Article

Exercise training has become part of the standard care for patients with
cardiovascular disease.
We investigated the effects of exercise training on
exercise capacity, cardiac function, BMI, and quality of life in patients with
atrial fibrillation (AF).
We searched for randomized-controlled trials of
supervised exercise training versus care without exercise training (the control)
in patients with permanent or nonpermanent AF published up to November 2016.
Standard mean differences (SMD) or mean differences (MD), and 95% confidence
intervals (CIs) were calculated using random-effect models. We identified 259
trials, and after an assessment of relevance, five trials with a combined total
of 379 participants were analyzed. In AF patients, exercise training
significantly improved exercise capacity and left ventricular ejection fraction
compared with the control (SMD: 0.91, 95% CI: 0.70 to 1.12; MD: 4.8%, 95% CIs:
1.56 to 8.03, respectively). Compared with the control, exercise training also
significantly reduced BMI (MD: -0.47 kg/m, 95% CIs: -0.89 to -0.06) and
significantly improved scores in the 'general health' and 'vitality' sections of
the 36-item Short Form Health Status Survey (SMD: 0.71, 95% CIs: 0.30 to 1.12;
SMD: 0.81, 95% CIs: 0.40 to 1.23, respectively).
Exercise training improved
exercise capacity, left ventricular ejection fraction, and some the 36-item Short
Form Health Status Survey scores, and reduced BMI in AF patients.

Langue : ANGLAIS