<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2709-7927</journal-id>
<journal-title><![CDATA[Acta Médica del Centro]]></journal-title>
<abbrev-journal-title><![CDATA[Acta méd centro]]></abbrev-journal-title>
<issn>2709-7927</issn>
<publisher>
<publisher-name><![CDATA[Hospital Provincial Clínico Quirúrgico Universitario Arnaldo Milián Castro]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2709-79272020000400463</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Depresión y ansiedad en falla cardíaca: ¿existen diferencias según el grupo muscular rehabilitado? Ensayo clínico aleatorizado (Strong Hearts Trial)]]></article-title>
<article-title xml:lang="en"><![CDATA[Depression and anxiety in heart failure: are there differences according to the rehabilitated muscle group? Randomized Clinical Trial (Strong Hearts Trial)]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira-Rodríguez]]></surname>
<given-names><![CDATA[Javier Eliecer]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Velasquez-Badillo]]></surname>
<given-names><![CDATA[Ximena]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Peñaranda-Florez]]></surname>
<given-names><![CDATA[Devi Geesel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira-Rodríguez]]></surname>
<given-names><![CDATA[Ricardo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pereira-Rodríguez]]></surname>
<given-names><![CDATA[Pedro]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ceballos-Portilla]]></surname>
<given-names><![CDATA[Luis Fernando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Tolteca  ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Clínica San José  ]]></institution>
<addr-line><![CDATA[Cúcuta ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Consultorio Independiente Privado  ]]></institution>
<addr-line><![CDATA[Puebla ]]></addr-line>
<country>México</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Fundación Universitaria de Ciencias de la Salud  ]]></institution>
<addr-line><![CDATA[Bogotá ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Clínica Duarte  ]]></institution>
<addr-line><![CDATA[Cúcuta ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>12</month>
<year>2020</year>
</pub-date>
<volume>14</volume>
<numero>4</numero>
<fpage>463</fpage>
<lpage>478</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S2709-79272020000400463&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_abstract&amp;pid=S2709-79272020000400463&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.sld.cu/scielo.php?script=sci_pdf&amp;pid=S2709-79272020000400463&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN  Introducción:  la insuficiencia cardíaca es considerada la enfermedad del milenio, su mortalidad va en aumento en el mundo. La población con insuficiencia cardíaca y enfermedad depresiva se presenta con una prevalencia del 25%.  Objetivo:  determinar las diferencias en el entrenamiento de fuerza para miembros superiores versus inferiores como tratamiento para disminuir los niveles de depresión y ansiedad en pacientes con falla cardíaca.  Métodos:  ensayo controlado aleatorizado de tres años con 920 pacientes con falla cardíaca distribuidos en tres grupos (ejercicio aeróbico, ejercicio aeróbico más entrenamiento miembros superiores y ejercicio aeróbico más entrenamiento de miembros inferiores). Se realizaron muestras hematológicas para determinar los niveles de glucemia y el perfil lipídico. Además, pruebas para capacidad aeróbica, frecuencia cardíaca máxima, antropometría, depresión, ansiedad y parámetros clínicos y hemodinámicos. Las pruebas se realizaron antes y después de 24 sesiones de entrenamiento de 60 minutos, tres veces por semana, durante dos meses.  Resultados:  se disminuyeron los niveles de depresión en un 52% en los grupos intervenidos, al igual que un 59% en los niveles de ansiedad.  Conclusiones:  al comparar los efectos del entrenamiento de fuerza para miembros inferiores versus miembros superiores ante los niveles de depresión y ansiedad el ejercicio aeróbico más entrenamiento de fuerza en miembro superior resultó ser el más efectivo para disminuirlos.  Trial registration:  Este ensayo se registró el 12/04/2019 en el sitio ClinicalTrials.gov con el Identificador NCT03913780.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT  Introduction:  heart failure is considered the disease of the millennium, its mortality is increasing worldwide. The population with heart failure and depressive disease has a prevalence of 25%.  Objective:  to determine the differences in strength training for upper versus lower limbs as a treatment to decrease levels of depression and anxiety in patients with heart failure.  Methods:  3-year randomised controlled trial with 920 heart failure patients in three groups (aerobic exercise, aerobic exercise plus upper limb training and aerobic exercise plus lower limb training). Haematological samples were taken to determine blood glucose levels and lipid profile. In addition, tests were performed for aerobic capacity, maximum heart rate, anthropometry, depression, anxiety, and clinical and hemodynamic parameters. The tests were performed before and after 24 60-minute training sessions, three times a week, for two months.  Results:  depression levels were reduced by 52% in the operated groups, as well as 59% in the anxiety levels.  Conclusions:  when comparing the effects of lower limb strength training versus upper limb strength training on depression and anxiety levels, aerobic exercise plus upper limb strength training proved to be the most effective in reducing them.  Trial registration:  This trial was registered on 12/04/2019 on the ClinicalTrials.gov site with the Identifier NCT03913780.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[terapia por ejercicio]]></kwd>
<kwd lng="es"><![CDATA[rehabilitación cardiaca]]></kwd>
<kwd lng="es"><![CDATA[insuficiencia cardiaca]]></kwd>
<kwd lng="es"><![CDATA[fuerza]]></kwd>
<kwd lng="en"><![CDATA[exercise therapy]]></kwd>
<kwd lng="en"><![CDATA[cardiac rehabilitation]]></kwd>
<kwd lng="en"><![CDATA[heart failure]]></kwd>
<kwd lng="en"><![CDATA[strength]]></kwd>
</kwd-group>
</article-meta>
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