{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T07:13:07Z","timestamp":1775805187006,"version":"3.50.1"},"reference-count":81,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"4","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["JAHA"],"published-print":{"date-parts":[[2026,2,17]]},"abstract":"<jats:p xml:lang=\"en\">\n                    Studies have established the safety and benefits of exercise training in patients admitted with acute heart failure, yet heterogeneity in exercise delivery patterns exists. Hence, a scoping review was undertaken to map the evidence on early exercise\u2010based interventions (early mobilization with\/without exercise training) in patients recovering from acute heart failure (admission to up to 2\u2009weeks post\u2010hospitalization), for geographic distribution, exercise prescription, and exercise initiation time. A systematic search was conducted across 5 databases until September 2024. Studies, including protocols, providing early exercise\u2010based intervention anytime between admission and up to 2\u2009weeks from discharge, in any setting, were included. Data were extracted from 30 included studies, and the obtained evidence was mapped. This study uses the Preferred Reporting Items for Systematic Reviews and Meta\u2010analyses (\n                    <jats:styled-content style=\"fixed-case\" toggle=\"no\">PRISMA<\/jats:styled-content>\n                    )\u2014Extension for Scoping Reviews. The review included 1,54\u2009980 participants with acute heart failure, and 26.6% (8 of 30) of the studies focused on the older adult population. Early exercise\u2010based interventions, ie, early mobilization (n=12), exercise training (n=5), or combined (n=13), were limited to higher\u2010 (n=23) and upper\u2010middle\u2010income (n=6) countries and were primarily observational (n=19) in design. The median (\n                    <jats:styled-content style=\"fixed-case\" toggle=\"no\">Q1<\/jats:styled-content>\n                    \u2010\n                    <jats:styled-content style=\"fixed-case\" toggle=\"no\">Q3<\/jats:styled-content>\n                    ) initiation time to exercise was 3.8\u2009days (2.8\u20135.5), with a dose of eight sessions (4.7\u201321). The intensity ranged from very low to moderate intensity, with the duration per session ranging from 10 to 60\u2009minutes. The use of pre\u2010specified, well\u2010developed initiation, monitoring, and termination criteria was not common. Early exercise\u2010based interventions were comprehensive, multi\u2010modal, and of low\u2010moderate intensity, initiated within 4\u2009days of admission.\n                  <\/jats:p>","DOI":"10.1161\/jaha.125.045954","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T11:02:03Z","timestamp":1770807723000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Mapping of Early Exercise\u2010Based Interventions for Patients Recovering From Acute Heart Failure: A Scoping Review"],"prefix":"10.1161","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3822-1779","authenticated-orcid":false,"given":"Akhila","family":"Satyamurthy","sequence":"first","affiliation":[{"name":"Manipal College of Health Professions, Manipal Academy of Higher Education","place":["Manipal, India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8121-3304","authenticated-orcid":false,"given":"Ramachandran","family":"Padmakumar","sequence":"additional","affiliation":[{"name":"Kasturba Medical College, Manipal Academy of Higher Education","place":["Manipal, India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7509-0712","authenticated-orcid":false,"given":"Sivadasanpillai","family":"Harikrishnan","sequence":"additional","affiliation":[{"name":"Sree Chitra Tirunal Institute of Medical Sciences & Technology","place":["Thiruvananthapuram, India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4172-4307","authenticated-orcid":false,"given":"Panniyammakal","family":"Jeemon","sequence":"additional","affiliation":[{"name":"Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute of Medical Sciences & Technology","place":["Thiruvananthapuram, India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9908-2891","authenticated-orcid":false,"given":"Mukund A.","family":"Prabhu","sequence":"additional","affiliation":[{"name":"Kasturba Medical College, Manipal Academy of Higher Education","place":["Manipal, India"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1084-0137","authenticated-orcid":false,"given":"Abraham Samuel","family":"Babu","sequence":"additional","affiliation":[{"name":"Manipal College of Health Professions, Manipal Academy of Higher Education","place":["Manipal, India"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_1_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehab368"},{"key":"e_1_3_1_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/cce2.61"},{"key":"e_1_3_1_4_2","doi-asserted-by":"publisher","DOI":"10.1536\/ihj.20-441"},{"key":"e_1_3_1_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2019.10.003"},{"key":"e_1_3_1_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2019.08.001"},{"key":"e_1_3_1_7_2","first-page":"255","article-title":"Cardiac