Short-term moderate-intensity to high-intensity exercise training can induce modest body composition improvements in overweight and obese individuals without accompanying body-weight changes. HIIT and MICT show similar effectiveness across all body composition measures suggesting that HIIT may be a time-efficient component of weight management programs.
Background
Cardiac rehabilitation (
CR
) for patients with cardiovascular disease has traditionally involved low‐ to moderate‐intensity continuous aerobic exercise training (
MICT
). There is growing and robust evidence that high‐intensity interval training (
HIIT
) shows similar or greater efficacy compared with
MICT
across a range of cardiovascular and metabolic measures, in both healthy populations and populations with a chronic illness. However, there is understandable concern about the safety aspects of applying
HIIT
in
CR
settings. This systematic review analyzed safety data drawn from recent proof‐of‐concept studies of
HIIT
during
CR
among patients with cardiovascular disease.
Methods and Results
We included trials comparing
HIIT
with either
MICT
or usual care in patients with coronary artery disease or heart failure participating in tertiary care services, such as phase 2 (outpatient)
CR
. Adverse events occurring during or up to 4 hours after an exercise training session were collated. There were 23 studies included, which analyzed 1117 participants (
HIIT
=547;
MICT
=570). One major cardiovascular adverse event occurred in relation to an
HIIT
session, equating to 1 major cardiovascular event per 17 083 training sessions (11 333 training hours). One minor cardiovascular adverse events and 3 noncardiovascular adverse events (primarily musculoskeletal complaints) were also reported for
HIIT
. Two noncardiovascular events were reported in relation to
MICT
.
Conclusions
HIIT
has shown a relatively low rate of major adverse cardiovascular events for patients with coronary artery disease or heart failure when applied within CR settings.
Undertaking structured dance of any genre is equally and occasionally more effective than other types of structured exercise for improving a range of health outcome measures. Health practitioners can recommend structured dance as a safe and effective exercise alternative.
PAT and PRT decreased pain intensity in individuals with CNSLBP although neither mode was superior. Resistance exercise improved psychological wellbeing. High-quality RCTs comparing PAT, PRT, and PAT + PRT, are required.
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