The effect of exercise to improve quality of life among patients with heart failure: A literature review

Masroni Masroni, Ni Made Manik Elisa Putri, Anita Dwi Ariyani


Background: Nowadays, cardiovascular diseases are considered as the most prevalent disease in developed countries and are main cause of mortality in all ages and races. Heart failure (HF) is a major public health issue in the world. An exercise program, developed based on the physical conditions of patients, can promote the quality of life in heart failure patients.

Purpose: To examine the effect of exercise to improve quality of life among patient with Heart Failure.

Methods: The electronic databases of PubMed, CINAHL, Trip, and Cochrane Systematic Reviews were searched. These databases were chosen based on their inclusion of allied health and medical journals, and those that contain studies relevant based exercise.

Results:  The search terms included "heart failure", "exercise", "quality of life". We found 272 articles in all databased and got 1 for PubMed, 2 for Trip database that fit in criteria.

Conclusion: Physical exercise has proved increasing quality of life among patients with heart failure. Improving patients exercise capacity and increasing their ability to perform more daily physical activity is expected to improve their quality of life. From the result finding of three evidences, we could see the significant finding on increasing quality of life after did physical exercise.


Excercise; Quality of life; Heart failure

Full Text:



Bleumink, G. S., Knetsch, A. M., Sturkenboom, M. C., Straus, S. M., Hofman, A., Deckers, J. W., & Stricker, B. H. C. (2004). Quantifying the heart failure epidemic: prevalence, incidence rate, lifetime risk and prognosis of heart failure. European heart journal, 25(18), 1614-1619.

Bocalini, D. S., Santos, L. D., & Serra, A. J. (2008). Physical exercise improves the functional capacity and quality of life in patients with heart failure. Clinics, 63(4), 437-442.

Braunwald, E., Douglas, P., Zipes, P., & Robert, O. (2015). Branwell’s heart disease: A text book of cardiovascular medicin.

Chrysohoou, C., Tsitsinakis, G., Vogiatzis, I., Cherouveim, E., Antoniou, C., Tsiantilas, A., & Koulouris, N. G. (2014). High intensity, interval exercise improves quality of life of patients with chronic heart failure: a randomized controlled trial. Qjm, 107(1), 25-32.

Dehkordi, A. H., & Far, A. K. (2015). Effect of Exercise Training on the Quality of Life and Echocardiography Parameter of Systolic Function in Patients With Chronic Heart Failure: a Randomized Trial. Asian journal of sports medicine, 6(1).

Dunlay, S. M., Gheorghiade, M., Reid, K. J., Allen, L. A., Chan, P. S., Hauptman, P. J., & Spertus, J. A. (2010). Critical elements of clinical follow‐up after hospital discharge for heart failure: insights from the EVEREST trial. European journal of heart failure, 12(4), 367-374.

Jaarsma, T., Klompstra, L., Ben Gal, T., Boyne, J., Vellone, E., Bäck, M., & Chialà, O. (2015). Increasing exercise capacity and quality of life of patients with heart failure through Wii gaming: the rationale, design and methodology of the HF‐Wii study; a multicentre randomized controlled trial. European journal of heart failure, 17(7), 743-748.

Lewis, G. D., Shah, R., Shahzad, K., Camuso, J., Pappagianopoulos, P. P., Hung, J., & Semigran, M. J. (2007). Sildenafil improves exercise capacity and quality of life in patients with systolic heart failure and secondary pulmonary hypertension. Journal of Cardiac Failure, 13(6), S135-S136.

Parkosewich, J. A. (2010). Assessment of Cardiovascular function. Brunner Suddarth’s Text Book of Medical-Surgical Nursing. 10th ed. Philadelphia: Lippincott, 646-81.

Rakhshan, M., Kordshooli, K. R., & Ghadakpoor, S. (2015). Effects of Family-Center Empowerment Model on the Lifestyle of Heart Failure Patients: A Randomized Controlled Clinical Trial. International journal of community based nursing and midwifery, 3(4), 255.

Taylor, R. S., Sagar, V. A., Davies, E. J., Briscoe, S., Coats, A. J., Dalal, H., & Singh, S. (2014). Exercise-based rehabilitation for heart failure. Cochrane Database Syst Rev, 4(4).

Whellan, D. J., O'Connor, C. M., Lee, K. L., Keteyian, S. J., Cooper, L. S., Ellis, S. J., & Rendall, D. S. (2007). Heart failure and a controlled trial investigating outcomes of exercise training (HF-ACTION): design and rationale. American heart journal, 153(2), 201-211.



  • There are currently no refbacks.

Copyright (c) 2020 Malahayati International Journal of Nursing and Health Science

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.

If this paper is accepted for publication, you will be asked to pay an Article Publication Fee to cover publications costs (1000.000 IDR) and for promotional purposes, the author from abroad are free.

Please fill up at

Decision Letter of The rector-University of Malahayati No. 1356.10.411.07.19