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Ensayo controlado aleatorizado2009Financiación no declarada

Safety, acceptance, and physiologic effects of sauna bathing in people with chronic heart failure: a pilot report

Basford JR, Oh JK, Allison TG, Sheffield CG, Manahan BG, Hodge DO, Tajik AJ, Rodeheffer RJ, Tei C

Archives of physical medicine and rehabilitation · 15 citas

Etiquetas de revisión

Financiación no declarada

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Cómo se estudió

Diseño
Ensayo controlado aleatorizado (indexado por PubMed)
Estudiado en
Personas
Resultado principal
Marcadores de salud y funcionamiento

Quién lo pagó

Financiación
Financiación no declarada

Publicación

Publicado
2009-01-01 · Arch Phys Med Rehabil · vol. 90 · número 1 · págs. 173–177
Editorial
Elsevier BV
Citado
33 citas · más que el 96% de estudios similares · 8.1× el promedio de su campo
Impacto
Entre el 10 % más citado de su campo
Referencias
25 trabajos
Acceso
De pago
Áreas de investigación
Cardiovascular and exercise physiology · Thermoregulation and physiological responses · Heart Failure Treatment and Management
Palabras clave
sauna bathing, chronic heart failure, exercise tolerance, neuroendocrine response, epinephrine, norepinephrine, aldosterone, atrial natriuretic peptide, adrenomedullin, endothelin, patient acceptance, safety, quality of life, treadmill endurance
MeSH
humans, chronic disease, steam bath, pilot projects, cross-over studies, safety, aged, aged, 80 and over, middle aged, patient satisfaction, female, male, heart failure, hemodynamics

9 autores

  • Jeffrey R. Basford🇺🇸Mayo Clinic
  • Jae K. Oh🇺🇸Mayo Clinic
  • Thomas G. Allison🇺🇸Mayo Clinic
  • Charles G. Sheffield🇺🇸Mayo Clinic
  • Barbara G. Manahan🇺🇸Mayo Clinic
  • David O. Hodge🇺🇸Mayo Clinic
  • Abdul Jamil Tajik🇺🇸Mayo Clinic
  • Richard J. Rodeheffer🇺🇸Mayo Clinic
  • Chuwa Tei🇯🇵Kagoshima University

Resumen

El texto original del estudio, en el idioma en que se publicó.

Objectives

To perform a pilot study and make a preliminary assessment of the safety and acceptance of supervised sauna bathing at moderate temperatures in people with chronic heart failure (CHF). Secondary measures included its impact on exercise tolerance and neuroendocrine concentrations.

Design

Randomized, controlled, cross-over trial.

Setting

Physical medicine and rehabilitation clinic.

Participants

Six men and 3 women (age, 62-87y) with New York Heart Association Class III and IV CHF.

Interventions

Subjects were randomized into 2 groups and told to maintain their normal medication and activity regimens. One group then began a 3-times-a-week, 4-week sauna bathing program at 60+/-1 degrees C while the other continued with their usual activities and medications. Assignments were then reversed. Sessions were 15 minutes in length but were prolonged an additional 5 minutes for oral temperature increases less than 1.0 degrees C.

Main outcome measures

Patient acceptance, Minnesota Living With Heart Failure Questionnaire (MLWHFQ) scores; treadmill exercise duration and plasma adrenaline, noradrenalin, aldosterone, atrial naturectic factor, adrenomedulin, and endothelin.

Results

Sauna bathing was well tolerated and no adverse effects were reported. Improvements in MLWHFQ scores and treadmill endurance did not achieve statistical significance on a between-group basis but were more marked after the sauna than during the control phase. Neuroendocrine concentrations showed no clear effect of sauna treatment with a between-group statistically significant difference (P=.049) found only in the case of noradrenalin's 24% decrease.

Conclusions

Sauna bathing under the moderate and supervised conditions of this study appears to be well tolerated and may be safe for people with CHF. More research is needed to further evaluate the safety and potential benefits of this approach.

Resumen vía Europe PMC. Los derechos de autor siguen siendo de los autores o la editorial.

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