Effect of resistance training based on modified comprehensive geriatric assessment of elderly patients with chronic heart failure and sarcopenia
ZHANG Cuilian
XU Wang
LIAO Hongying
LUO Juan
MA Yuanyuan
WU Chunxiang
Abstract：Objective:To explore the effect of resistance training based on modified comprehensive geriatric assessment(CGA)of elderly patients with chronic heart failure and sarcopenia.Methods:A total of 80 elderly patients with chronic heart failure and sarcopenia admitted to Ganzhou People's Hospital from July 2023 to July 2024 were selected as the research subjects.They were randcomly divided into control group and test group by random number table method,with 40 cases each.The control group received routine intervention,while the test group received resistance training intervention based on modified comprehensive geriatric assessment.Physical activity status,exercise endurance,quality of life,cardiac function indicators,skeletal muscle function related indicators,and nutritional indicators were compared between two groups.Results:After 8 weeks of intervention,the Simplified Physical Fitness Scale(SPPB)scores,6-minute walk test(6MWT),and Activities of Daily Living(ADL)scores in the test group were higher than those in the control group.The Minnesota Heart Failure Quality of Life Scale(MLHFQ)scores was lower than that in the control group(P<0.05).The left ventricular ejection fraction(LVEF)and the ratio of peak e to peak a of forward mitral flow(E/A)were higher than those in the control group.The left ventricular end diastolic diameter(LVEDD)was shorter than that in the control group(P<0.05).The skeletal muscle mass index,walking speed,grip strength,and the duration of 5 sit up tests were better than those in the control group(P<0.05).The body mass index(BMI),upper arm muscle circumference(AMC),lower leg circumference,and triceps skinfold thickness(TSF)were better than those in the control group(P<0.05).Conclusions:Resistance training based on modified comprehensive geriatric assessment could improve the physical condition and exercise endurance of elderly patients with chronic heart failure and sarcopenia,enhance their quality of life and cardiac function,and improve skeletal muscle function and nutritional status.
Keywords：elderly peoplesarcopeniachronic heart failuremodified comprehensive geriatric assessmentresistance trainingquality of lifesports endurancenursing
Publication Date：2025-10-10
Online Publishing Date：2025-10-10(First online date of this platform, not the publication date of the document)
Pages：6( 3306-3311 )