High-Intensity Interval Training in Cardiac Rehabilitation: Impact on Fat Mass in Patients With Myocardial Infarction

Dun, Yaoshan; Thomas, Randal J.; Medina‐Inojosa, José R.; Squires, Ray W.; Huang, Hsu-Hang; Smith, Joshua R.; Liu, Suixin; Olson, Thomas P.

doi:10.1016/j.mayocp.2019.04.033

Cited by 36 publications

(40 citation statements)

References 52 publications

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“…Generally, HIIT programme conducts an interval protocol covering short‐time activities at a minimal of 80% of VO 2peak or heart rate alternate with relatively less intensive recovery (Ahmadizad et al., 2016; Batacan et al., 2017; Milanovic et al., 2015; Munk et al., 2011). Recent studies have shown that HIIT is superior to MICT in enhancing peak VO 2 in patients with heart failure and reducing the total fat mass in patients with myocardial infarction (da Silveira et al., 2020; Dun et al., 2019). Excepting for the advantages HIIT programme brings, the safety should be considered before training.…”

Section: Discussionmentioning

confidence: 99%

Effects of high‐intensity interval training in patients with coronary artery disease after percutaneous coronary intervention: A systematic review and meta‐analysis

Zhang

Sun

et al. 2021

Nursing Open

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Aim To evaluate whether high‐intensity interval training (HIIT) was superior to low‐intensity training or usual care among patients after percutaneous coronary intervention. The hypothesis was that HIIT would help patients after percutaneous coronary intervention (PCI) improve cardiopulmonary function, lipid profiles and in‐stent restenosis. Design A systematic review and meta‐analysis were conducted according to the Preferred Reporting Items for Systematic Review and Meta‐analysis (PRISMA)2009 Checklist. Methods Randomized controlled trials (RCTs) focusing on HIIT programme in patients after PCI were searched in Cochrane Library, Web of Science Core Collection, EMbase, PubMed, China National Knowledge Infrastructure (CNKI) and SinoMed from the inception to 24 March 2020. Standard Mean difference (SMD) and 95% confidence intervals (CI) were performed to summarize the effect sizes. Results Six RCTs (247 patients) met the criteria. HIIT programme had a statistically significant effect on raising left ventricular ejection function (LVEF) (SMD = 0.38, 95%CI [0.03, 0.73], I2 = 3%), VO2peak (SMD = 0.94, 95%CI [0.61, 1.28], I2 = 0%), as well as improving the serum level of high‐density lipoprotein (SMD = 0.55, 95%CI [0.06, 1.03], I2 = 0%) and late luminal loss (SMD = −0.65, 95%CI [−1.07, −0.23], I2 = 0%). But HIIT had no prominent effect on improving heart rate (SMD = −0.04, 95%CI [−0.29, 0.21], I2 = 0%). Summarily, HIIT programme appears to be favourable for CAD patients after PCI by improving cardiopulmonary function, such as LVEF and VO2peak, as well as reducing late luminal loss in per stented arteries. Nevertheless, HIIT has no advantage for adjusting heart rate. More researches with rigorous methods are warranted to explore the controversy about lipid profiles.

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Section: Discussionmentioning

confidence: 99%

Effects of high‐intensity interval training in patients with coronary artery disease after percutaneous coronary intervention: A systematic review and meta‐analysis

Zhang

Sun

et al. 2021

Nursing Open

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“…Despite that CR is widely recognized as a class 1A recommendation intervention [ 81 , 82 ], only 20% of eligible patients entered and completed 36 one-hour sessions of CR programs [ 83 ]. The benefits of exercise-based CR on several physiologic outcomes such as exercise capacity [ 84 , 85 , 86 , 87 ], myocardial flow reserve [ 88 ], autonomic function [ 89 , 90 ], lean tissue mass and function [ 91 , 92 , 93 ] (even in older patients) [ 94 ], blood pressure [ 95 ] and lipid profile are clearly demonstrated [ 94 ].…”

Section: Cardiac Rehabilitation After Acs In Frail Elderly Patients: mentioning

confidence: 99%

Frailty in Acute and Chronic Coronary Syndrome Patients Entering Cardiac Rehabilitation

