Comparative Effectiveness of Low-Volume Time-Efficient Resistance Training Versus Endurance Training in Patients With Heart Failure

Munch, Gregers Winding; Rosenmeier, Jaya B.; Petersen, Marian; Nielsen, Anders Rinnov; Iepsen, Ulrik Winning; Pedersen, Bente Klarlund; Mortensen, Stefan P.

doi:10.1097/hcr.0000000000000304

Cited by 15 publications

(18 citation statements)

References 48 publications

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“…In this study, the walked distance was just below 400 meters in both groups at baseline, which is in line with similar studies (95). They increased their walked distance by about 100 meters, which was statistically significant, and more than average in similar studies (95)(96)(97). There were no significant differences regarding training effects between the 2 groups that received an initial period of hospital-based training or not.…”

Section: Exercise Trainingsupporting

confidence: 90%

“…In recent years, attempts to streamline exercise training with shorter bouts of exercise have been made, e.g. aerobic interval training (AIT) with higher intensity (143) or low-volume time-efficient resistance training (96). Wisloff et al (143) showed that AIT on treadmill with as high as 95% of peak HR in older patients with HF (76.5±9 years) was well tolerated compared with moderate continuous walking at an intensity of 70-75% of peak HR.…”

Section: Life-long Training Programmementioning

confidence: 99%

“…Both groups also increased HRQoL. Munch et al (96) on the other hand, had a different approach, comparing moderate continuous cycling for 45 minutes (75% of Wattpeak), with lowvolume resistance training for 25 minutes (4 sets, 1 set at 25% and 3 sets at 40% of 1RM. Exercise time include warm-up period.…”

Section: Life-long Training Programmementioning

confidence: 99%

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Exercise training and testing in patients with heart failure

Lans

2021

Linköping University Medical Dissertations

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Section: Exercise Trainingsupporting

confidence: 90%

Section: Life-long Training Programmementioning

confidence: 99%

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Exercise training and testing in patients with heart failure

Lans

2021

Linköping University Medical Dissertations

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“…The activation of the neuromuscular system is associated with increased motor units and increased firing frequency. Previous studies reported that resistance exercise, even at low intensity, improves exercise tolerance [ 19 ]. The improvement in physical function with resistance training in the early phase is considered to be a result of neural adaptations and may be associated with an increase in motor units [ 20 , 21 ].…”

Section: Discussionmentioning

confidence: 99%

Resistance Exercise After Laparoscopic Surgery Enhances Improvement in Exercise Tolerance in Geriatric Patients With Gastrointestinal Cancer

Tanaka¹,

Taoda²,

Kashiwagi³

2021

Cureus

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Introduction: Early mobilization after cancer surgery is generally recommended. However, the effects of postoperative resistance exercise during a hospital stay have been rarely investigated. This study aimed to clarify the effects of resistance exercise after laparoscopic surgery on exercise tolerance and skeletal muscle mass in geriatric patients with gastrointestinal cancer.Methods: This single-center retrospective observational study included patients with gastrointestinal cancer who admitted for laparoscopic surgery. Exercise tolerance and skeletal muscle mass were assessed using a six-minute walking test (6MWT) and skeletal muscle index (SMI) at admission and discharge, respectively. Intergroup comparisons of absolute changes in 6MWT and SMI were analyzed by the unpaired t-test or Mann-Whitney U test according to whether resistance exercise was performed or not. Multivariable linear regression analyses were used to analyze the association of resistance exercise with changes in 6MWT and SMI. The analyses were adjusted for age, sex, cancer stage, postoperative complication, and preoperative exercise tolerance and skeletal muscle mass.Results: Altogether, 66 patients (mean age 69.9 years; 60.6% men) were recruited. Of them, 72.7% performed the resistance exercise and started at a median of 4.5 postoperative days. There were no significant intergroup differences in absolute changes in the 6MWT and the SMI (p = 0.153, p = 0.476, respectively). Multivariable linear regression analysis showed that resistance exercise was independently and positively associated with the 6MWT at discharge (β = 1.70, 95% confidence interval, 1.88 to 71.09) and did not significantly contribute to the SMI at discharge (95% confidence interval, -0.21 to 0.27). Conclusion:Resistance exercise may enhance the improvement in postoperative exercise tolerance in geriatric patients with gastrointestinal cancer who underwent laparoscopic surgery.

