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Exercise interventions for patients with heart failure: an evidence map.
Tingting Wang1, Ling Ji1, Jian Li1
1Proctology Department, Nanjing Hospital of Chinese Medicine, Affiliated to Nanjing University of Chinese Medicine, Nanjing, China.
Frontiers in Sports and Active Living
|April 14, 2025
Summary
Exercise interventions benefit heart failure patients, but evidence quality and classification need improvement. Future research should focus on high-quality studies for better heart failure management strategies.
Area of Science:
- Cardiology
- Exercise Physiology
- Evidence-Based Medicine
Background:
- Managing heart failure relies on exercise performance, yet universal exercise prescriptions remain debated.
- This study addresses the lack of consensus on exercise applicability across diverse heart failure patient groups.
Purpose of the Study:
- To map and evaluate existing evidence on exercise interventions for heart failure patients.
- To provide a visual overview of research volume and findings in this field.
Main Methods:
- Systematic search of multiple databases (PubMed, Web of Science, EMBASE, Cochrane, CNKI, Wanfang, VIP) for systematic reviews and meta-analyses.
- Quality assessment of included studies using A Measurement Tool to Assess Systematic Reviews (AMSTAR-2).
- Visualization of data using bubble charts and matrix bubble charts to analyze intervention effectiveness, literature quality, quantity, and heart failure types.
Main Results:
- 113 systematic reviews/meta-analyses were included; over 80% indicated exercise benefits for heart failure patients.
- Mixed modality exercise received the most attention, focusing on improving exercise capacity and cardiorespiratory function.
- Research predominantly concentrated on heart failure with reduced ejection fraction (HFrEF), with varied heart failure classifications.
Conclusions:
- Exercise interventions offer significant advantages for heart failure management.
- Improvements are needed in study quality, heart failure classification standardization, and outcome indicator selection.
- Future research should prioritize high-quality studies to strengthen the evidence base for exercise in heart failure.
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