A comparison of the effects of inspiratory muscle strength and endurance training on exercise capacity, respiratory muscle strength and endurance, and quality of life in pacemaker patients with heart failure: A randomized study

dc.authoridKATAYIFCI, NIHAN/0000-0002-1218-3831
dc.authoridBosnak Guclu, Meral/0000-0002-3861-9912
dc.contributor.authorKatayifci, Nihan
dc.contributor.authorGuclu, Meral Bosnak
dc.contributor.authorSen, Fatih
dc.date.accessioned2024-09-18T20:53:04Z
dc.date.available2024-09-18T20:53:04Z
dc.date.issued2022
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractBackground: Studies have widely investigated the effects of inspiratory muscle strength training in patients with heart failure (HF). The effects of inspiratory muscle strength or endurance training on outcomes in patients with pacemakers have not been adequately studied. Objectives: The aim was to compare the effects of inspiratory muscle strength and endurance training on exercise capacity, quality of life (QoL), peripheral and respiratory muscle strength, respiratory muscle endurance, pulmonary function, dyspnea, fatigue, and physical activity levels in pacemaker patients with HF. Methods: A randomized, controlled, double-blind study was conducted. Fourteen pacemaker patients with HF received inspiratory muscle strength training (IMST) at 50% of maximal inspiratory pressure (MIP), and 18 patients received endurance training (IMET) at 30% of MIP 7 days/8 weeks. Exercise capacity [6 min. walking test (6MWT) and the Incremental Shuttle Walking Test (ISWT)], pulmonary function, respiratory muscle strength [MIP, maximal expiratory pressure (MEP)], endurance, peripheral muscle strength, dyspnea, fatigue, QoL, and physical activity level were evaluated before and after. Results: Demographic characteristics were similar in IMST (3F/11M, 56.92 +/- 7.61y, EF: 25%, ICD/CRT: 11/3) and IMET (4F/14M, 56 +/- 10.77y, EF: 30%, ICD/CRT:16/2) groups (p > 0.05). Significant improvements were present in MIP, MEP, respiratory muscle endurance, peripheral muscle strength, 6MWT and ISWT walking distances, dyspnea, QoL, physical activity level, fatigue scores within groups (p <= 0.05). However, there were no significant differences between the groups (p > 0.05). There were no significant improvements in FEV1%, FVC%, FEV1/FVC%, and FEF25-75 within and between the groups (p > 0.05). Conclusions: Inspiratory muscle strength and endurance training similarly improves respiratory and peripheral muscle strength, exercise capacity, QoL, physical activity level, and decreases dyspnea and fatigue and are safe and effective in pacemaker patients with HF. (C) 2022 Elsevier Inc. All rights reserved.en_US
dc.description.sponsorshipGazi University Academic Writing Research and Application Centreen_US
dc.description.sponsorshipSpecial thanks to Emre Dirican, Assistant Professor at Department of Biostatistics and Medical Informatics, Tayfur Ata Sokmen Faculty of Medicine, Hatay Mustafa Kemal University for his support; whole review of statistics of this manuscript. The authors would like to thank Gazi University Academic Writing Research and Application Centre for English editing their contribution and support. Also, we are deeply indebted to patients and their families, our colleagues from hospital and department as well as our formal and spiritual counselors.en_US
dc.identifier.doi10.1016/j.hrtlng.2022.04.006
dc.identifier.endpage58en_US
dc.identifier.issn0147-9563
dc.identifier.issn1527-3288
dc.identifier.pmid35472660en_US
dc.identifier.scopus2-s2.0-85129265645en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage49en_US
dc.identifier.urihttps://doi.org/10.1016/j.hrtlng.2022.04.006
dc.identifier.urihttps://hdl.handle.net/20.500.12483/11563
dc.identifier.volume55en_US
dc.identifier.wosWOS:000792552000009en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMosby-Elsevieren_US
dc.relation.ispartofHeart & Lungen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPacemakeren_US
dc.subjectHeart failureen_US
dc.subjectRespiratory muscle trainingen_US
dc.subjectExercise testen_US
dc.subjectMuscle strengthen_US
dc.subjectDyspneaen_US
dc.titleA comparison of the effects of inspiratory muscle strength and endurance training on exercise capacity, respiratory muscle strength and endurance, and quality of life in pacemaker patients with heart failure: A randomized studyen_US
dc.typeArticleen_US

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