Heart failure & cardiomyopathies

Effects of Exercise Modalities on Physical Function and Quality of Life in Patients with Heart Failure: A Systematic Review and Network Meta-Analysis

ESC Heart FailPublished network meta-analysis

Pooled result · Left ventricular ejection fractionResult — go to the resultMD 0.90 95% CI 0.42–1.38

Authors' conclusion

Current evidence suggests that yoga, interval training, AT + RT, and HIIT + IMT significantly enhance physical function and quality of life in individuals with heart failure, with each modality exhibiting distinct advantages. Further high-quality studies are warranted to confirm these findings and refine exercise prescriptions for this population.

Study context

Population
Individuals with heart failure
Participants
3,261 individuals60 randomized controlled trials
Comparison
Various exercise modalities on physical function and quality of life
Outcome
Left ventricular ejection fraction
Methodological detailsRandom-effects meta-analyses, searching PubMed, Embase and the Cochrane Library databases
  • Random-effects meta-analyses
  • Searching PubMed, Embase and the Cochrane Library databases

Pooled result

As reported in the abstract

MD

0.90

95% CI 0.42–1.38

Yoga
MD 0.90 (95% CI 0.42–1.38)

Further pooled results

Serum natriuretic peptide levels

MD (95% CI)
YogaP-score = 0.965; most significant reduction−1.46 (−1.88 to −1.04)

6-min walk distance (6MWD)

MD (95% CI)
Interval trainingP-score = 0.873; superior effectiveness in increasing113.01 (28.55–197.47)

Peak oxygen uptake (VO2peak)

MD (95% CI)
AT + RTP-score = 0.829; greatest benefits3.68 (2.23–5.13)

Quality of life

MD (95% CI)
HIIT + IMTP-score = 0.871; most significant improvements−19.28 (−26.42 to −12.14)

Dyspnea

MD (95% CI)
HIIT + IMTP-score = 0.804; greatest reduction−1.58 (−2.64 to −0.52)

Original publication

Effects of Exercise Modalities on Physical Function and Quality of Life in Patients with Heart Failure: A Systematic Review and Network Meta-Analysis. ESC Heart Fail. Published 28 February 2025. doi:10.1002/ehf2.15256

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