High-Intensity Interval Training in Cardiac Rehabilitation

Dun, Yaoshan; Smith, Joshua R.; Liu, Suixin; Olson, Thomas P.

doi:10.1016/j.cger.2019.07.011

Cited by 72 publications

(79 citation statements)

References 67 publications

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“…Our systematic review found that HIIT was superior than MICT on peakVO 2 , peak heart rate, and heart rate reserve in HTx recipients. In recent years, a growing number of studies have suggested that HIIT is similar or even superior to MICT in peakVO 2 , heart rate response, and quality of life improvements [ 8 , 13 , 21 ] .…”

Section: Discussionmentioning

confidence: 99%

Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis

Conceição¹,

Gois²,

Fernandes³

et al. 2021

Braz J Cardiovasc Surg

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Introduction Heart transplantation (HTx) is the gold standard procedure for selected individuals with refractory heart failure. High-intensity interval training (HIIT) is safe and allows patients to exercise in high intensity for longer time when compared to moderate-intensity continuous training (MICT). The primary aim of this study was to perform a systematic review and meta-analysis about the effect of HIIT compared to MICT on exercise capacity, peak heart rate, and heart rate reserve in HTx recipients. Secondarily, we pooled data comparing MICT and no exercise training in these patients. Methods This systematic review followed the standardization of the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement and the Cochrane Collaboration Handbook. We presented the treatment effects of HIIT on the outcomes of interest as mean difference (MD) and 95% confidence interval (CI). Meta-analysis was performed using the random-effects, generic inverse variance method. Results HIIT improved peak oxygen consumption (peakVO2) (MD = 2.1; 95% CI 1.1, 3.1; P <0.0001), peak heart rate (MD = 3.4; 95% CI 0.8, 5.9; P =0.009), and heart rate reserve (MD = 4.8; 95% CI -0.05, 9.6; P =0.05) compared to MICT. Improvements on peakVO 2 (MD = 3.5; 95% CI 2.3, 4.7; P <0.00001) and peak heart rate (MD = 5.6; 95% CI 1.6, 9.6; P =0.006) were found comparing HIIT and no exercise training. Conclusion Current available evidence suggests that HIIT leads to improvements on peakVO 2 , peak heart rate, and heart rate reserve compared to MICT in HTx recipients. However, the superiority of HIIT should be tested in isocaloric protocols.

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Section: Discussionmentioning

confidence: 99%

Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis

Conceição¹,

Gois²,

Fernandes³

et al. 2021

Braz J Cardiovasc Surg

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“…In athletic and healthy populations progression has traditionally involved the training principles of progressive overload, specificity, and periodization (136). It seems appropriate that throughout a CR program, patients may undergo progression from short-duration intervals, to medium-duration intervals, and finally to longduration intervals as training-induced physiological adaptations occur and exercise tolerance improves (137,158). Overload is defined as "an exercise dose which is above and beyond the accustomed amount of exercise for a given individual" (151).…”

Section: Interval Duration and Progression Of Hiitmentioning

confidence: 99%

Optimizing Outcomes in Cardiac Rehabilitation: The Importance of Exercise Intensity

Taylor

Bonikowske

Olson

2021

Front. Cardiovasc. Med.

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Exercise based cardiac rehabilitation (CR) is recognized internationally as a class 1 clinical practice recommendation for patients with select cardiovascular diseases and heart failure with reduced ejection fraction. Over the past decade, several meta-analyses have generated debate regarding the effectiveness of exercise-based CR for reducing all-cause and cardiovascular mortality. A common theme highlighted in these meta-analyses is the heterogeneity and/or lack of detail regarding exercise prescription methodology within CR programs. Currently there is no international consensus on exercise prescription for CR, and exercise intensity recommendations vary considerably between countries from light-moderate intensity to moderate intensity to moderate-vigorous intensity. As cardiorespiratory fitness [peak oxygen uptake (VO2peak)] is a strong predictor of mortality in patients with coronary heart disease and heart failure, exercise prescription that optimizes improvement in cardiorespiratory fitness and exercise capacity is a critical consideration for the efficacy of CR programming. This review will examine the evidence for prescribing higher-intensity aerobic exercise in CR, including the role of high-intensity interval training. This discussion will highlight the beneficial physiological adaptations to pulmonary, cardiac, vascular, and skeletal muscle systems associated with moderate-vigorous exercise training in patients with coronary heart disease and heart failure. Moreover, this review will propose how varying interval exercise protocols (such as short-duration or long-duration interval training) and exercise progression models may influence central and peripheral physiological adaptations. Importantly, a key focus of this review is to provide clinically-relevant recommendations and strategies to optimize prescription of exercise intensity while maximizing safety in patients attending CR programs.

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“…El entrenamiento a intervalos de alta intensidad ha mostrado ser tan seguro e inclusive más efectivo que el continuo moderado, sin embargo, ha de considerarse que la utilización de intensidades de entrenamiento altas en este tipo de pacientes podría ser cuestionable. Debido a que se requiere de más ensayos clínicos aleatorizados, quienes deseen utilizar este tipo de entrenamiento debieran considerar algunos principios generales para la prescripción del ejercicio en este tipo de pacientes (Dun, Smith., Liu, & Olson, 2019).…”

Section: Discussionunclassified

Rehabilitación cardíaca fase 2 post infarto agudo al miocardio.

Arce

Estrada²,

Aboyte

et al. 2021

Revista de Ciencias del Ejercicio FOD

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Objetivo. Se propuso analizar la información disponible sobre protocolos de ejercicio diseñados para ofrecer rehabilitación cardiaca fase II para pacientes post infarto agudo al miocardio fase II con el propósito de identificar las características de los programas de entrenamiento y los resultados relativos a la recuperación del funcionamiento cardiaco (fracción de eyección, capacidad respiratoria) y metabólico (glicemia). Método. Revisión sistemática de literatura del 2016 a septiembre del 2019 con búsqueda realizada en PubMed, Google académico, Redalyc, Science direct y Springer. Las palabras clave en inglés fueron: “cardiac rehabilitation or guide for clinical practice" AND acute myocardial infarction AND “Exercise program or physical training”. Los indicadores considerados para el funcionamiento cardíaco incluyen la fracción de eyección o la capacidad respiratoria (VO2máx). Para el funcionamiento metabólico se consideró el reporte de la glicemia. Los hallazgos se presentan considerando los criterios de PRISMA. El nivel de evidencia de acuerdo con criterios de la National Health and Medical Research Council. Resultados. Cinco ensayos clínicos, siete artículos con otros tipos de diseño y seis protocolos de investigación superaron los criterios de selección y fueron analizados en esquemas de acuerdo con el tipo de resultados considerados. Se describen algunas características del entrenamiento, frecuencia, duración e intensidad. Conclusiones. Existen evidencias de cambios positivos en el funcionamiento cardiaco y metabólico. La información resulta de utilidad para el diseño de programas de entrenamiento. La toma de decisiones debiera considerar al equipo multidisciplinario de salud dada la susceptibilidad de este tipo de pacientes.

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High-Intensity Interval Training in Cardiac Rehabilitation

Cited by 72 publications

References 67 publications

Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis

Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis

Optimizing Outcomes in Cardiac Rehabilitation: The Importance of Exercise Intensity

Rehabilitación cardíaca fase 2 post infarto agudo al miocardio.

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