Evidence map›Paper›PMID 38982996›Full record

ArticleEuropean heart journal open2024

Exercise training improves exercise capacity and quality of life in heart failure with preserved ejection fraction: a systematic review and meta-analysis of randomized controlled trials.

Ranu Baral, Jamie Sin Ying Ho, Ayesha Nur Soroya, Melissa Hanger, Rosemary Elizabeth Clarke, Sara Fatima Memon, Hannah Glatzel, Mahmood Ahmad, Rui Providencia, Jonathan James Hyett Bray and 1 more

Abstract read
In one paragraph

Article in European heart journal open, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–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

11 citing papers in PubMed.

  1. Review
  2. Sex differences in vascular function among individuals with heart failure: a systematic review.International journal of cardiology. Heart & vasculature · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. Review
  9. Review
  10. Quantitative myocardial blood flow and perfusion reserve with exercise cardiovascular magnetic resonance.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2025
    Article
  11. Article
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

11 authors.

Ranu BaralKings College Hospital NHS Trust, London, Denmark Hill, London SE5 9RS, UK.ORCID https://orcid.org/0000-0001-8098-2312
Jamie Sin Ying HoRoyal Free London NHS Foundation Trust, Pond St, London NW3 2QG, UK.
Ayesha Nur SoroyaUniversity College London, Gower St, London WC1E 6BT, UK.
Melissa HangerUniversity College London, Gower St, London WC1E 6BT, UK.
Rosemary Elizabeth ClarkeUniversity College London, Gower St, London WC1E 6BT, UK.
Sara Fatima MemonUniversity College London, Gower St, London WC1E 6BT, UK.
Hannah GlatzelStoke Mandeville Hospital, Mandeville Rd, Aylesbury HP21 8AL, UK.ORCID https://orcid.org/0000-0002-6253-0766
Mahmood AhmadRoyal Free London NHS Foundation Trust, Pond St, London NW3 2QG, UK.ORCID https://orcid.org/0000-0001-9107-3704
Rui ProvidenciaUniversity College London, Gower St, London WC1E 6BT, UK.
Jonathan James Hyett BrayInstitute of Life Sciences-2, Swansea Bay University Health Board and Swansea University Medical School, Swansea University, Sketty, Swansea SA2 8QA, UK.
Fabrizio D'AscenzoDivision of Cardiology, Department of Medical Science, University of Turin, Via Verdi 8, 10124 Torino, P.I. 02099550010, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Heart failure with preserved ejection fraction (HFpEF) is associated with high morbidity and mortality, and there are limited proven therapeutic strategies. Exercise has been shown to be beneficial in several studies. We aimed to evaluate the efficacy of exercise on functional, physiological, and quality-of-life measures. Methods and results: A comprehensive search of Medline and Embase was performed. Randomized controlled trials (RCTs) of adult HFpEF patients with data on exercise intervention were included. Using meta-analysis, we produced pooled mean difference (MD) estimates with 95% confidence intervals (CIs) with Review Manager (RevMan) software for the peak oxygen uptake (VO Conclusion: Exercise increases the exercise capacity and quality of life in HFpEF patients, and high-intensity exercise is associated with a small but statistically significant improvement in exercise capacity than moderate intensity. Further studies with larger participant populations and longer follow-up are needed to confirm these findings and elucidate potential differences between high- and medium-intensity exercise.

Indexed as

Exercise trainingHeart failureHeart failure with preserved ejection fractionHFpEFMeta-analysis

Identifiers

PMID38982996
PMCPMC11231943

What OpenQuestion holds

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Registered trials

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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.