Impact of resistance exercise rehabilitation and whey protein supplementation in elderly patients with heart failure with preserved ejection fraction with sarcopenia: a study protocol for a randomised controlled trial
单位:[1]China Japan Friendship Hosp, Dept Hlth Care, Beijing, Peoples R China[2]Peking Univ, China Japan Friendship Sch Clin Med, Beijing, Peoples R China[3]China Japan Friendship Hosp, Dept Integrat Cardiol, Beijing, Peoples R China[4]Beijing Univ Chinese Med, Beijing, Peoples R China
IntroductionHeart failure with preserved ejection fraction (HFpEF) affects more than half of the patients with heart failure. HFpEF and sarcopenia can interact with each other and contribute to reduced physiological function and increased mortality in elderly patients. Resistance training (RT) or resistance exercise rehabilitation (RER) may have benefits for elderly HFpEF patients with sarcopenia. Whey protein supplementation (WPS) may increase the effects of exercise on strength and muscle mass, in addition to promoting heart function and quality of life (QoL). However, studies are needed to evaluate effects of RER and WPS in patients with HFpEF with sarcopenia.Methods and analysisThis is a prospective, randomised, controlled clinical trial in which patients with HFpEF with sarcopenia will be randomly allocated to three groups, control, RT and RT+WP. Participants in all groups will receive basic intervention including standard medicine treatment, home-based aerobic exercise and basic nutritional intervention. The RT group will undergo resistance exercise programmes, and the RT+WP group will receive daily WPS apart from resistance exercise. The study variables will be evaluated at baseline and 12 weeks. Primary outcome measure is the change of 6 min walking distance. Secondary outcomes include parameters of muscle status, cardiac function, nutritional status, QoL and major adverse cardiovascular events. The primary efficacy analysis will follow the intention-to-treat principle.Ethics and disseminationThis study was approved by Ethics Committee of China-Japan Friendship Hospital for Clinical Research (No. 2022-KY-003). The results of this study will be disseminated via peer-reviewed publications and presentations at conferences.
基金:
This research and the APC was funded by Central Health Research Project
of China, grant number 2020YB29 and Youth Program of National Natural Science
Foundation of China, grant number 81703890.
第一作者单位:[1]China Japan Friendship Hosp, Dept Hlth Care, Beijing, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Zhou Mo,Li Rui,Chen Yi,et al.Impact of resistance exercise rehabilitation and whey protein supplementation in elderly patients with heart failure with preserved ejection fraction with sarcopenia: a study protocol for a randomised controlled trial[J].BMJ OPEN.2022,12(12):doi:10.1136/bmjopen-2022-066331.
APA:
Zhou, Mo,Li, Rui,Chen, Yi,Gao, Yan,Wei, Yuhao...&Jiang, Hong.(2022).Impact of resistance exercise rehabilitation and whey protein supplementation in elderly patients with heart failure with preserved ejection fraction with sarcopenia: a study protocol for a randomised controlled trial.BMJ OPEN,12,(12)
MLA:
Zhou, Mo,et al."Impact of resistance exercise rehabilitation and whey protein supplementation in elderly patients with heart failure with preserved ejection fraction with sarcopenia: a study protocol for a randomised controlled trial".BMJ OPEN 12..12(2022)