Electrical support during outdoor cycling in patients with coronary artery disease: impact on exercise intensity, volume and perception of effort

Hansen, Dominique; Soors, An; Deluyker, Valerie; Frederix, Ines; Dendale, Paul

doi:10.1080/00015385.2017.1385153

Cited by 8 publications

(17 citation statements)

References 18 publications

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“…Most studies recruited adults who were healthy, two studies recruited adults who were sedentary 20,24 and one study recruited people with coronary artery disease. 15 Six studies compared e-cycling (with electrical assistance) to conventional cycling, 15,19,20,22,25,27 five studies compared e-cycling with no electrical assistance with e-cycling with electrical assistance. 14,17,18,21,26 Two studies compared ecycling with electrical assistance to conventional cycling and walking.…”

Section: Resultsmentioning

confidence: 99%

“…Nine studies 15,16,17,18,19,20,21,24,27 assessed METs with ecycling with electrical assistance compared with conventional cycling or e-cycling without electrical assistance. Reporting of METs within the studies was inconsistent, many authors reported mean or range of MET values, many studies did not report mean and SD.…”

Section: Narrative Review -Metsmentioning

confidence: 99%

“…Two studies recruited sedentary adults, 20,24 one study recruited both trained and untrained participants, 17 and one study investigated a clinical population cohort, people with coronary artery disease. 15 The heterogeneity between the participant groups may have an impact on the outcomes assessed. The quality assessment ratings of the included studies confirm the need for high quality research, future studies should aim to address these limitations.…”

Section: Limitationsmentioning

confidence: 99%

“…Many of the studies within this systematic review and meta‐analysis included healthy adult participants; 16,19,22,25,27 however, it was not clear how active these adults were. Two studies recruited sedentary adults, 20,24 one study recruited both trained and untrained participants, 17 and one study investigated a clinical population cohort, people with coronary artery disease 15 . The heterogeneity between the participant groups may have an impact on the outcomes assessed.…”

Section: Strengths and Limitationsmentioning

confidence: 99%

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Systematic review and meta‐analysis evaluating the effects electric bikes have on physiological parameters

McVicar

Keske

Daryabeygi-Khotbehsara

et al. 2022

Scandinavian Med Sci Sports

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Background There is a universal need to increase the number of adults meeting physical activity (PA) recommendations to help improve health. In recent years, electrically assisted bicycles (e‐bikes) have emerged as a promising method for supporting people to initiate and maintain physical activity levels. To the best of our knowledge, there have been no meta‐analyses conducted to quantify the difference in physiological responses between e‐cycling with electrical assistance, e‐cycling without assistance, conventional cycling, and walking. Methods A systematic review and meta‐analysis was conducted following PRISMA guidelines. We identified short‐term e‐bike studies, which utilized a crossover design comparing physiological outcomes when e‐cycling with electrical assistance, e‐cycling without electrical assistance, conventional cycling, or walking. Energy expenditure (EE), heart rate (HR), oxygen consumption (VO2), power output (PO), and metabolic equivalents (METs) outcomes were included within the meta‐analysis. Results Fourteen studies met our inclusion criteria (N = 239). E‐cycling with electrical assistance resulted in a lower energy expenditure (EE) [SMD = −0.46 (−0.98, 0.06), p = 0.08], heart rate (HR) [MD = −11.41 (−17.15, −5.68), p < 0.000, beats per minute], oxygen uptake (VO2) [SMD = −0.57 (−0.96, −0.17), p = 0.005], power output (PO) [MD = −31.19 (−47.19 to −15.18), p = 0.000, Watts], and metabolic equivalent (MET) response [MD = −0.83 (−1.52, −0.14), p = 0.02, METs], compared with conventional cycling. E‐cycling with moderate electrical assistance resulted in a greater HR response [MD 10.38 (−1.48, 22.23) p = 0.09, beats per minute], and VO2 response [SMD 0.34 (−0.14, 0.82) p = 0.16] compared with walking. Conclusions E‐cycling was associated with increased physiological responses that can confer health benefits.

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Section: Resultsmentioning

confidence: 99%

Section: Narrative Review -Metsmentioning

confidence: 99%

Section: Limitationsmentioning

confidence: 99%

Section: Strengths and Limitationsmentioning

confidence: 99%

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Systematic review and meta‐analysis evaluating the effects electric bikes have on physiological parameters

McVicar

Keske

Daryabeygi-Khotbehsara

et al. 2022

Scandinavian Med Sci Sports

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show abstract

“…E-bikes can be fitted with adaptations to help overcome the effects of a disability and are available as a tricycle version (e-trike) to overcome issues around balance (23). Recent studies have explored e-bike usage in relation to diabetes (22), and coronary artery disease (24) and are a popular mode of cycling for people with disabilities (25). Although some studies have included stroke survivors as participants (9,22,26), e-bike usage within the context of stroke has yet to be fully explored.…”

Section: Introductionmentioning

confidence: 99%

Exploring the factors influencing the use of electrically assisted bikes (e-bikes) by stroke survivors: a mixed methods multiple case study

Boland

Connell

Thetford

et al. 2020

Disability and Rehabilitation

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Methods: A mixed methods multiple case studies design, using semi-structured interviews and GPS data. Subject to GP approval, participants loaned an e-bike or e-trike for up to three months. Interviews were undertaken pre and post intervention. The COM-B behaviour change model acted as a framework for analysis. GPS data relating to journey duration and distance travelled was collected fortnightly.Results: Six participants were recruited; only three loaned an e-bike/e-trike (with adaptations as required). Storage, being unable to get GP approval, and safety were withdrawal reasons. Level of impairment was a factor influencing the type of e-bike used, level of support required and the motivation of the participants. Conclusion:Stroke survivors can use e-bikes although barriers exist. Electrical assistance was a positive factor in enabling some of the participants to cycle outdoors.Due to the small sample size and the number of participants who were able to loan an ebike, further research is required to determine whether e-bikes are a feasible and effective intervention to increase physical activity for stroke survivors.

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Self-selected pedal-assist E-bike use in older adults is moderate-vigorous intensity

Jenkins

O’Rourke

Lustosa

et al. 2023

Journal of Transport & Health

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Electrical support during outdoor cycling in patients with coronary artery disease: impact on exercise intensity, volume and perception of effort

Abstract: Outdoor cycling with electrical support leads to a sufficiently high exercise intensity and volume in CAD patients, and may be considered as an alternative exercise modality.

Cited by 8 publications

References 18 publications

Systematic review and meta‐analysis evaluating the effects electric bikes have on physiological parameters

Systematic review and meta‐analysis evaluating the effects electric bikes have on physiological parameters

Exploring the factors influencing the use of electrically assisted bikes (e-bikes) by stroke survivors: a mixed methods multiple case study

Self-selected pedal-assist E-bike use in older adults is moderate-vigorous intensity

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