Please use this identifier to cite or link to this item:
https://www.arca.fiocruz.br/handle/icict/63705
Type
ArticleCopyright
Open access
Collections
- INI - Artigos de Periódicos [3394]
Metadata
Show full item record
EFFECT OF AN EXERCISE‑BASED CARDIAC REHABILITATION PROGRAM ON QUALITY OF LIFE OF PATIENTS WITH CHRONIC CHAGAS CARDIOMYOPATHY: RESULTS FROM THE PEACH RANDOMIZED CLINICAL TRIAL
Chagas cardiomyopathy
Neglected diseases
Exercise
Heart failure
Quality of life
Author
Vieira, Marcelo Carvalho
Mendes, Fernanda de Souza Nogueira Sardinha
Silva, Paula Simplicio da
Sperandio da Silva, Gilberto Marcelo
Mazzoli-Rocha, Flavia
Sousa, Andrea Silvestre de
Saraiva, Roberto Magalhaes
Holanda, Marcelo Teixeira de
Kasal, Daniel Arthur Barata
Costa, Henrique Silveira
Borges, Juliana Pereira
Reis, Michel Silva
Rodrigues Junior, Luiz Fernando
Hasslocher-Moreno, Alejandro Marcel
Brasil, Pedro Emmanuel Alvarenga Americano do
Mediano, Mauro Felippe Felix
Mendes, Fernanda de Souza Nogueira Sardinha
Silva, Paula Simplicio da
Sperandio da Silva, Gilberto Marcelo
Mazzoli-Rocha, Flavia
Sousa, Andrea Silvestre de
Saraiva, Roberto Magalhaes
Holanda, Marcelo Teixeira de
Kasal, Daniel Arthur Barata
Costa, Henrique Silveira
Borges, Juliana Pereira
Reis, Michel Silva
Rodrigues Junior, Luiz Fernando
Hasslocher-Moreno, Alejandro Marcel
Brasil, Pedro Emmanuel Alvarenga Americano do
Mediano, Mauro Felippe Felix
Affilliation
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil / Aloysio de Castro State Institute of Cardiology. Center for Cardiology and Exercise. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil / State University of Rio de Janeiro. Internal Medicine Department. Rio de Janeiro, RJ, Brazil.
Federal University of Jequitinhonha and Mucuri Valleys. Department of Physical Therapy. Diamantina, MG, Brazil.
University of Rio de Janeiro State. Laboratory of Physical Activity and Health Promotion. Rio de Janeiro, RJ, Brazil.
Federal University of Rio de Janeiro. Faculty of Physical Therapy. School of Medicine. Rio de Janeiro, RJ, Brazil.
National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil / Federal University of the State of Rio de Janeiro. Department of Physiological Sciences. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil / National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil / State University of Rio de Janeiro. Internal Medicine Department. Rio de Janeiro, RJ, Brazil.
Federal University of Jequitinhonha and Mucuri Valleys. Department of Physical Therapy. Diamantina, MG, Brazil.
University of Rio de Janeiro State. Laboratory of Physical Activity and Health Promotion. Rio de Janeiro, RJ, Brazil.
Federal University of Rio de Janeiro. Faculty of Physical Therapy. School of Medicine. Rio de Janeiro, RJ, Brazil.
National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil / Federal University of the State of Rio de Janeiro. Department of Physiological Sciences. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil.
Oswaldo Cruz Foundation. Evandro Chagas National Institute of Infectious Disease. Rio de Janeiro, RJ, Brazil / National Institute of Cardiology. Department of Research and Education. Rio de Janeiro, RJ, Brazil.
Abstract
To investigate the effect of an exercise-based cardiac rehabilitation program on the quality of life (QoL) of patients with chronic Chagas cardiomyopathy (CCC). PEACH study was a single-center, superiority randomized clinical trial of exercise training versus no exercise (control). The sample comprised Chagas disease patients with CCC, left ventricular ejection fraction < 45%, without or with HF symptoms (CCC stages B2 or C, respectively). QoL was assessed at baseline, after three months, and at the end of six months of follow-up using the SF-36 questionnaire. Patients randomized for the exercise group (n = 15) performed exercise training (aerobic, strength and stretching exercises) for 60 min, three times a week, during six months. Patients in the control group (n = 15) were not provided with a formal exercise prescription. Both groups received identical nutritional and pharmaceutical counseling during the study. Longitudinal analysis of the effects of exercise training on QoL, considering the interaction term (group × time) to estimate the rate of changes between groups in the outcomes (represented as beta coefficient), was performed using linear mixed models. Models were fitted adjusting for each respective baseline QoL value. There were significant improvements in physical functioning (β = + 10.7; p = 0.02), role limitations due to physical problems (β = + 25.0; p = 0.01), and social functioning (β = + 19.2; p < 0.01) scales during the first three months in the exercise compared to the control group. No significant differences were observed between groups after six months. Exercise-based cardiac rehabilitation provided short-term improvements in the physical and mental aspects of QoL of patients with CCC.
Keywords
Cardiac rehabilitationChagas cardiomyopathy
Neglected diseases
Exercise
Heart failure
Quality of life
Share