Early initiation of aerobic and resistance training improves peak aerobic power, leg-press maximal strength and distance walked in six minutes in recent cardiac transplant recipients

Haykowsky, Mark J.; Eves, Neil D.; Figgures, Linda; Koller, M; Burton, Jeff; Tymchak, Wayne

doi:10.1016/s1053-2498(02)01020-3

Cited by 2 publications

(4 citation statements)

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“…However, our cardiac transplant recipients are required to participate in a supervised 12-week exercise program beginning as an inpatient and completed as an outpatient. Despite this limitation, the improvement in aerobic endurance and leg-press strength associated with our training program is similar to that found in male cardiac transplant recipients who participated in our outpatient exercise rehabilitation program [13]. …”

Section: Discussionsupporting

confidence: 68%

“…Consistent with this finding, our transplant recipients' baseline aerobic endurance was 50% lower than age predicted values. Moreover, our participants pre-training leg-press strength was 36% lower than that found in age-matched male cardiac transplant recipients tested in our laboratory [13]. The mechanisms responsible for the impaired cardiovascular and musculoskeletal fitness are likely secondary to abnormalities in cardiac and skeletal muscle function associated with pre-transplant heart failure, post-transplant deconditioning, cardiac denervation or immunosuppressuion therapy [14].…”

Section: Discussionmentioning

confidence: 99%

“…Several research groups [2,3,13] have demonstrated that exercise training initiated in the early post-operative period is associated with an increase aerobic endurance [13], muscle mass [2], muscle strength [2,13] and bone density [3] in male cardiac transplant recipients. This study extends previous investigations by demonstrating that 12 weeks of combined aerobic and strength training are associated with a significant and marked improvement in aerobic endurance and muscle strength in female cardiac transplant recipients.…”

Section: Discussionmentioning

confidence: 99%

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Exercise training improves aerobic endurance and musculoskeletal fitness in female cardiac transplant recipients

Haykowsky

Riess

Figgures

et al. 2005

Trials

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Aim: Female cardiac transplant recipients' aerobic capacity is 60% lower than sex and agepredicted values. The effect of exercise training on restoring the impaired aerobic endurance and muscle strength in female cardiac transplant recipients is not known. This study examined the effect that aerobic and strength training have on improving aerobic endurance and muscle strength in female cardiac transplant recipients.Methods: 20 female cardiac transplant recipients (51 ± 11 years) participated in this investigation. The subjects performed a baseline six-minute walk test and a leg-press strength test when they were discharged following cardiac transplantation. The subjects then participated in a 12-week exercise program consisting of aerobic and lower extremity strength training. Baseline assessments were repeated following completion of the exercise intervention.Results: At baseline, the cardiac transplant recipients' aerobic endurance was 50% lower than agematched predicted values. The training program resulted in a significant increase in aerobic endurance (pre-training: 322 ± 104 m vs. post-training: 501 ± 99 m, p < 0.05) and leg-press strength (pre-training: 48 ± 16 kg. vs. post-training: 78 ± 27 kg, p < 0.05). Conclusion:Aerobic and strength training are effective interventions that can partially restore the impaired aerobic endurance and strength found in female cardiac transplant recipients.Exercise training is an effective intervention that can partially restore the impaired aerobic capacity and musculoskeletal fitness (i.e. muscle strength) found in cardiac transplant recipients [1,2]. However, previous reports have focused exclusively on the effects of exercise training in men. Therefore, the effect of exercise training on these outcomes in female cardiac transplant recipients is not known [2][3][4][5][6][7]. Importantly, a majority of female cardiac transplant recipients do not engage in regular physical activity leading to increased levels of fatigue, poor functional status and reduced exercise capacity [8][9][10]. Based on this rationale, the aim of this study is to examine the effect that exercise training has on improving aerobic endurance (i.e. distance walked in six-minutes) and lower extremity muscle strength in female cardiac transplant recipients. We hypothesized that exercise training would be a feasible and effective intervention to improve aerobic endurance and lower extremity strength in female cardiac transplant recipients. Methods Subjects and proceduresThe participants for this study consisted of 20 (51 ± 11 years) clinically stable female cardiac transplant recipients who participated in the University of Alberta Post-Transplant Exercise Rehabilitation program between 1997 and 2003. All assessments and exercise training were performed in the Physical Therapy Department at the University of Alberta Hospital. Ethics approval for this study was obtained from the Biomedical Ethics Board at our University. Outcome AssessmentsThe six-minute walk test was performed in accordance with t...

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Section: Discussionsupporting

confidence: 68%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Exercise training improves aerobic endurance and musculoskeletal fitness in female cardiac transplant recipients

Haykowsky

Riess

Figgures

et al. 2005

Trials

View full text Add to dashboard Cite

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“…Although there is evidence that CV and resistance training for heart transplant recipients is beneficial for many reasons 215,229,230 , the current literature does not demonstrate consensus regarding what should be included in the exercise programme. There are very few studies which have investigated exercise programmes for individuals in early rehabilitation and to date, there have not been any randomised control trials in this area.…”

Section: Exercise Prescriptionmentioning

confidence: 95%

ECG changes during ISWTs in adult patients commencing CR: a retrospective case note review

et al. 2021

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In order to challenge inequalities and mainstream equality in health, individual feedback on the CR services provided should be sought at appropriate intervals 1,4,10,11. In addition, to meet the individual's psychosocial needs and to create the best possible chances of uptake, long-term adherence and self-management of a physically active lifestyle, the BACPR Standards and Core Components recommend that a choice of CR venue (hospital, community or home) is offered 5. Key national guidelines associated with cardiac rehabilitation A number of key publications guide the design and implementation of CR as summarised below: Group Guideline/Policy Website General (all)  Scottish Intercollegiate Guidelines Network (SIGN) guidelines for CR (2002)  American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) (2006)  American College of Sports Medicine (ACSM) (2009)  Joint British Societies' (JBS3) Consensus recommendations for the prevention of cardiovascular disease 2014

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Early initiation of aerobic and resistance training improves peak aerobic power, leg-press maximal strength and distance walked in six minutes in recent cardiac transplant recipients

Cited by 2 publications

References 0 publications

Exercise training improves aerobic endurance and musculoskeletal fitness in female cardiac transplant recipients

Exercise training improves aerobic endurance and musculoskeletal fitness in female cardiac transplant recipients

ECG changes during ISWTs in adult patients commencing CR: a retrospective case note review

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