Long-term benefits of exercise training in patients with a systemic right ventricle

Teun Van Der Bom, Michiel M. Winter, Jennifer L. Knaake, Elena Cervi, Leonie S C De Vries, Anna Balducci, Paola G. Meregalli, Petronella G. Pieper, Arie P J Van Dijk, Marco Bonvicini, Barbara J M Mulder, Berto J. Bouma

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Abstract

Objectives The aim of the present study is to determine the long-term effects of a ten-week exercise training program in adult patients with a systemic right ventricle. Methods All patients who participated in a 2009 randomized controlled trial were approached. At approximately three years of follow-up from initial baseline, patients underwent cardiopulmonary exercise testing, filled out two quality of life questionnaires, and NT proBNP levels were measured. All examinations were performed according to the protocols of the 2009 trial. In addition, patients were asked about their current sports habits. Results Of the 54 patients who were randomized in the 2009-trial 40 participated in the current re-evaluation (male 50%, ccTGA 35%, age 36 ± 10 years, intervention group n = 22, control group n = 18). After three years, no persistent effect of exercise training on V'O2peak training remained (- 2% of predicted, 95% CI - 3% to 5%; p =.56). However, patients who already participated in regular sports or exercise at baseline (n = 23/40 (58%)) showed higher V'O2peak of 13% of predicted (95% CI 4% to 23%; p >.01) and a decrease of 62% in plasma NT-proBNP (95% CI - 115% to - 10%; p >.03) during follow-up, when compared to patients who did not. Moreover, sports were associated with a lower incidence of clinical events (p =.032). Conclusion Short-term beneficial effects of exercise training did not persist over a three-year follow-up period. However, sports participation at baseline was associated with better exercise capacity, lower neurohormone levels, and increased event-free survival.

Original languageEnglish
Pages (from-to)105-111
Number of pages7
JournalInternational Journal of Cardiology
Volume179
DOIs
Publication statusPublished - Jan 20 2015

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Heart Ventricles
Exercise
Sports
Clinical Protocols
Disease-Free Survival
Habits
Neurotransmitter Agents
Randomized Controlled Trials
Quality of Life
Education
Control Groups
Incidence

Keywords

  • Congenital heart disease
  • Exercise Sports
  • Systemic right ventricle
  • Transposition of the great arteries

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Medicine(all)

Cite this

Van Der Bom, T., Winter, M. M., Knaake, J. L., Cervi, E., De Vries, L. S. C., Balducci, A., ... Bouma, B. J. (2015). Long-term benefits of exercise training in patients with a systemic right ventricle. International Journal of Cardiology, 179, 105-111. https://doi.org/10.1016/j.ijcard.2014.10.042

Long-term benefits of exercise training in patients with a systemic right ventricle. / Van Der Bom, Teun; Winter, Michiel M.; Knaake, Jennifer L.; Cervi, Elena; De Vries, Leonie S C; Balducci, Anna; Meregalli, Paola G.; Pieper, Petronella G.; Van Dijk, Arie P J; Bonvicini, Marco; Mulder, Barbara J M; Bouma, Berto J.

In: International Journal of Cardiology, Vol. 179, 20.01.2015, p. 105-111.

Research output: Contribution to journalArticle

Van Der Bom, T, Winter, MM, Knaake, JL, Cervi, E, De Vries, LSC, Balducci, A, Meregalli, PG, Pieper, PG, Van Dijk, APJ, Bonvicini, M, Mulder, BJM & Bouma, BJ 2015, 'Long-term benefits of exercise training in patients with a systemic right ventricle', International Journal of Cardiology, vol. 179, pp. 105-111. https://doi.org/10.1016/j.ijcard.2014.10.042
Van Der Bom, Teun ; Winter, Michiel M. ; Knaake, Jennifer L. ; Cervi, Elena ; De Vries, Leonie S C ; Balducci, Anna ; Meregalli, Paola G. ; Pieper, Petronella G. ; Van Dijk, Arie P J ; Bonvicini, Marco ; Mulder, Barbara J M ; Bouma, Berto J. / Long-term benefits of exercise training in patients with a systemic right ventricle. In: International Journal of Cardiology. 2015 ; Vol. 179. pp. 105-111.
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abstract = "Objectives The aim of the present study is to determine the long-term effects of a ten-week exercise training program in adult patients with a systemic right ventricle. Methods All patients who participated in a 2009 randomized controlled trial were approached. At approximately three years of follow-up from initial baseline, patients underwent cardiopulmonary exercise testing, filled out two quality of life questionnaires, and NT proBNP levels were measured. All examinations were performed according to the protocols of the 2009 trial. In addition, patients were asked about their current sports habits. Results Of the 54 patients who were randomized in the 2009-trial 40 participated in the current re-evaluation (male 50{\%}, ccTGA 35{\%}, age 36 ± 10 years, intervention group n = 22, control group n = 18). After three years, no persistent effect of exercise training on V'O2peak training remained (- 2{\%} of predicted, 95{\%} CI - 3{\%} to 5{\%}; p =.56). However, patients who already participated in regular sports or exercise at baseline (n = 23/40 (58{\%})) showed higher V'O2peak of 13{\%} of predicted (95{\%} CI 4{\%} to 23{\%}; p >.01) and a decrease of 62{\%} in plasma NT-proBNP (95{\%} CI - 115{\%} to - 10{\%}; p >.03) during follow-up, when compared to patients who did not. Moreover, sports were associated with a lower incidence of clinical events (p =.032). Conclusion Short-term beneficial effects of exercise training did not persist over a three-year follow-up period. However, sports participation at baseline was associated with better exercise capacity, lower neurohormone levels, and increased event-free survival.",
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AU - Balducci, Anna

AU - Meregalli, Paola G.

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N2 - Objectives The aim of the present study is to determine the long-term effects of a ten-week exercise training program in adult patients with a systemic right ventricle. Methods All patients who participated in a 2009 randomized controlled trial were approached. At approximately three years of follow-up from initial baseline, patients underwent cardiopulmonary exercise testing, filled out two quality of life questionnaires, and NT proBNP levels were measured. All examinations were performed according to the protocols of the 2009 trial. In addition, patients were asked about their current sports habits. Results Of the 54 patients who were randomized in the 2009-trial 40 participated in the current re-evaluation (male 50%, ccTGA 35%, age 36 ± 10 years, intervention group n = 22, control group n = 18). After three years, no persistent effect of exercise training on V'O2peak training remained (- 2% of predicted, 95% CI - 3% to 5%; p =.56). However, patients who already participated in regular sports or exercise at baseline (n = 23/40 (58%)) showed higher V'O2peak of 13% of predicted (95% CI 4% to 23%; p >.01) and a decrease of 62% in plasma NT-proBNP (95% CI - 115% to - 10%; p >.03) during follow-up, when compared to patients who did not. Moreover, sports were associated with a lower incidence of clinical events (p =.032). Conclusion Short-term beneficial effects of exercise training did not persist over a three-year follow-up period. However, sports participation at baseline was associated with better exercise capacity, lower neurohormone levels, and increased event-free survival.

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