Effective Strategies for Physical Activity Adherence in Heart Failure Patients: An Umbrella Review

Overview

Journal Iran J Public Health

Date 2023 Nov 30

PMID 38033844

Authors

Hossein Karimi Moonaghi

Shahnaz Ahrari

Seyed Mousa Mahdizadeh

Alireza Heidari Bakavoli

Seyed Mohammad Riahi

Affiliations

Soon will be listed here.

Abstract

Background: Despite the importance of physical activity in heart failure treatment, physical activity adherence in heart failure patients is low. The purpose of this umbrella review was to obtain the best strategies for enhancing physical activity adherence among HF patients.

Methods: Databases were investigated from 2010 to Jan 2022. The full text of the papers was investigated in terms of inclusion and exclusion criteria. Eventually, out of 74 relevant papers, 7-review study with 20977 patients were eligible and included in the study.

Results: Five key effective approaches were identified in two subsets for enhancing physical activity adherence as follows: 1) exercise-based approaches including 1.1) Exergames, whereby the extent of adherence to exergames was between 84 and 98%. 1.2) Tele-rehabilitation with 70%-100% adherence the intervention groups 1.3) Tai chi and Qigong practices (TQPs), whereby the exercise adherence in TQP groups was 67-100%, 2. Theoretical-behavioral approaches 2.1) approaches based on behavioral and psychological theories, which were a combination of an exercise program alongside a behavior modification intervention, 2.2) Self-efficacy.

Conclusion: Approaches that are based on exercise alongside behavioral and theoretical interventions could enhance physical activity adherence among HF patients. It is suggested to evaluate mix methods of exercise-based approaches and theoretical-behavioral approaches mentioned in this study in future clinical trial studies. Use of capacity of TR programs improve to physical activity adherence should receive more attention.

Citing Articles

Exploring the Causal Effects of Physical Activity, Sedentary Behaviour, and Diet on Atrial Fibrillation and Heart Failure: A Multivariable Mendelian Randomisation Analysis.

Zhang Y, Tao Y, Choi H, Qian H Nutrients. 2024; 16(23).

PMID: 39683449 PMC: 11643263. DOI: 10.3390/nu16234055.

References

Savarese G, Lund L . Global Public Health Burden of Heart Failure. Card Fail Rev. 2017; 3(1):7-11. PMC: 5494150. DOI: 10.15420/cfr.2016:25:2. View

Escribano S, Julia-Sanchis R, Congost-Maestre N, Perpina-Galvan J, Cabanero-Martinez M . Spanish Linguistic validation of the self-efficacy questionnaire in communication skills. Contemp Nurse. 2021; 58(2-3):161-170. DOI: 10.1080/10376178.2021.2015415. View

Saygin Avsar T, McLeod H, Jackson L . Health outcomes of smoking during pregnancy and the postpartum period: an umbrella review. BMC Pregnancy Childbirth. 2021; 21(1):254. PMC: 7995767. DOI: 10.1186/s12884-021-03729-1. View

Thomson K, Hillier-Brown F, Walton N, Bilaj M, Bambra C, Todd A . The effects of community pharmacy-delivered public health interventions on population health and health inequalities: A review of reviews. Prev Med. 2019; 124:98-109. DOI: 10.1016/j.ypmed.2019.04.003. View

Sarrafzadegan N, Mohammmadifard N . Cardiovascular Disease in Iran in the Last 40 Years: Prevalence, Mortality, Morbidity, Challenges and Strategies for Cardiovascular Prevention. Arch Iran Med. 2019; 22(4):204-210. View

Dasantos A, Goddard C, Ragoobirsingh D . Self-care adherence and affective disorders in Barbadian adults with type 2 diabetes. AIMS Public Health. 2022; 9(1):62-72. PMC: 8755965. DOI: 10.3934/publichealth.2022006. View

Ahrari S, Mohammadpour A, Amouzeshi Z, Agha-Yousefi A . The Relationship between Cognitive Appraisal and Adherence to Medical Regimens in Type 2 Diabetic Patients. J Caring Sci. 2015; 3(4):277-85. PMC: 4334179. DOI: 10.5681/jcs.2014.030. View

