Meta-Analysis
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Sep 26, 2019; 7(18): 2760-2775
Published online Sep 26, 2019. doi: 10.12998/wjcc.v7.i18.2760
Respiratory training interventions improve health status of heart failure patients: A systematic review and network meta-analysis of randomized controlled trials
Mei-Hua Wang, Mei-Ling Yeh
Mei-Hua Wang, Mei-Ling Yeh, School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei 11219, Taiwan
Author contributions: All authors equally contributed to this paper.
Conflict-of-interest statement: The authors have no financial or any other kind of personal conflicts with this paper.
PRISMA 2009 Checklist statement: The manuscript has been checked according to the PRISMA 2009 Checklist.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Mei-Ling Yeh, PhD, DMS, Professor, School of Nursing, National Taipei University of Nursing and Health Sciences, 365 Minte Road, Taipei 11219, Taiwan. meiling@ntunhs.edu.tw
Telephone: +886-2-28227101
Received: January 30, 2019
Peer-review started: January 31, 2019
First decision: May 31, 2019
Revised: July 4, 2019
Accepted: July 27, 2019
Article in press: July 27, 2019
Published online: September 26, 2019
Core Tip

Core tip: Breathing training interventions, including inspiratory muscle training, tai chi, yoga, and breathing exercises, are effective strategies for improving cardiac function, exercise capacity, and quality of life in heart failure patients. Machine-assisted respiratory training in hospital settings should be prioritized over respiratory training provided in non-hospital settings. Inspiratory muscle training with high pressure effectively improves cardiac function, and inspiratory muscle training with moderate pressure effectively improves quality of life in heart failure patients. In home settings, non-machine-assisted respiratory training such as tai chi, yoga, and breathing exercise effectively reduces (improves) heart rate in heart failure patients.