Benefits and Risks of High-Intensity Interval Training in Patients With Coronary Artery Disease

Quindry, John C.; Franklin, Barry A.; Chapman, Matthew; Humphrey, Reed; Mathis, Susan

doi:10.1016/j.amjcard.2019.01.008

Cited by 64 publications

(57 citation statements)

References 39 publications

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“…Benefits appear consistent, regardless of which HIIT protocol is adopted (i. e. 4 × 4 min or 10 × 1 min models) [81]. Historically, there has been a reluctance to deviate from conservative CR exercise in-tensity guidelines, but large datasets now confirm the safety of HIIT [82,83] and, importantly, patient acceptability [81]. However, two pragmatic multi-centre trials (SAINTEX-CAD [84] and SMARTEX-CHF [85]) did not report the superiority of HIIT using the 4 × 4 model in CHD and CHF.…”

Section: Frequencymentioning

confidence: 93%

“…Short bouts (1-4 min) of higher intensity ( > 85 % VO 2 peak ) exercise interspersed with low intensity recovery allow patients to accumulate a greater overall 'dose' of exercise. Benefits appear consistent, regardless of which HIIT protocol is adopted (i. e. 4 × 4 min or 10 × 1 min models) [81]. Historically, there has been a reluctance to deviate from conservative CR exercise in-tensity guidelines, but large datasets now confirm the safety of HIIT [82,83] and, importantly, patient acceptability [81].…”

Section: Frequencymentioning

confidence: 99%

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Current Insights into Exercise-based Cardiac Rehabilitation in Patients with Coronary Heart Disease and Chronic Heart Failure

et al. 2020

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AbstractCardiac rehabilitation is a package of lifestyle secondary prevention strategies designed for patients with coronary heart disease and chronic heart failure. A community-based cardiac rehabilitation programme provides patients with a structured exercise training intervention alongside educational support and psychological counselling. This review provides an update regarding the clinical benefits of community-based cardiac rehabilitation from a psycho-physiological perspective, and also focuses on the latest epidemiological evidence regarding potential survival benefits. Behaviour change is key to long-term adoption of a healthy and active lifestyle following a cardiac event. In order for lifestyle interventions such as structured exercise interventions to be adopted by patients, practitioners need to ensure that behaviour change programmes are mapped against patient’s priorities and values, and adapted to their level of readiness and intention to engage with the target behaviour. We review the evidence regarding behaviour change strategies for cardiac patients and provide practitioners with the latest guidance. The ‘dose’ of exercise training delivered to patients attending exercise-based cardiac rehabilitation is an important consideration because an improvement in peak oxygen uptake requires an adequate physiological stimulus to invoke positive physiological adaptation. We conclude by critically reviewing the latest evidence regarding exercise dose for cardiac patients including the role of traditional and more contemporary training interventions including high intensity interval training.

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Section: Frequencymentioning

confidence: 93%

Section: Frequencymentioning

confidence: 99%

Current Insights into Exercise-based Cardiac Rehabilitation in Patients with Coronary Heart Disease and Chronic Heart Failure

et al. 2020

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“…HR was recorded after the first and last HI and LO intervals at each session. Participants were also encouraged to attain a Rating of Perceived Exertion (RPE) (6-20 scale) [25] of [15][16][17] ("hard to very hard") during the HI and 11-13 ("light to somewhat hard") during the LO intervals. Patients were instructed to record a typical RPE representing the effort of all the HI and LO intervals during HIIT.…”

Section: High-intensity Interval Trainingmentioning

confidence: 99%

“…HIIT is an appropriate exercise paradigm for CR settings; current American, Canadian and European CR guidelines [12] recommend the prescription and progression of moderate-to-vigorous intensity continuous aerobic exercise. Despite evidence that suggests HIIT is safe for adults with CVD [14,15], concerns remain regarding the feasibility of HIIT in CR [16]. This can be examined by assessing the attendance, compliance, and experience of patients and monitoring adverse events (safety) to determine if such programs are appropriate for 'real world' settings [17].…”

Section: Introductionmentioning

confidence: 99%

The feasibility of implementing high-intensity interval training in cardiac rehabilitation settings: a retrospective analysis

