Table 1: Guideline Recommendations for Exercise for People with Heart Failure.

Class	Guideline Recommendations
American College of Cardiology/American Heart Association, 2013[12]
Class I	Exercise training (or regular physical activity) is recommended as safe and effective for patients with HF who are able to participate to improve functional status (level of evidence: A)
Class IIa	Cardiac rehabilitation can be used in clinically stable patients with HF to improve functional capacity, exercise duration, health-related quality of life, and mortality (level of evidence: B)
Canadian Cardiovascular Society, 2017[14]
	Regular exercise to improve exercise capacity, symptoms and quality of life in all HF patients (strong recommendation; moderate quality evidence)
	Regular exercise in HF patients with reduced EF to decrease hospital admissions (strong recommendations; moderate-quality evidence)
European Society of Cardiology, 2016[13]
Class I	It is recommended that regular aerobic exercise is encouraged in patients with HF to improve symptoms and functional capacity (level of evidence: A)
Class I	It is recommended that regular aerobic exercise is encouraged in stable patients with HFrEF to reduce the risk of hospitalisation from HF (level of evidence: A)

HF = heart failure; HFpEF = heart failure with a reduced ejection fraction.