title: Effects of moderate-to-high intensity resistance training in patients with chronic heart failure.
abstract: BACKGROUND
  Resistance training may be beneficial for patients with chronic heart failure (CHF).
  
  
  OBJECTIVE
  To systematically review the methodological quality of, and summarise the effects of, moderate-to-high intensity resistance training in CHF.
  
  
  METHODS
  Medline/PubMed, Science Citation Index Expanded, SSCI and A&HCI.
  
  
  METHODS
  English language (non-)randomised controlled trials.
  
  
  METHODS
  A predesigned data extraction form was used to obtain data on trial design and relevant results. Methodological quality of the identified trials were scored using the Delphi list.
  
  
  RESULTS
  Most of the 10 trials identified had moderate-to-severe methodological limitations. Effects of resistance training (alone or in combination with endurance training) are inconclusive for outcomes like exercise capacity and disease-specific quality of life.
  
  
  CONCLUSIONS
  Even though moderate-to-high intensity resistance training does not seem be harmful for patients with CHF, the current peer-reviewed evidence seems inadequate to generally recommend incorporation of resistance training into exercise-based rehabilitation programmes for patients with CHF.
authors.affiliation: Department of Research, Development and Education, Centre for Integrated Rehabilitation of Organ Failure, Horn, The Netherlands. martijnspruit@proteion.nl
authors.forename: M A
authors.initials: MA
authors.lastname: Spruit
authors.forename: R-M A
authors.initials: RM
authors.lastname: Eterman
authors.forename: V A C V
authors.initials: VA
authors.lastname: Hellwig
authors.forename: P P
authors.initials: PP
authors.lastname: Janssen
authors.forename: E F M
authors.initials: EF
authors.lastname: Wouters
authors.forename: N H M K
authors.initials: NH
authors.lastname: Uszko-Lencer