Greater Improvement in Cardiorespiratory Fitness Using Higher-Intensity Interval Training in the Standard Cardiac Rehabilitation Setting

Keteyian, Steven J.; Hibner, Brooks A.; Bronsteen, Kyle; Kerrigan, Dennis J.; Aldred, Heather; Reasons, Lisa; Saval, Matthew A.; Brawner, Clinton A.; Schairer, John R.; Thompson, Tracey; Hill, Jason; McCulloch, Derek; Ehrman, Jonathan K.

doi:10.1097/hcr.0000000000000049

Cited by 97 publications

(117 citation statements)

References 18 publications

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“…Similar benefits were found for HIIT versus CAET for VĖ=VĊO 2 slope, oxygen uptake efficiency slope [43], partial pressure of end-tidal CO 2 [48], coronary atheroma and plaque characteristics [44] and quality of life [49]. Furthermore, some studies evaluated HIIT versus CAET for effects on blood pressure [43,47,[50][51][52], HR recovery and HR variability [51] as well as systolic function and systolic volumes [29,49] and found no effects of training on these variables. Finally, CAET seemed to confer better improvement in endothelial function as compared with HIIT [52].…”

Section: Hiit Versus Caet Programssupporting

confidence: 63%

“…Some were already included in the previous meta-analysis and represented part of the summarized effects, but some recent ones were not included [43][44][45]. From all reviewed studies, 4 showed a superior effect of HIIT over CAET on VȮ 2 peak and prescribed long intervals (4-min intervals at 80-95% HRpeak) [29,[45][46][47]. Similar benefits were found for HIIT versus CAET for VĖ=VĊO 2 slope, oxygen uptake efficiency slope [43], partial pressure of end-tidal CO 2 [48], coronary atheroma and plaque characteristics [44] and quality of life [49].…”

Section: Hiit Versus Caet Programsmentioning

confidence: 92%

“…Altogether, the 11 studies trained 631 stable CHD patients with no major cardiovascular events during the training period, with the exception of a cerebral hemorrhage in one HIIT group [44] and 2 myocardial infarctions in CAET programs [47,52]. These 3 adverse cardiovascular events were not clearly related to the exercise training and could be better described by authors to determine causality of adverse events of exercise programs in the future.…”

Section: Safety Aspects and Risk Classification For Hiit Prescriptionmentioning

confidence: 98%

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High-intensity interval training in patients with coronary heart disease: Prescription models and perspectives

Ribeiro

Boidin

Juneau

et al. 2017

Annals of Physical and Rehabilitation Medicine

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Recently, high-intensity interval training (HIIT) has emerged as an alternative and/or complementary exercise modality to continuous aerobic exercise training (CAET) in CHD patients. However, the literature contains descriptions of many HIIT protocols with different stage durations, nature of recovery and intensities. In this review, we discuss the most recent forms of validated HIIT protocols in patients with coronary heart disease (CHD) and how to prescribe and use them during short- and long-term (phase II and III) cardiac rehabilitation programs. We also compare the superior and/or equivalent short- and long-term effects of HIIT versus CAET on aerobic fitness, cardiovascular function, and quality of life; their efficiency, safety, and tolerance; and exercise adherence. Short interval HIIT was found beneficial for CHD patients with lower aerobic fitness and would ideally be used in initiation and improvement stages. Medium and/or long interval HIIT protocols may be beneficial for CHD patients with higher aerobic fitness, and would be ideally used in the improvement and maintenance stages because of their high physiological stimulus. Finally, we propose progressive individualized models of HIIT programs (phase II to III) for patients with CHD and how to ideally use them according to the clinical status of patients and phase of the cardiac rehabilitation program.

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Section: Hiit Versus Caet Programssupporting

confidence: 63%

Section: Hiit Versus Caet Programsmentioning

confidence: 92%

Section: Safety Aspects and Risk Classification For Hiit Prescriptionmentioning

confidence: 98%

See 1 more Smart Citation

High-intensity interval training in patients with coronary heart disease: Prescription models and perspectives

Ribeiro

Boidin

Juneau

et al. 2017

Annals of Physical and Rehabilitation Medicine

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“…They involved assessments of HIIT versus MCT for patients with CAD, including metabolic syndrome (n=10) (17)(18)(19)(20)(21)(22)(23)(24)(25)(26)(27), and CHF, including diastolic dysfunction (n=11) (15,16,(28)(29)(30)(31)(32)(33)(34)(35)(36). In the studies shown in Tables 1 and 2, although the VO2peak was not necessarily the primary endpoint, we presented the VO2peak at baseline and the percentage increase in the VO2peak during the exercise period in order to compare the two groups.…”

Section: Benefits Of Hiitmentioning

confidence: 99%

Review of High-intensity Interval Training in Cardiac Rehabilitation

2016

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For the secondary prevention of cardiovascular disease, comprehensive cardiac rehabilitation is required. This involves optimal medical therapy, education on nutrition and exercise therapy, and smoking cessation. Of these, efficient exercise therapy is a key factor. A highly effective training protocol is therefore warranted, which requires a high rate of compliance. Although moderate-intensity continuous training has been the main training regimen recommended in cardiac rehabilitation guidelines, high-intensity interval training has been reported to be more effective in the clinical and experimental setting from the standpoint of peak oxygen uptake and central and peripheral adaptations. In this review, we illustrate the scientific evidence for highintensity interval training. We then verify this evidence and discuss its significance and the remaining issues.

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“…The study found that both groups improved aerobically but the HIIT group's improvement was 5% higher than the moderate intensity group. Steven et al (2014) [10] conducted a study of 39 patients to evaluate the effectiveness of HHIT in cardiac rehabilitation. This study recruited both genders with a broad age range of 18 -75 years, in a 3 day a week CR program.…”

Section: Literature Reviewmentioning

confidence: 99%

Health Promotion in Cardiac Rehabilitation Patients through the Use of a High-Intensity Interval Training Protocol

Tinkham¹

2014

WJCD

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One of these methods is through the use of cardiac rehabilitation. Cardiac rehabilitation (CR) is a health promotion strategy to help return cardiac patients to their previous level of functioning, increase health, decrease comorbidities and promote education and lifestyle change. For select patients, another alternative exercise plan may exist to gain even better results. High intensity interval training (HIIT) has shown positive training results for athletes and many studies show that it may also be an effective exercise modality for many cardiac patients instead of the traditional circuit training method. This article will review current literature on the effects of HIIT on CR patients as well as a sample HIIT protocol for instituting this treatment with appropriate patients.

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Greater Improvement in Cardiorespiratory Fitness Using Higher-Intensity Interval Training in the Standard Cardiac Rehabilitation Setting

Abstract: Among patients with stable coronary heart disease on evidence-based therapy, HIIT was successfully integrated into a standard CR setting and, when compared to MCT, resulted in greater improvement in peak exercise capacity and submaximal endurance.

Cited by 97 publications

References 18 publications

High-intensity interval training in patients with coronary heart disease: Prescription models and perspectives

High-intensity interval training in patients with coronary heart disease: Prescription models and perspectives

Review of High-intensity Interval Training in Cardiac Rehabilitation

Health Promotion in Cardiac Rehabilitation Patients through the Use of a High-Intensity Interval Training Protocol

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