Editing Heart failure (section)

====Exercise and physical activity====
Exercise should be encouraged and tailored to suit an individual's capabilities. A meta-analysis found that center-based group interventions delivered by a physiotherapist help promote physical activity in HF.<ref>{{cite journal | vauthors = Amirova A, Fteropoulli T, Williams P, Haddad M | title = Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis | language = English | journal = Open Heart | volume = 8 | issue = 1 | pages = e001687 | date = June 2021 | pmid = 34108272 | pmc = 8191629 | doi = 10.1136/openhrt-2021-001687 | oclc = 9066065537 }}</ref> There is a need for additional training for physiotherapists in delivering behavior change intervention alongside an exercise program. An intervention is expected to be more efficacious in encouraging physical activity than the usual care if it includes ''Prompts and cues'' to walk or exercise, like a phone call or a text message. It is helpful if a trusted clinician provides explicit advice to engage in physical activity (''Credible source''). Another highly effective strategy is to place objects that will serve as a cue to engage in physical activity in the person's everyday environment (''Adding object to the environment''; e.g., exercise step or treadmill). Encouragement to walk or exercise in various settings beyond CR (e.g., home, neighborhood, parks) is also promising (''Generalisation of target behavior''). Additional promising strategies are ''Graded tasks'' (e.g., gradual increase in intensity and duration of exercise training), ''Self-monitoring'', ''Monitoring of physical activity by others without feedback'', ''Action planning'', and ''Goal-setting''.<ref>{{cite journal | vauthors = Amirova A, Fteropoulli T, Williams P, Haddad M | title = Efficacy of interventions to increase physical activity for people with heart failure: a meta-analysis | journal = Open Heart | volume = 8 | issue = 1 | pages = e001687 | date = June 2021 | pmid = 34108272 | pmc = 8191629 | doi = 10.1136/openhrt-2021-001687 | doi-access = free }}</ref> The inclusion of regular physical conditioning as part of a [[cardiac rehabilitation]] program can significantly improve [[quality of life]] and reduce the risk of hospital admission for worsening symptoms, but no evidence shows a reduction in mortality rates as a result of exercise.

Home visits and regular monitoring at heart-failure clinics reduce the need for hospitalization and improve [[life expectancy]].<ref name="Feltner 2014">{{cite journal | vauthors = Feltner C, Jones CD, Cené CW, Zheng ZJ, Sueta CA, Coker-Schwimmer EJ, Arvanitis M, Lohr KN, Middleton JC, Jonas DE | title = Transitional care interventions to prevent readmissions for persons with heart failure: a systematic review and meta-analysis | journal = Annals of Internal Medicine | volume = 160 | issue = 11 | pages = 774–84 | date = June 2014 | pmid = 24862840 | doi = 10.7326/M14-0083 | doi-access =  | s2cid = 262525144 | hdl = 11250/2485759 | hdl-access = free }}</ref>