risk stratification in cardiac rehabilitation programs: a review of protocols","volume":"29","author":"da Silva AKF","year":"2014","unstructured":"da Silva AKF, Barbosa MP d C d R, Bernardo AFB, Vanderlei FM, Pacagnelli FL, Vanderlei LCM. Cardiac risk stratification in cardiac rehabilitation programs: a review of protocols. Braz J Cardiovasc Surg. 2014;29:255\u2013265.","journal-title":"Braz J Cardiovasc Surg"},{"key":"e_1_3_1_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000583"},{"key":"e_1_3_1_9_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.117.004634"},{"key":"e_1_3_1_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jchf.2016.12.019"},{"key":"e_1_3_1_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2022.104237"},{"key":"e_1_3_1_12_2","doi-asserted-by":"publisher","DOI":"10.31083\/j.rcm2311356"},{"key":"e_1_3_1_13_2","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000001010"},{"key":"e_1_3_1_14_2","doi-asserted-by":"publisher","DOI":"10.4070\/kcj.2022.0181"},{"key":"e_1_3_1_15_2","doi-asserted-by":"publisher","DOI":"10.1080\/1364557032000119616"},{"key":"e_1_3_1_16_2","doi-asserted-by":"publisher","DOI":"10.7326\/M18-0850"},{"key":"e_1_3_1_17_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0384-4"},{"key":"e_1_3_1_18_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13643-016-0204-x"},{"key":"e_1_3_1_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcad.2021.07.004"},{"key":"e_1_3_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2014.08.010"},{"key":"e_1_3_1_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0b013e31823be124"},{"key":"e_1_3_1_22_2","first-page":"2273","article-title":"Influence of early systematic rehabilitation exercise intervention on clinical effect and nursing satisfaction of patients with acute heart failure in compensatory stage","volume":"37","author":"Yang J","year":"2021","unstructured":"Yang J, Han S, Zhao H, Feng W, Zhang L, Chen R, Yin X, Li M. Influence of early systematic rehabilitation exercise intervention on clinical effect and nursing satisfaction of patients with acute heart failure in compensatory stage. Acta Medica Mediterranea. 2021;37:2273\u20132277.","journal-title":"Acta Medica Mediterranea"},{"key":"e_1_3_1_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/2047487312460484"},{"key":"e_1_3_1_24_2","doi-asserted-by":"publisher","DOI":"10.1177\/1474515120913806"},{"key":"e_1_3_1_25_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm9040952"},{"key":"e_1_3_1_26_2","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.34.547"},{"key":"e_1_3_1_27_2","doi-asserted-by":"publisher","DOI":"10.23736\/S1973-9087.21.06727-7"},{"key":"e_1_3_1_28_2","doi-asserted-by":"publisher","DOI":"10.1142\/S1013702523500014"},{"key":"e_1_3_1_29_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.788503"},{"key":"e_1_3_1_30_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2020.09.009"},{"key":"e_1_3_1_31_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00380-021-01814-1"},{"key":"e_1_3_1_32_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00380-022-02059-2"},{"key":"e_1_3_1_33_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0254128"},{"key":"e_1_3_1_34_2","doi-asserted-by":"publisher","DOI":"10.1253\/circrep.CR-19-0004"},{"key":"e_1_3_1_35_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2019.06.071"},{"key":"e_1_3_1_36_2","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCHEARTFAILURE.122.010320"},{"key":"e_1_3_1_37_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13063-023-07786-z"},{"key":"e_1_3_1_38_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2023.07.070"},{"key":"e_1_3_1_39_2","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.13538"},{"key":"e_1_3_1_40_2","doi-asserted-by":"publisher","DOI":"10.1093\/eurjcn\/zvac004"},{"key":"e_1_3_1_41_2","doi-asserted-by":"publisher","DOI":"10.1155\/2017\/7420738"},{"key":"e_1_3_1_42_2","doi-asserted-by":"publisher","DOI":"10.1007\/s40520-019-01213-7"},{"key":"e_1_3_1_43_2","doi-asserted-by":"publisher","DOI":"10.1002\/ehf2.12393"},{"key":"e_1_3_1_44_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-021-98172-9"},{"key":"e_1_3_1_45_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000703"},{"key":"e_1_3_1_46_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcdd9100314"},{"key":"e_1_3_1_47_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0294844"},{"key":"e_1_3_1_48_2","doi-asserted-by":"publisher","DOI":"10.1155\/2018\/6982897"},{"key":"e_1_3_1_49_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.958895"},{"key":"e_1_3_1_50_2","doi-asserted-by":"publisher","DOI":"10.4081\/monaldi.2014.38"},{"key":"e_1_3_1_51_2","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2020.559789"},{"key":"e_1_3_1_52_2","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-66-0094"},{"key":"e_1_3_1_53_2","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-19-0670"},{"key":"e_1_3_1_54_2","first-page":"e687","article-title":"Evolution