{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,23]],"date-time":"2026-10-23T20:04:46Z","timestamp":1792785886163,"version":"4.5.0"},"reference-count":38,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,1,2]],"date-time":"2025-01-02T00:00:00Z","timestamp":1735776000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"Swedish National Science Council","award":["K2013-69X-22302-01-3, 2016-01390"],"award-info":[{"award-number":["K2013-69X-22302-01-3, 2016-01390"]}]},{"name":"Swedish National Science Council"},{"DOI":"10.13039\/501100006636","name":"Swedish Research Council for Health, Working Life and Welfare","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100006636","name":"FORTE","doi-asserted-by":"publisher","award":["2014-4100"],"award-info":[{"award-number":["2014-4100"]}],"id":[{"id":"10.13039\/501100006636","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100018870","name":"Swedish Heart and Lung Association","doi-asserted-by":"publisher","award":["E085\/12"],"award-info":[{"award-number":["E085\/12"]}],"id":[{"id":"10.13039\/100018870","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100003793","name":"Swedish Heart and Lung Foundation","doi-asserted-by":"publisher","award":["20130340, 20160439"],"award-info":[{"award-number":["20130340, 20160439"]}],"id":[{"id":"10.13039\/501100003793","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009107","name":"V\u00e5rdal Foundation","doi-asserted-by":"publisher","award":["2014\u20130018"],"award-info":[{"award-number":["2014\u20130018"]}],"id":[{"id":"10.13039\/100009107","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100010805","name":"Medical Research Council of Southeast Sweden","doi-asserted-by":"publisher","award":["FORSS 474681"],"award-info":[{"award-number":["FORSS 474681"]}],"id":[{"id":"10.13039\/100010805","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,4,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>This study aimed to explore effects of exergaming and medical yoga on exercise capacity, fatigue, shortness of breath, health-related quality of life, depression, and anxiety in patients with heart failure.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods and results<\/jats:title>\n                    <jats:p>A randomized sub-study with a 3-month intervention and outcomes measures at baseline, 3, 6, and 12 months. Participants were recruited from heart failure clinics in Sweden. Treatment effects in change of outcomes were tested in an analysis of mixed-effects models with repeated measures. Change in outcomes was the dependent variable. The independent fixed-effect parameters were treatment group, time, and the interaction between treatment group and time.<\/jats:p>\n                    <jats:p>In total, 104 patients (37% women, mean age 71 \u00b1 12, 48% in New York Heart Association Class II and 42% in III) were randomized to exergaming (n = 35), medical yoga (n = 33), or an active control group (n = 36). No statistically significant differences were found between these three groups on any of the outcome measures. Exergaming significantly improved exercise capacity, fatigue, shortness of breath, and physical health-related quality of life and medical yoga improved symptoms of fatigue and emotional health-related quality of life. The control group did not change on the exercise capacity, symptoms, health-related quality of life, or depressive or anxiety symptoms. The well-being score in patients in the control group significantly decreased at 3 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Both exergaming and medical yoga demonstrated positive impacts on outcomes when compared with a control group. Exergaming, characterized by its elevated physical intensity, exerted effects primarily on physical health, while medical yoga, as a mind\u2013body intervention, exhibited influences on emotional well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Registration<\/jats:title>\n                    <jats:p>ClinicalTrial.gov: NCT01785121<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/eurjcn\/zvae155","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T23:26:32Z","timestamp":1733354792000},"page":"389-398","source":"Crossref","is-referenced-by-count":9,"title":["Effects of exergaming and yoga on exercise capacity and physical and mental health in heart failure patients: a randomized sub-study"],"prefix":"10.1093","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7493-0353","authenticated-orcid":false,"given":"Leonie","family":"Klompstra","sequence":"first","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Campus US, Link\u00f6ping University , 581 83 Link\u00f6ping ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-0060-6709","authenticated-orcid":false,"given":"Eva","family":"H\u00e4gglund","sequence":"additional","affiliation":[{"name":"Unit of Cardiology, Heart and Vascular Theme, Karolinska University Hospital , Huddinge ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4197-4026","authenticated-orcid":false,"given":"Tiny","family":"Jaarsma","sequence":"additional","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Campus US, Link\u00f6ping University , 581 83 Link\u00f6ping ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4437-0260","authenticated-orcid":false,"given":"Naoko P","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Campus US, Link\u00f6ping University , 581 83 Link\u00f6ping ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4259-3671","authenticated-orcid":false,"given":"Anna","family":"Str\u00f6mberg","sequence":"additional","affiliation":[{"name":"Department of Health, Medicine and Caring Sciences, Campus US, Link\u00f6ping University , 581 83 Link\u00f6ping ,","place":["Sweden"]},{"name":"Department of Cardiology, Link\u00f6ping University , Link\u00f6ping ,","place":["Sweden"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,1,2]]},"reference":[{"key":"2025041803411783400_zvae155-B1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1002\/ejhf.2333","article-title":"2021 ESC guidelines for the diagnosis and treatment of acute and chronic heart failure","volume":"24","author":"McDonagh","year":"2022","journal-title":"Eur J Heart Fail"},{"key":"2025041803411783400_zvae155-B2","doi-asserted-by":"crossref","first-page":"347","DOI":"10.1093\/eurjhf\/hfr017","article-title":"Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation","volume":"13","author":"Piepoli","year":"2011","journal-title":"Eur J Heart Fail"},{"key":"2025041803411783400_zvae155-B3","doi-asserted-by":"crossref","first-page":"1486","DOI":"10.1093\/eurheartj\/ehq091","article-title":"Compliance with non-pharmacological recommendations and outcome in heart failure patients","volume":"31","author":"van der Wal","year":"2010","journal-title":"Eur Heart J"},{"key":"2025041803411783400_zvae155-B4","doi-asserted-by":"crossref","first-page":"1757","DOI":"10.1016\/j.jacc.2021.12.011","article-title":"2022 AHA\/ACC\/HFSA guideline for the management of heart failure: executive summary: a report of the American College of Cardiology\/American Heart Association joint committee on clinical practice guidelines","volume":"79","author":"Heidenreich","year":"2022","journal-title":"J Am Coll Cardiol"},{"key":"2025041803411783400_zvae155-B5","doi-asserted-by":"crossref","first-page":"41","DOI":"10.1007\/s10741-016-9584-1","article-title":"Adherence to recommended exercise guidelines in patients with heart failure","volume":"22","author":"Deka","year":"2017","journal-title":"Heart Fail Rev"},{"key":"2025041803411783400_zvae155-B6","doi-asserted-by":"crossref","first-page":"100472","DOI":"10.1016\/j.cpcardiol.2019.100472","article-title":"Exergaming and virtual reality for health: implications for cardiac rehabilitation","volume":"46","author":"Bond","year":"2021","journal-title":"Curr Probl Cardiol"},{"key":"2025041803411783400_zvae155-B7","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1016\/j.ijmedinf.2015.10.008","article-title":"Exercise and rehabilitation delivered through exergames in older adults: an integrative review of technologies, safety and efficacy","volume":"85","author":"Skjaeret","year":"2016","journal-title":"Int J Med Inform"},{"key":"2025041803411783400_zvae155-B8","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1177\/1474515113512203","article-title":"Exergaming in older adults: a scoping review and implementation potential for patients with heart failure","volume":"13","author":"Klompstra","year":"2013","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2025041803411783400_zvae155-B9","doi-asserted-by":"crossref","first-page":"3492","DOI":"10.3390\/ijerph19063492","article-title":"Effects of exergaming in patients with cardiovascular disease compared to conventional cardiac rehabilitation: a systematic review and meta-analysis","volume":"19","author":"Blasco-Peris","year":"2022","journal-title":"Int J Environ Res Public Health"},{"key":"2025041803411783400_zvae155-B10","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1177\/1474515117690297","article-title":"Effects of yoga versus hydrotherapy training on health-related quality of life and exercise capacity in patients with heart failure: a randomized controlled