Giallauria

Lorenzo

Venturini

et al. 2021

JCM

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Worldwide population ageing is partly due to advanced standard of care, leading to increased incidence and prevalence of geriatric syndromes such as frailty and disability. Hence, the age at the onset of acute coronary syndromes (ACS) keeps growing as well. Moreover, ageing is a risk factor for both frailty and cardiovascular disease (CVD). Frailty and CVD in the elderly share pathophysiological mechanisms and associated conditions, such as malnutrition, sarcopenia, anemia, polypharmacy and both increased bleeding/thrombotic risk, leading to a negative impact on outcomes. In geriatric populations ACS is associated with an increased frailty degree that has a negative effect on re-hospitalization and mortality outcomes. Frail elderly patients are increasingly referred to cardiac rehabilitation (CR) programs after ACS; however, plans of care must be tailored on individual’s clinical complexity in terms of functional capacity, nutritional status and comorbidities, cognitive status, socio-economic support. Completing rehabilitative intervention with a reduced frailty degree, disability prevention, improvement in functional state and quality of life and reduction of re-hospitalization are the goals of CR program. Tools for detecting frailty and guidelines for management of frail elderly patients post-ACS are still debated. This review focused on the need of an early identification of frail patients in elderly with ACS and at elaborating personalized plans of care and secondary prevention in CR setting.

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“…Generally, HIIT program conducts an interval protocol covering shorttime activities at a minimal of 80% of VO2peak or heart rate alternate with relatively less intensive recovery [27,[35][36][37]. Recent studies have shown that HIIT is superior to MICT in enhancing peak VO2 in patients with heart failure and reducing the total fat mass in patients with myocardial infarction [38,39]. Excepting for the advantages HIIT program brings, the safety should be considered before training.…”

Section: Effects Of Intervention Characteristics Based On Previous Rementioning

confidence: 99%

Effects of high-intensity interval training in patients with coronary artery disease after percutaneous coronary intervention: a systematic review and meta-analysis

Zhang

Sun

et al. 2020

Preprint

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Background: High-intensity interval training, for its characteristic of short-time high oxygen-consumption exercise interphase with periods of low-intensity training or rest for recovery, is easier to persist and execute in cardiac rehabilitation. However, it is little known whether HIIT program has an advantageous effect on patients after percutaneous coronary intervention or not. Methods: Randomized controlled trials (RCTs) focusing on HIIT program in patients after PCI were searched in Cochrane Library, Web of Science Core Collection, EMbase, PubMed, China National Knowledge Infrastructure (CNKI) and SinoMed from the inception to March 24, 2020. Two reviewers conducted the literature retrieval, data extraction, and quality assessment independently. Standard Mean difference (SMD) and 95% confidence intervals (CI) were performed to summarize the effect sizes. Results: 6 RCTs (247 patients) met the criteria. HIIT program had a statistically significant effect on raising left ventricular ejection function (LVEF) (SMD=0.38, 95%CI[0.03, 0.73], p=0.03), VO2peak (SMD=0.94, 95%CI[0.61, 1.28], p<0.01), as well as improving the serum level of high-density lipoprotein (SMD=0.55, 95%CI[0.06, 1.03], p=0.03) and late luminal loss (SMD=-0.65, 95%CI[-1.07, -0.23], p<0.01). But HIIT had no prominent effect on improving heart rate (SMD=-0.04, 95%CI[-0.29, 0.21], p=0.73). Conclusions: HIIT program might be favorable for CAD patients after PCI by improving cardiopulmonary function, such as LVEF and VO2peak, as well as reducing late luminal loss in per stented arteries. Nevertheless, HIIT had no advantage for adjusting heart rate. More researches with rigorous methods are warranted to explore the controversy about lipid profiles.

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High-Intensity Interval Training in Cardiac Rehabilitation: Impact on Fat Mass in Patients With Myocardial Infarction

Cited by 36 publications

References 52 publications

Effects of high‐intensity interval training in patients with coronary artery disease after percutaneous coronary intervention: A systematic review and meta‐analysis

Effects of high‐intensity interval training in patients with coronary artery disease after percutaneous coronary intervention: A systematic review and meta‐analysis

Frailty in Acute and Chronic Coronary Syndrome Patients Entering Cardiac Rehabilitation

Effects of high-intensity interval training in patients with coronary artery disease after percutaneous coronary intervention: a systematic review and meta-analysis

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