49 vs. 6.94±5.66, p=0.037); iii) 40% reduced risk of rehospitalisation (hazard ratio=0.558, 95%CI, 0.326-0.954, p=0.033); and iv) significantly improved perceived QoL (28.6±12.3 vs. 44.5±12.3, p=0.001). In hospital and home-based telemonitored exercise confer significant benefits on the oldest CHF patients, improving functional capacity and subjective QoL and reducing risk of rehospitalisation.

Indexed as

ExerciseQuality of LifeAgedAged, 80 and overChronic DiseaseElectrocardiographyExercise TestExercise TherapyFemaleGeriatric AssessmentHeart FailureHumansMaleNatriuretic Peptide, BrainPeptide FragmentsSurveys and QuestionnairesNatriuretic Peptide, BrainPeptide Fragmentspro-brain natriuretic peptide (1-76)6MWTchronic heart failureelderly CHF patientsphysical exerciseQoLquality of life

Identifiers

PMID26953895
PMCPMC4931840

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.