study","volume":"16","author":"H\u00e4gglund","year":"2017","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2025041803411783400_zvae155-B11","doi-asserted-by":"crossref","first-page":"369","DOI":"10.1097\/01.hjr.0000206329.26038.cc","article-title":"Yoga in cardiac health (a review)","volume":"11","author":"Jayasinghe","year":"2004","journal-title":"Eur J Prev Cardiol"},{"key":"2025041803411783400_zvae155-B12","doi-asserted-by":"crossref","first-page":"407","DOI":"10.1016\/j.cardfail.2007.12.007","article-title":"Effects of yoga on inflammation and exercise capacity in patients with chronic heart failure","volume":"14","author":"Pullen","year":"2008","journal-title":"J Cardiac Fail"},{"key":"2025041803411783400_zvae155-B13","doi-asserted-by":"crossref","first-page":"11343","DOI":"10.3390\/ijerph182111343","article-title":"Tele-yoga in long term illness-protocol for a randomised controlled trial including a process evaluation and results from a pilot study","volume":"18","author":"Str\u00f6mberg","year":"2021","journal-title":"Int J Environ Res Public Health"},{"key":"2025041803411783400_zvae155-B14","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1002\/ejhf.1754","article-title":"Effects of exergaming on exercise capacity in patients with heart failure: results of an international multicentre randomized controlled trial","volume":"23","author":"Jaarsma","year":"2021","journal-title":"Eur J Heart Fail"},{"key":"2025041803411783400_zvae155-B15","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1002\/ejhf.305","article-title":"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","volume":"17","author":"Jaarsma","year":"2015","journal-title":"Eur J Heart Fail"},{"key":"2025041803411783400_zvae155-B16","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1164\/ajrccm.166.1.at1102","article-title":"ATS statement: guidelines for the six-minute walk test","volume":"166","author":"ATS Committee on Proficiency Standards for Clinical Pulmonary Function Laboratories","year":"2002","journal-title":"Am J Respir Crit Care Med"},{"key":"2025041803411783400_zvae155-B17","doi-asserted-by":"crossref","first-page":"1742","DOI":"10.1093\/eurheartj\/ehi259","article-title":"The reproducibility and sensitivity of the 6-min walk test in elderly patients with chronic heart failure","volume":"26","author":"Ingle","year":"2005","journal-title":"Eur Heart J"},{"key":"2025041803411783400_zvae155-B18","volume-title":"The Pattern of Human Concerns","author":"Cantril","year":"1965"},{"key":"2025041803411783400_zvae155-B19","first-page":"198","article-title":"Patient\u2019s self-assessment of their congestive heart failure: content, reliability and validity of a new measure\u2014the Minnesota Living with Heart Failure Questionnaire","volume":"3","author":"Rector","year":"1987","journal-title":"Heart Fail"},{"key":"2025041803411783400_zvae155-B20","doi-asserted-by":"crossref","first-page":"361","DOI":"10.1111\/j.1600-0447.1983.tb09716.x","article-title":"The hospital anxiety and depression scale","volume":"67","author":"Zigmond","year":"1983","journal-title":"Acta Psychiatr Scand"},{"key":"2025041803411783400_zvae155-B21","doi-asserted-by":"crossref","first-page":"1245","DOI":"10.1016\/0895-4356(94)90129-5","article-title":"Validation of a combined comorbidity index","volume":"47","author":"Charlson","year":"1994","journal-title":"J Clin Epidemiol"},{"key":"2025041803411783400_zvae155-B22","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1111\/j.1532-5415.2005.53221.x","article-title":"The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment","volume":"53","author":"Nasreddine","year":"2005","journal-title":"J Am Geriatr Soc"},{"key":"2025041803411783400_zvae155-B23","doi-asserted-by":"crossref","first-page":"287","DOI":"10.1002\/pst.185","article-title":"Sample size of 12 per group rule of thumb for a pilot study","volume":"4","author":"Julious","year":"2005","journal-title":"Pharm Stat"},{"key":"2025041803411783400_zvae155-B24","doi-asserted-by":"crossref","first-page":"301","DOI":"10.1016\/j.jclinepi.2011.07.011","article-title":"The size of a pilot study for a clinical trial should be calculated in relation to considerations of precision and efficiency","volume":"65","author":"Sim","year":"2012","journal-title":"J Clin Epidemiol"},{"key":"2025041803411783400_zvae155-B25","doi-asserted-by":"crossref","DOI":"10.4324\/9780203807002","volume-title":"Understanding the New Statistics: Effect Sizes, Confidence Intervals, and Meta-analysis","author":"Cumming","year":"2013"},{"key":"2025041803411783400_zvae155-B26","first-page":"919","article-title":"The 6-minute walk: a new measure of exercise capacity in patients with chronic heart failure","volume":"132","author":"Guyatt","year":"1985","journal-title":"Can Med Assoc