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Exercise & Sports Science Australia Position Statement on exercise training in patients with chronic heart failure:
Itamar Levinger1, Catherine Giuliano2, David J Holland3
1Institute for Health and Sport (IHES), Victoria University, Australia; Australian Institute for Musculoskeletal Science (AIMSS), Victoria University and Western Health, Australia.
Journal of Science and Medicine in Sport
|March 18, 2026
Summary
Regular exercise is crucial for managing chronic heart failure (CHF). This updated guidance covers aerobic, resistance, and high-intensity interval training (HIIT) for all CHF classifications.
Area of Science:
- Cardiology
- Exercise Physiology
Background:
- Chronic heart failure (CHF) is a complex condition affecting cardiac function, exercise capacity, and quality of life.
- Exercise training is a safe and effective addition to medical treatment for most CHF patients.
- Exercise is a key part of multidisciplinary CHF management.
Purpose of the Study:
- To provide evidence-based recommendations for exercise prescription in contemporary CHF classifications.
- To offer practical strategies for safe and effective exercise programming and supervision.
- To update the 2010 position statement on exercise training for CHF patients.
Main Methods:
- Review of current research on exercise training in various heart failure classifications.
- Consideration of individualized exercise parameters (intensity, volume) based on patient factors.
- Inclusion of aerobic, resistance, and high-intensity interval training (HIIT) modalities.
Main Results:
- Resistance training is now a standard component of cardiac rehabilitation.
- High-intensity interval training (HIIT) may offer greater aerobic capacity improvements than moderate-intensity continuous exercise.
- Contemporary CHF classifications include HFrEF, HFmrEF, HFpEF, and HFimpEF.
Conclusions:
- Individualized exercise prescription is essential for CHF patients.
- Updated guidelines support a comprehensive approach to exercise training across all CHF types.
- Practitioners should utilize evidence-based strategies for safe and effective exercise prescription and supervision.
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