of critical care cardiology: an update on structure, care delivery, training, and research paradigms: a scientific statement from the American Heart Association","volume":"151","author":"Sinha SS","year":"2025","unstructured":"Sinha SS, Geller BJ, Katz JN, Arslanian\u2010Engoren C, Barnett CF, Bohula EA, Damluji AA, Menon V, Roswell RO, Vallabhajosyula S, et\u00a0al. Evolution of critical care cardiology: an update on structure, care delivery, training, and research paradigms: a scientific statement from the American Heart Association. Circ J. 2025;151:e687\u2013e707.","journal-title":"Circ J"},{"key":"e_1_3_1_55_2","doi-asserted-by":"publisher","DOI":"10.1378\/chest.12-2930"},{"key":"e_1_3_1_56_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ccc.2023.09.003"},{"key":"e_1_3_1_57_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2021.01.030"},{"key":"e_1_3_1_58_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0223185"},{"key":"e_1_3_1_59_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.eclinm.2019.06.007"},{"key":"e_1_3_1_60_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41569-021-00611-7"},{"key":"e_1_3_1_61_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm14155573"},{"key":"e_1_3_1_62_2","doi-asserted-by":"publisher","DOI":"10.21037\/cdt.2019.08.03"},{"key":"e_1_3_1_63_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2013.11.053"},{"key":"e_1_3_1_64_2","first-page":"908","article-title":"The cardiology Society of India\u2010Kerala Acute Heart Failure Registry: poor adherence to guideline\u2010directed medical therapy","volume":"43","author":"Joseph S","year":"2022","unstructured":"Joseph S, Panniyammakal J, Abdullakutty J, Sujithkumar S, Vaikathuseril LJ, Joseph J, Mattummal S, Punnose E, Unni G, Natesan S, et\u00a0al. The cardiology Society of India\u2010Kerala Acute Heart Failure Registry: poor adherence to guideline\u2010directed medical therapy. Eur Heart J. 2022;43:908\u2013915.","journal-title":"Eur Heart J"},{"key":"e_1_3_1_65_2","doi-asserted-by":"publisher","DOI":"10.1002\/ejhf.2431"},{"key":"e_1_3_1_66_2","doi-asserted-by":"publisher","DOI":"10.1016\/S2214-109X(18)30306-1"},{"key":"e_1_3_1_67_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.07.056"},{"key":"e_1_3_1_68_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2022.03.021"},{"key":"e_1_3_1_69_2","first-page":"1","article-title":"Clinical review: early patient mobilization in the ICU","volume":"17","author":"Hodgson CL","year":"2013","unstructured":"Hodgson CL, Berney S, Harrod M, Saxena M, Bellomo R. Clinical review: early patient mobilization in the ICU. Crit Care. 2013;17:1\u20137.","journal-title":"Crit Care"},{"key":"e_1_3_1_70_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-022-04253-0"},{"key":"e_1_3_1_71_2","doi-asserted-by":"publisher","DOI":"10.1097\/CCM.0000000000003299"},{"key":"e_1_3_1_72_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-014-0658-y"},{"key":"e_1_3_1_73_2","doi-asserted-by":"publisher","DOI":"10.1186\/s13054-024-04919-x"},{"key":"e_1_3_1_74_2","doi-asserted-by":"publisher","DOI":"10.4330\/wjc.v3.i7.248"},{"key":"e_1_3_1_75_2","doi-asserted-by":"publisher","DOI":"10.1136\/heart.88.1.83"},{"key":"e_1_3_1_76_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2021.01.065"},{"key":"e_1_3_1_77_2","doi-asserted-by":"publisher","DOI":"10.1589\/jpts.30.1193"},{"key":"e_1_3_1_78_2","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2021.789"},{"key":"e_1_3_1_79_2","doi-asserted-by":"publisher","DOI":"10.1097\/MLR.0b013e3182408812"},{"key":"e_1_3_1_80_2","doi-asserted-by":"publisher","DOI":"10.1186\/1748-5908-4-50"},{"key":"e_1_3_1_81_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.gheart.2019.07.004"},{"key":"e_1_3_1_82_2","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0000000000000978"}],"container-title":["Journal of the American Heart Association"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/JAHA.125.045954","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,10]],"date-time":"2026-04-10T06:26:14Z","timestamp":1775802374000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/JAHA.125.045954"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,17]]},"references-count":81,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,2,17]]}},"alternative-id":["10.1161\/JAHA.125.045954"],"URL":"https:\/\/doi.org\/10.1161\/jaha.125.045954","relation":{},"ISSN":["2047-9980"],"issn-type":[{"value":"2047-9980","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,17]]},"assertion":[{"value":"2025-08-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-02","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e045954"}}