J"},{"key":"2025041803411783400_zvae155-B27","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1016\/S1474-5151(03)00064-1","article-title":"Patient\u2019s view of heart failure: from the understanding to the quality of life","volume":"2","author":"Lainscak","year":"2003","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2025041803411783400_zvae155-B28","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1007\/s40520-016-0578-6","article-title":"Wii Fit is effective in women with bone loss condition associated with balance disorders: a randomized controlled trial","volume":"28","author":"Morone","year":"2016","journal-title":"Aging Clin Exp Res"},{"key":"2025041803411783400_zvae155-B29","doi-asserted-by":"crossref","first-page":"30","DOI":"10.1016\/j.ijnurstu.2019.01.010","article-title":"Effect of exergaming on health-related quality of life in older adults: a systematic review","volume":"93","author":"Cacciata","year":"2019","journal-title":"Int J Nurs Stud"},{"key":"2025041803411783400_zvae155-B30","doi-asserted-by":"crossref","first-page":"651","DOI":"10.1249\/MSS.0b013e3181bf24c4","article-title":"Benefits of yoga for African American heart failure patients","volume":"42","author":"Pullen","year":"2010","journal-title":"Med Sci Sports Exerc"},{"key":"2025041803411783400_zvae155-B31","first-page":"687","article-title":"Retardation of coronary atherosclerosis with yoga lifestyle intervention","volume":"48","author":"Manchanda","year":"2000","journal-title":"J Assoc Physicians India"},{"key":"2025041803411783400_zvae155-B32","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1177\/1474515119871796","article-title":"MediYoga as a part of a self-management programme among patients with paroxysmal atrial fibrillation\u2014a randomised study","volume":"19","author":"Wahlstr\u00f6m","year":"2020","journal-title":"Eur J Cardiovasc Nurs"},{"key":"2025041803411783400_zvae155-B33","first-page":"123","article-title":"Yoga for rehabilitation","volume":"51","author":"Telles","year":"1997","journal-title":"Indian J Med Sci"},{"key":"2025041803411783400_zvae155-B34","doi-asserted-by":"crossref","first-page":"e112414","DOI":"10.1371\/journal.pone.0112414","article-title":"Yoga for multiple sclerosis: a systematic review and meta-analysis","volume":"9","author":"Cramer","year":"2014","journal-title":"PLoS One"},{"key":"2025041803411783400_zvae155-B35","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13030-014-0027-8","article-title":"Isometric yoga improves the fatigue and pain of patients with chronic fatigue syndrome who are resistant to conventional therapy: a randomized, controlled trial","volume":"8","author":"Oka","year":"2014","journal-title":"Biopsychosoc Med"},{"key":"2025041803411783400_zvae155-B36","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/1471-2466-9-37","article-title":"The efficacy of a comprehensive lifestyle modification programme based on yoga in the management of bronchial asthma: a randomized controlled trial","volume":"9","author":"Vempati","year":"2009","journal-title":"BMC Pulm Med"},{"key":"2025041803411783400_zvae155-B37","doi-asserted-by":"crossref","first-page":"110","DOI":"10.1136\/thorax.57.2.110","article-title":"Sahaja yoga in the management of moderate to severe asthma: a randomised controlled trial","volume":"57","author":"Manocha","year":"2002","journal-title":"Thorax"},{"key":"2025041803411783400_zvae155-B38","first-page":"CD003331","article-title":"Exercise-based cardiac rehabilitation for adults with heart failure","volume":"3","author":"Molloy","year":"2024","journal-title":"Cochrane Database Syst Rev"}],"container-title":["European Journal of Cardiovascular Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/eurjcn\/advance-article-pdf\/doi\/10.1093\/eurjcn\/zvae155\/61301114\/zvae155.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurjcn\/article-pdf\/24\/3\/389\/61301114\/zvae155.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/eurjcn\/article-pdf\/24\/3\/389\/61301114\/zvae155.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,18]],"date-time":"2025-04-18T03:41:32Z","timestamp":1744947692000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/eurjcn\/article\/24\/3\/389\/7935325"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,2]]},"references-count":38,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2025,1,2]]},"published-print":{"date-parts":[[2025,4,11]]}},"URL":"https:\/\/doi.org\/10.1093\/eurjcn\/zvae155","relation":{},"ISSN":["1474-5151","1873-1953"],"issn-type":[{"value":"1474-5151","type":"print"},{"value":"1873-1953","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2025,4]]},"published":{"date-parts":[[2025,1,2]]}}}