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“…Regarding assessment characteristics, all the included studies (100%) assessed endothelial function (38-58) and seven (33%) also measured vascular smooth muscle function (40,41,43,(46)(47)(48)57). Fourteen studies (67%) measured endothelial function in the brachial artery (38-42, 44, 47-49, 53, 55-58), four (19%) in the radial artery (45,46,51,54), one (5%) in the femoral artery (52), and two (9%) in the brachial artery and lower limb arteries (i.e., femoral and posterior tibial) (43,50). Eleven studies (52%) placed the cuff distal to the appraised artery (38, 40-44, 46, 47, 49, 53, 56), ve (24%) proximal (45,51,54,55,58), and one (5%) positioned the cuff distal to the brachial artery and proximal to the posterior tibial artery (50), while four (19%) did not speci cally disclose this information (39, 48, 52, 57) and guidelines for measuring FMD were referenced (14,59).…”

Section: ***Insertmentioning

confidence: 99%

Effects and optimal dose of exercise on endothelial function in patients with heart failure: a systematic review and meta-analysis

Fuertes-Kenneally

Manresa‐Rocamora²,

Blasco-Peris

et al. 2022

Preprint

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Background Exercise-based cardiac rehabilitation (CR) is considered an effective treatment for enhancing endothelial function in patients with heart failure (HF). Nonetheless, recent studies have been published and the optimal “dose” of exercise required to increase the benefits of exercise-based CR programmes on endothelial function is still not well-known. Objectives (a) To estimate the effect of exercise-based CR on endothelial function, assessed by flow-mediated dilation (FMD); (b) to determine whether high-intensity interval training (HIIT) is better than moderate intensity training (MIT) for improving FMD; and (c) to investigate whether there are differences between resistance exercise (alone or combined with aerobic exercise) and aerobic exercise for enhancing endothelial function. Methods Electronic searchers were carried out in PubMed, Embase, and Scopus up to February 2022. Random-effects models of between-group mean differences were estimated. Heterogeneity analyses were performed by means of the chi-square test and I2 index. Subgroup analyses and meta-regressions were used to test the influence of potential moderator variables on the effect of exercise. Results Most of the included studies performed an aerobic-based CR programme in patients with HF and reduced ejection fraction (HFrEF). We found a FMD increase of 2.74% (95% confidence interval [CI] = 1.69, 3.79%) in favour of CR programmes compared with control groups. Nonetheless, the results of included studies were inconsistent (p < .001; I2 = 94.8%). Higher FMD improvement was found in studies performed with patients with HFrEF compared to patients with HF and preserved ejection fraction, reported radial FMD, or performed higher training frequency. Moreover, HIIT enhanced FMD to a greater extent than MIT (2.65% [95% CI = 0.98, 4.33%]), while no differences were found based on the exercise modality (1.97% [95% CI = − 0.64, 4.58%]). Conclusion Aerobic-based CR is a non-pharmacological treatment for enhancing endothelial function in patients with HFrEF. Nonetheless, training variables such as the aerobic training method (i.e., HIIT and MIT) and training frequency should be considered to properly design exercise-based CR programmes. Registration: The protocol was prospectively registered on the PROSPERO database (CRD42022304687).

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Comparative Effectiveness of Low-Volume Time-Efficient Resistance Training Versus Endurance Training in Patients With Heart Failure

Cited by 15 publications

References 48 publications

Exercise training and testing in patients with heart failure

Exercise training and testing in patients with heart failure

Resistance Exercise After Laparoscopic Surgery Enhances Improvement in Exercise Tolerance in Geriatric Patients With Gastrointestinal Cancer

Effects and optimal dose of exercise on endothelial function in patients with heart failure: a systematic review and meta-analysis

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