Way

Vidal-Almela

Keast

et al. 2020

BMC Sports Sci Med Rehabil

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Background: Cardiovascular disease is the leading cause of death worldwide. Notwithstanding the well-known benefits of cardiac rehabilitation (CR), adherence to CR remains low, particularly in women. High-intensity interval training (HIIT) has received specific attention as an emerging exercise-training paradigm that addresses frequently cited barriers to CR (i.e. lack of motivation/enjoyment and time, perceiving exercise regime as tiring/boring) and improves cardiovascular risk factors. Previous studies have examined the safety of HIIT in CR; there is little evidence on the feasibility of HIIT in CR. The aims of this study were to evaluate the feasibility of HIIT within a CR setting and examine the sex differences regarding the feasibility of such programming. Methods: Patients attended an on-site HIIT CR program (10-min warm-up, 25 min of interspersed high-intensity [HI-4 min at 85-95% HRpeak] and lower intensity [LO-3 min at 60-70% HRpeak] intervals, 10-min cool-down) twice weekly for 10 weeks. Heart rate (HR) and the Borg rating of perceived exertion (RPE) scale (6-20 points) were recorded at each session. Feasibility was assessed by: [1] attendance and compliance: the number of sessions attended and the compliance to the prescribed HI and LO HR ranges; [2] the patient experience: patients' perceived effort, program difficulty, if the program was challenging and satisfying; and, [3] safety. Descriptive statistics were used to report the means and their variations. Mann-Whitney U tests and Chi-square analyses were performed to examine sex-differences.

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“…Também não se observa lesões no TIAI quando aplicado em pacientes cardiopatas (Wisløff et al, 2007;Moholdt et al, 2009). Para essa população, o método TIAI permite maior tolerância ao esforço, maior aderência à prática e necessita de supervisão adequada (Warburton et al, 2005;Normandin et al, 2013;Quindry et al, 2019).…”

Section: O Papel Do Exercício Físico Na Saúde Cardiometabólicaunclassified

Treinamento intervalado de alta intensidade e contínuo de moderada intensidade reduzem interleucina-6, mas exercem limitadas mudanças cardiometabólicas em mulheres obesas: estudo randomizado e controlado

Joaquim¹

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Aos membros da banca avaliadora desta dissertação: pelo convite aceito, colaboração e sugestões enriquecedoras ao trabalho. À minha amiga e companheira de estudos, mestranda Cássia Dias Machado, obrigado pela entrega incondicional na realização de todas as etapas deste trabalho. Você foi essencial no recrutamento, sorteio aleatório e randomização das voluntárias. Assim como a continuidade da realização das calorimetrias. Sua amizade, broncas, criticas construtivas, apoio e incentivo me fizeram crescer muito na academia. Às nutricionistas Camila de Oliveira e Lívia Guerra, pela contribuição inicial de recrutamento e medidas antropométricas das participantes. À consultora Tatiana Reis do serviço de Bioestatistica, por toda a paciência e vontade de me auxiliar em um assunto (estatística) que poucos se interessam. Sua contribuição permitiu que este trabalho fosse finalizado de maneira satisfatória. À técnica Milla Sprone da Faculdade de Odontologia de Ribeirão Preto-USP, por toda paciência, tempo dispendido, vontade de ajudar, seriedade e competeência para com os procedimentos referentes a dosagens das citocinas. Aos meus mestres de capoeira, mestre Cabide e contramestra Rosana, por ter me abraçado, me ajudado a entender o que faço nesse mundo e por contribuir no resgate da minha identidade enquanto um ser negro. Os seus ensinamentos diários, permitiram que eu fizesse história em nossa família. À minha companheira Priscila, por aceitar estar junto de um nerd, que tem muita sede de conhecimento e as vezes precisa de momentos em silêncio e só. Sua força e pensamento foram molas propulsoras para eu avançar nesta caminhada. Aos meus amigos Sérgio e Adriana da Faculdade de Odontologia de Ribeirão Preto-USP, por toda consideração, confiança no meu trabalho e ajuda para concluir a pesquisa. Aos meus amigos da Educação Física, Rapahel e Marcelo, por sempre contribuir nas discussões sobre a importância de nossa função como profissionais, em transformar vidas. Ao CNPq-Conselho Nacional de Desenvolvimento Científico e Tecnológico, pelo respaldo científico e financeiro concedendo a bolsa de mestrado (processo 133633/2017-9). Apenas digo, sou grato a todos vocês por permitirem meu desenvolvimento e crescimento nesta existência! "Eu nunca perco. Ou eu ganho ou aprendo." Nelson Mandela Palavras-chaves: Treinamento intervalado de alta intensidade. Exercício Físico. Inflamação. Obesidade. Síndrome metabólica.

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Benefits and Risks of High-Intensity Interval Training in Patients With Coronary Artery Disease

Cited by 64 publications

References 39 publications

Current Insights into Exercise-based Cardiac Rehabilitation in Patients with Coronary Heart Disease and Chronic Heart Failure

Current Insights into Exercise-based Cardiac Rehabilitation in Patients with Coronary Heart Disease and Chronic Heart Failure

The feasibility of implementing high-intensity interval training in cardiac rehabilitation settings: a retrospective analysis

Treinamento intervalado de alta intensidade e contínuo de moderada intensidade reduzem interleucina-6, mas exercem limitadas mudanças cardiometabólicas em mulheres obesas: estudo randomizado e controlado

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