Zores F, Iliou M, Gellen B, Kubas S, Berthelot E, Guillo P . Physical activity for patients with heart failure: Position paper from the heart failure (GICC) and cardiac rehabilitation (GERS-P) Working Groups of the French Society of Cardiology. Arch Cardiovasc Dis. 2019; 112(11):723-731. DOI: 10.1016/j.acvd.2019.07.003. View

Ahrari S, Moshki M, Bahrami M . The Relationship Between Social Support and Adherence of Dietary and Fluids Restrictions among Hemodialysis Patients in Iran. J Caring Sci. 2014; 3(1):11-9. PMC: 4134167. DOI: 10.5681/jcs.2014.002. View

10.

Brennan D, Tindall L, Theodoros D, Brown J, Campbell M, Christiana D . A blueprint for telerehabilitation guidelines. Int J Telerehabil. 2015; 2(2):31-4. PMC: 4296793. DOI: 10.5195/ijt.2010.6063. View

11.

Tierney S, Mamas M, Woods S, Rutter M, Gibson M, Neyses L . What strategies are effective for exercise adherence in heart failure? A systematic review of controlled studies. Heart Fail Rev. 2011; 17(1):107-15. DOI: 10.1007/s10741-011-9252-4. View

12.

Skov Schacksen C, Henneberg N, Muthulingam J, Morimoto Y, Sawa R, Saitoh M . Effects of Telerehabilitation Interventions on Heart Failure Management (2015-2020): Scoping Review. JMIR Rehabil Assist Technol. 2021; 8(4):e29714. PMC: 8593801. DOI: 10.2196/29714. View

13.

Grgic J, Grgic I, Del Coso J, Schoenfeld B, Pedisic Z . Effects of sodium bicarbonate supplementation on exercise performance: an umbrella review. J Int Soc Sports Nutr. 2021; 18(1):71. PMC: 8600864. DOI: 10.1186/s12970-021-00469-7. View

14.

Orzechowski P, Piotrowicz R, Zareba W, Glowczynska R, Szalewska D, Pluta S . Assessment of ECG during hybrid comprehensive telerehabilitation in heart failure patients-Subanalysis of the Telerehabilitation in Heart Failure Patients (TELEREH-HF) randomized clinical trial. Ann Noninvasive Electrocardiol. 2021; 26(6):e12887. PMC: 8588375. DOI: 10.1111/anec.12887. View

15.

Alonso W, Kupzyk K, Norman J, Lundgren S, Fisher A, Lindsey M . The HEART Camp Exercise Intervention Improves Exercise Adherence, Physical Function, and Patient-Reported Outcomes in Adults With Preserved Ejection Fraction Heart Failure. J Card Fail. 2021; 28(3):431-442. PMC: 8920955. DOI: 10.1016/j.cardfail.2021.09.003. View

16.

Nakanishi M, Miura H, Irie Y, Nakao K, Fujino M, Otsuka F . Association of adherence to a 3 month cardiac rehabilitation with long-term clinical outcomes in heart failure patients. ESC Heart Fail. 2022; 9(2):1424-1435. PMC: 8934955. DOI: 10.1002/ehf2.13838. View

17.

Amirova A, Fteropoulli T, Williams P, Haddad M . Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis. Open Heart. 2021; 8(1). PMC: 8191629. DOI: 10.1136/openhrt-2021-001687. View

18.

Cacciata M, Stromberg A, Klompstra L, Jaarsma T, Kuriakose M, Lee J . Facilitators and Challenges to Exergaming: Perspectives of Patients With Heart Failure. J Cardiovasc Nurs. 2021; 37(3):281-288. PMC: 9441212. DOI: 10.1097/JCN.0000000000000825. View

19.

Oshotse C, Zullig L, Bosworth H, Tu P, Lin C . Self-Efficacy and Adherence Behaviors in Rheumatoid Arthritis Patients. Prev Chronic Dis. 2018; 15:E127. PMC: 6198676. DOI: 10.5888/pcd15.180218. View

20.

Moher D, Liberati A, Tetzlaff J, Altman D . Preferred reporting items for systematic reviews and meta-analyses: the PRISMA Statement. Open Med. 2011; 3(3):e123-30. PMC: 3090117. View