ESC Congress 2026 Abstract

Exercise reduced heart failure hospitalizations in trial

In a six-month randomized study, 100 people with chronic heart failure received hospital-started, supervised home exercise or standard care.

Paper by K H Kim, W Wi · Incheon Medical Center
Heart cross-sections beside supervised home exercise and a hospital, where fewer dark blue-green figures gather than gray figures.
Randomized trial in 100 patients with chronic heart failure, 6 months, against standard careInterventions

Limit: Follow-up lasted only six months

Edited by Boris Djordjevic · AgingResearch.News

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In a randomized trial, 100 patients with chronic heart failure received either a structured exercise program or standard care. Training began during hospitalization and continued at home under supervision. Researchers assessed strength, walking speed, frailty, fitness, and thinking and memory at the start and after six months.

The exercise group had fewer heart failure–related hospitalizations over six months. In that group, grip strength rose from 28.9 to 32.0 kilograms, and frailty scores fell from 1.63 to 1.23. Scores on a test of thinking and memory also improved. Fitness, measured by peak oxygen use during exercise, was maintained in the exercise group but declined by about 20% or more from baseline in the standard-care group. The standard-care group showed no improvement in frailty or thinking and memory.

Why it matters

Frailty and functional decline contribute to recurrent hospitalization in heart failure. The findings suggest early rehabilitation may change the course of this decline beyond managing symptoms, a question relevant to aging with the condition.

Caveats

Follow-up lasted six months, and the congress abstract reported no hospitalization counts or rates, exercise frequency or intensity, or harms. Participants had chronic heart failure, but their ages, sex, and exclusion criteria were not specified, leaving applicability to other groups unclear.