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medRxiv PreprintsInternational12 November 2026

Effects of Sacred Dances versus Conventional Physical Training on Functional Capacity and Quality of Life in Women with Heart Failure: Protocol for a Randomized Active-Controlled Crossover Non-Inferiority Trial (RED-WHF)

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This protocol describes the RED-WHF trial, a randomized, active-controlled, two-period crossover clinical trial designed to evaluate whether Sacred Dances (SD)--as a mind-body intervention--are non-inferior to conventional physical training (PT) regarding functional capacity and quality of life in women with heart failure (HF). Sedentary behavior and emotional stress significantly worsen HF prognosis, yet conventional exercise programs face barriers in patient adherence and variable motivation. Sacred Dances, a form of low-to-moderate-intensity moving meditation, may enhance physical fitness w
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