Evidence map›Paper›PMID 36005405›Full record

ReviewJournal of cardiovascular development and disease2022

Effects of Exercise on Heart Failure with Preserved Ejection Fraction: An Updated Review of Literature.

Giulia Crisci, Mariarosaria De Luca, Roberta D'Assante, Brigida Ranieri, Anna D'Agostino, Valeria Valente, Federica Giardino, Valentina Capone, Salvatore Chianese, Salvatore Rega and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Journal of cardiovascular development and disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
6.1field-weighted citation impact, top 3% of its field
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

23 citing papers in PubMed, 1 synthesis or guideline pooled it, 37 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Assessment of Exercise Intolerance and Evaluation for HFpEF: A Literature Review of Pathophysiology, Diagnosis, and Management.Pathophysiology : the official journal of the International Society for Pathophysiology · 2026
    Review
  4. Article
  5. Review
  6. Exercise intensity and cardiac metabolic adaptations in elderly heart failure rehabilitation: A review.International journal of cardiology. Cardiovascular risk and prevention · 2025
    Review
  7. Review
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Review
  17. Review
  18. Article
  19. Hypertensive Heart Failure.Journal of clinical medicine · 2023
    Review
  20. Review
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

15 authors at 5 institutions in 2 countries.

Giulia CrisciDepartment of Translational Medical Sciences, Federico II University, 80131 Naples, Italy.
Mariarosaria De LucaDepartment of Translational Medical Sciences, Federico II University, 80131 Naples, Italy.
Roberta D'AssanteDepartment of Translational Medical Sciences, Federico II University, 80131 Naples, Italy.ORCID 0000-0001-6729-374X
Brigida RanieriIRCCS Synlab SDN, Diagnostic and Nuclear Research Institute, 80143 Naples, Italy.ORCID 0000-0003-4880-5679
Anna D'AgostinoIRCCS Synlab SDN, Diagnostic and Nuclear Research Institute, 80143 Naples, Italy.
Valeria ValenteDepartment of Translational Medical Sciences, Federico II University, 80131 Naples, Italy.ORCID 0000-0002-7858-5550
Federica GiardinoDepartment of Translational Medical Sciences, Federico II University, 80131 Naples, Italy.
Valentina CaponeDivision of Cardiology, AORN Antonio Cardarelli Hospital, 80131 Naples, Italy.ORCID 0000-0002-0080-9948
Salvatore ChianeseDivision of Cardiology, AORN Antonio Cardarelli Hospital, 80131 Naples, Italy.
Salvatore RegaDepartment of Translational Medical Sciences, Federico II University, 80131 Naples, Italy.
Rosangela CocchiaDivision of Cardiology, AORN Antonio Cardarelli Hospital, 80131 Naples, Italy.
Muhammad Zubair IsrarDepartment of Cardiovascular Sciences, University of Leicester and NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK.ORCID 0000-0003-1111-2780
Radek DebiekDepartment of Cardiovascular Sciences, University of Leicester and NIHR Leicester Biomedical Research Centre, Leicester LE5 4PW, UK.
Liam M HeaneySchool of Sport, Exercise and Health Sciences, Loughborough University, Loughborough LE11 3TU, UK.ORCID 0000-0002-8791-0167
Andrea SalzanoIRCCS Synlab SDN, Diagnostic and Nuclear Research Institute, 80143 Naples, Italy.ORCID 0000-0003-2352-2103
Federico II University Hospital · ITOspedale Antonio Cardarelli · ITSDN Istituto di Ricerca Diagnostica e Nucleare · ITUniversity of Leicester · GBLoughborough University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Heart failure with preserved ejection fraction (HFpEF) represents the most common HF phenotype of patients aged > 65 years, with an incidence and a prevalence that are constantly growing. The HFpEF cardinal symptom is exercise intolerance (EI), defined as the impaired ability to perform physical activity and to reach the predicted age-related level of exercise duration in the absence of symptoms—such as fatigue or dyspnea—and is associated with a poor quality of life, a higher number of hospitalizations, and poor outcomes. The evidence of the protective effect between exercise and adverse cardiovascular outcomes is numerous and long-established. Regular exercise is known to reduce cardiovascular events and overall mortality both in apparently healthy individuals and in patients with established cardiovascular disease, representing a cornerstone in the prevention and treatment of many cardio-metabolic conditions. Several studies have investigated the role of exercise in HFpEF patients. The present review aims to dwell upon the effects of exercise on HFpEF. For this purpose, the relevant data from a literature search (PubMed, EMBASE, and Medline) were reviewed. The analysis of these studies underlines the fact that exercise training programs improve the cardiorespiratory performance of HFpEF patients in terms of the increase in peak oxygen uptake, the 6 min walk test distance, and the ventilatory threshold; on the other hand, diastolic or systolic functions are generally unchanged or only partially modified by exercise, suggesting that multiple mechanisms contribute to the improvement of exercise tolerance in HFpEF patients. In conclusion, considering that exercise training programs are able to improve the cardiorespiratory performance of HFpEF patients, the prescription of exercise training programs should be encouraged in stable HFpEF patients, and further research is needed to better elucidate the pathophysiological mechanisms underpinning the beneficial effects described.

Indexed as

cardiopulmonary exercise testexerciseexercise intoleranceheart failureheart failure with preserved ejection fractionpeak VO2

Identifiers

PMID36005405
PMCPMC9409671
OpenAlexW4288428203

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.