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REVIEW article

Front. Cardiovasc. Med.
Sec. Cardiac Rhythmology
Volume 11 - 2024 | doi: 10.3389/fcvm.2024.1509304
This article is part of the Research Topic Personalized Care in Cardiac Arrhythmias: the Role of Digital Platforms in Cardiac Arrhythmia Management View all 6 articles

The type of exercise most beneficial for quality of life in people with atrial fibrillation: A network meta-analysis

Provisionally accepted
Zhen Yang Zhen Yang Xiaoting Qi Xiaoting Qi Hu Guangling Hu Guangling *
  • Fuwai Central China Cardiovascular Hospital, Zhengzhou, China

The final, formatted version of the article will be published soon.

    Introduction: Atrial fibrillation (AF) significantly detracts from health-related quality of life (HRQoL). Despite the promotion of exercise interventions for managing AF, the effectiveness of different exercise modalities remains to be clearly defined. This systematic review and network meta-analysis aims to evaluate the comparative effectiveness of various modes of exercise interventions on HRQoL in AF patients. Methods: A random-effect network meta-analysis was performed. We conducted comprehensive searches across multiple databases, including PubMed, Web of Science, Embase, Cochrane Library, Scopus, and Chinese databases such as CNKI, WanFang Data, and VIP. The review included only randomized controlled trials (RCTs) that investigated the effects of exercise interventions on HRQoL among individuals diagnosed with AF.The network meta-analysis (NMA) incorporated 12 studies, of which five presented some concerns regarding risk of bias and one exhibited a high risk of bias. For total HRQoL in AF patients, aerobic exercise, and cardiac rehabilitation (CR) yielded standardised mean differences of 0.60 (95% CI: 0.02 to 1.13) and 0.59 (95% CI: 0.20 to 0.99), respectively. For the physical component of HRQoL, CR was most efficacious, demonstrating the highest Surface Under the Cumulative RAnking curve (SUCRA) value of 77%. For the mental component of HRQoL, highintensity interval training (HIIT) was superior, with the highest SUCRA value of 90.7%.: Both aerobic exercise and CR effectively improve the physical and mental dimensions of HRQoL as well as overall HRQoL in patients with AF. However, for the mental component of HRQoL, HIIT was identified as the most effective intervention. No Patient or Public Contribution.

    Keywords: Network meta-analysis, Exercise, Atrial Fibrillation, Quality of Life, Rehabilitation

    Received: 10 Oct 2024; Accepted: 17 Dec 2024.

    Copyright: © 2024 Yang, Qi and Guangling. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Hu Guangling, Fuwai Central China Cardiovascular Hospital, Zhengzhou, China

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.