Methods | Parallel group RCT | |
Participants |
N Randomised: 43 (exercise 21; control 22) Diagnosis (% of participants): Aetiology: ischaemic 79%; AF 12%; valvular 7%; hypertension 2% NYHA: Class II and III LVEF: exercise 41.5 (SD 13.6); control 40.6% (SD 13.7) Case mix: as above Age (yr): exercise 68 (SD 7); control 69 (SD 5) Male: 79% White: not reported Inclusion/exclusion criteria Inclusion: CHF diagnosis, on CHF medication, clinical symptoms of CHF, clinically stable > 3 months before study entrance, fulfil 1 of the following criteria: previous MI, hospitalised because of CHF, lung oedema and cardiac enlargement on X‐ray Exclusion: chronic obstructive lung disease, orthopaedic disabilities, psychiatric disabilities, cancer, senility and age > 80 yr |
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Interventions |
Exercise:Total duration: 5 months Aerobic/resistance/mix: mix Frequency: 2 sessions/wk Duration: 45 min Intensity: not reported Modality: cycling, free weights and elastic rubber‐bands (Thera‐bands) Setting: hospital outpatients, supervised by physiotherapists Other: training group had 3 educational lectures, about nutrition, physical activity and relaxation in addition to the exercise programme |
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Outcomes | Rehospitalisation and mortality | |
Comparison | Usual medical care (continued their previous level of physical activity, which varied from performing little physical activity up to taking a daily walk outdoors) | |
Country and setting | Iceland Single centre |
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Follow‐up | 12 and 28 months (after randomisation) | |
Notes | ||
Risk of bias | ||
Bias | Authors' judgement | Support for judgement |
Random sequence generation (selection bias) | Unclear risk | Not reported |
Allocation concealment (selection bias) | Unclear risk | Not reported |
Blinding (performance bias and detection bias) All outcomes | Unclear risk | Not reported |
Selective reporting (reporting bias) | Low risk | All outcomes described in methods reported in results |
Intention‐to‐treat analysis? | Low risk | Although not reported as ITT analysis, groups did appear to be analysed according to original randomised allocation |
Incomplete outcome data? | Low risk | No losses to follow‐up |
Groups balanced at baseline? | Low risk | Table 2 of the publication suggests 2 groups are well balanced |
Groups received same intervention? | Low risk | Yes, both groups appeared to receive same interventions apart from CR intervention |