High-intensity interval training for heart failure with preserved ejection fraction

Zhang, Sisi; Zhang, Jingxian; Liang, Congying; Li, Xiaochuan; Meng, Xiaoping

doi:10.1097/md.0000000000021062

Cited by 3 publications

(1 citation statement)

References 23 publications

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“…Furthermore, the majority of published studies comparing HIIT and MICT in HF have primarily focused on heart failure with preserved ejection fraction (HFpEF). Therefore, it is necessary to clarify the clinical effects of HIIT specifically in HFrEF (15)(16)(17). Furthermore, it is crucial to consider energy expenditure during training when comparing various exercise regimens.…”

Section: Introductionmentioning

confidence: 99%

High intensity interval training vs. moderate intensity continuous training on aerobic capacity and functional capacity in patients with heart failure: a systematic review and meta-analysis

Yang,

Zhang,

Cheng

et al. 2024

Front. Cardiovasc. Med.

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BackgroundExercise training is commonly employed as a efficacious supplementary treatment for individuals suffering from heart failure, but the optimal exercise regimen is still controversial. The objective of the review was to compare the effects of high-intensity interval training (HIIT) and moderate-intensity continuous training (MICT) on the exercise capacity, cardiac function, quality of life (QoL) and heart rate among patients with heart failure with reduced ejection fraction.MethodsA systematic search was performed using the following eight databases from their inception to July 5, 2023: PubMed, Web of Science, Embase, Cochrane Library, Clinical Trials, China Knowledge Network, Wan fang Data, and the China Biology Medicine databases. The meta-analysis results were presented as mean difference (MD) and 95% confidence interval (CI). The Cochrane Risk of Bias tool was used for the included studies. The Grading of Recommendations Assessment, Development, and Evaluations was used to assess the certainty of evidence.ResultsThirteen randomized controlled trials were included in the study. The results showed that HIIT had a significant positive effect on peak oxygen uptake (MD = 1.78, 95% CI for 0.80–2.76), left ventricular ejection fraction (MD = 3.13, 95% CI for 1.25–5.02), six-minute walk test (MD = 28.13, 95% CI for 14.56–41.70), and Minnesota Living with Heart Failure Questionnaire (MD = −4.45, 95% CI for −6.25 to −2.64) compared to MICT. However, there were no statistically significant differences observed in resting heart rate and peak heart rate.ConclusionsHIIT significantly improves peak oxygen uptake, left ventricular ejection fraction, six-minute walk test, and Minnesota Living with Heart Failure Questionnaire in patients with heart failure with reduced ejection fraction. Additionally, HIIT exhibits greater effectiveness in improving peak oxygen uptake among patients with lower body mass index.Systematic Review Registrationhttps://www.doi.org/10.37766/inplasy2023.7.0100, identifier (INPLASY2023.7.0100).

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Section: Introductionmentioning

confidence: 99%

High intensity interval training vs. moderate intensity continuous training on aerobic capacity and functional capacity in patients with heart failure: a systematic review and meta-analysis

Yang,

Zhang,

Cheng

et al. 2024

Front. Cardiovasc. Med.

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The effect of high-intensity interval training on exercise capacity in post-myocardial infarction patients: a systematic review and meta-analysis

Qin

Bundhun²,

Yuan

et al. 2021

European Journal of Preventive Cardiology

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Aims Exercise-based cardiac rehabilitation has been recommended a treatment for patients with cardiovascular disease. Nevertheless, it remains controversial which exercise characteristics are most beneficial for post-myocardial infarction (MI) patients. We performed a systematic review and meta-analysis to investigate the effects of high-intensity interval training (HIIT) in these patients. Methods and results We searched PubMed, Embase, the Cochrane Library, China National Knowledge Infrastructure (CNKI), Chinese Science and Technology Periodical Database (VIP), and Wanfang Dataset (from the earliest date available to February 2021) for randomized controlled trials and cohort studies that evaluated the effects of HIIT on post-MI patients. Studies were selected according to inclusion and exclusion criteria. Data synthesis was performed with R software version 4.0.1. Eight studies met the study criteria, including 387 patients. Compared to the control group [moderate-intensity continuous training (MICT) and/or routine physical activity], HIIT significantly improved peak oxygen uptake (peak VO2) [mean difference = 3.83 mL/kg/min, 95% confidence interval (CI) (3.25, 4.41), P < 0.01]. No significant difference in systolic and diastolic blood pressures, peak and resting heart rate, left ventricular ejection fraction, left ventricular end-diastolic volume, and the quality of life was found between HIIT group and control group. The duration of follow-up ranged from 6 to 12 weeks. The incidence of adverse events was similar between groups [risk difference = 0.01, 95% CI (-0.02, 0.04), P = 0.53]. Conclusion Compared with MICT and routine physical activity, HIIT could significantly improve exercise capacity in post-MI patients, and appears to be safe.

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Efficacy and Practical Application of High-Intensity Interval Training in Cardiac Rehabilitation

Choi

2023

Ann Cardiopulm Rehabil

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Cardiorespiratory fitness (CRF) has been shown to be inversely proportionate to cardiovascular mortality and morbidity.Consequently, exercise-based cardiac rehabilitation (CR) has been recommended as a treatment for patients with cardiovascular disease (CVD). Nevertheless, it remains controversial which exercise characteristics are most beneficial for patients with CVD.There is growing evidence that high-intensity interval training (HIIT) is superior to moderate-intensity continuous training (MICT) in improving CRF within the cardiac population. And HIIT appears to be as safe as MICT. However, there is no universal criteria or framework for the prescription and monitoring of HIIT in clinical populations. Providing personalized exercise programs according to the evidence-based recommendations for actual application of HIIT in patients with CVD, will help apply more effective and safe exercise training programs.

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High-intensity interval training for heart failure with preserved ejection fraction

Cited by 3 publications

References 23 publications

High intensity interval training vs. moderate intensity continuous training on aerobic capacity and functional capacity in patients with heart failure: a systematic review and meta-analysis

High intensity interval training vs. moderate intensity continuous training on aerobic capacity and functional capacity in patients with heart failure: a systematic review and meta-analysis

The effect of high-intensity interval training on exercise capacity in post-myocardial infarction patients: a systematic review and meta-analysis

Efficacy and Practical Application of High-Intensity Interval Training in Cardiac Rehabilitation

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