Exercise-based cardiac rehabilitation after myocardial revascularization: a systematic review and meta-analysis

Campos, Helton Oliveira; Rodrigues, Quézia Teixeira; Drummond, Lucas Rios; Lima, Paulo Marcelo Andrade; Monteiro, Mateus da Costa; Wanner, Samuel Penna; Coimbra, Cândido Celso

doi:10.31083/j.rcm2302074

Cited by 18 publications

(15 citation statements)

References 50 publications

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“…An exercise program should be implemented in all healthy subjects, in particular in those at higher risk of developing hypertension and cardiovascular disease, in order to counteract all micro- and macrovascular complications that may progress to manifesting disease. But exercise, in particular combined exercise [ 32 ], should not be denied even to people with overt cardiovascular disease [ 68 ], provided it is performed to a light-to-moderate intensity level. However, the major challenge for health care personnel is still to persuade patients to continue with their program of regular training, as the compliance to exercise is very poor [ 69 , 70 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of Different Kinds of Physical Activity on Vascular Function

Saladini

2023

JCM

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Regular exercise is one of the main non-pharmacological measures suggested by several guidelines to prevent and treat the development of hypertension and cardiovascular disease through its impact on the vascular system. Routine aerobic training exerts its beneficial effects by means of several mechanisms: decreasing the heart rate and arterial pressure as well as reducing the activation of the sympathetic system and inflammation process without ignoring the important role that it plays in the metabolic profile. Through all these actions, physical training counteracts the arterial stiffening and aging that underlie the development of future cardiovascular events. While the role of aerobic training is undoubted, the effects of resistance training or combined-training exercise on arterial distensibility are still questioned. Moreover, whether different levels of physical activity have a different impact on normotensive and hypertensive subjects is still debated.

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Section: Discussionmentioning

confidence: 99%

Effects of Different Kinds of Physical Activity on Vascular Function

Saladini

2023

JCM

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“…EBCR remains at the center of cardiac rehabilitation approaches to manage patients with CAD. EBCR has been shown to improve exercise capacities, reduce the occurrence of cardiac events, reduce mortality, and reduce readmissions in patients with CAD [4,10,21]. Exercise prescription in EBCR has followed established guidelines for aerobic and resistance training.…”

Section: Discussionmentioning

confidence: 99%

Identifying the Optimal Exercise Prescription for Patients with Coronary Artery Disease Undergoing Cardiac Rehabilitation: Protocol for a Systematic Review and Network Meta-Analysis of Randomized Control Trials

Shah

Dibben

Ketkar

et al. 2022

IJERPH

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Coronary artery disease (CAD) is one of the leading causes of mortality and morbidity. Exercise-based cardiac rehabilitation (EBCR) has been shown to improve clinical outcomes in these patients, and yet clinicians are often challenged to prescribe the most effective type of exercise training. Therefore, this systematic review and network meta-analysis (NMA) aims to formally quantify the optimal dose of exercise training interventions to improve exercise capacity and quality of life by undertaking direct and indirect pooled comparisons of randomized controlled trials. A detailed search will be conducted on PubMed/MEDLINE, Cumulative Index to Nursing and Allied Health (CINAHL), EMBASE and Web of Science. Two reviewers will screen the existing literature and assess the quality of the studies. Disagreements will be resolved through consensus. We anticipate that the analysis will include pairwise and Bayesian network meta-analyses. Most of the trials have studied the impact of exercise training comparing one or two modalities. As a result, little evidence exists to support which interventions will be most effective. The current NMA will address this gap in the literature and assist clinicians and cardiac rehabilitation specialists in making an informed decision. Results will be disseminated through peer-reviewed journals. Ethical approval is not applicable, as no research participants will be involved. PROSPERO Registration number: CRD42022262644.

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“…The risk of bias assessment was performed by independent reviewers using an adaptation of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) instrument (13)(14)(15)(16) . Discrepant assessments were resolved through discussion with an independent reviewer.…”

Section: Risk Of Bias Assessmentmentioning

confidence: 99%

Plant-based diets benefit aerobic performance and do not compromise strength/power performance: a systematic review and meta-analysis

Damasceno,

Leitão,

de Oliveira

et al. 2023

Br J Nutr

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Plant-based diets have emerged as athletic performance enhancers for various types of exercise. Therefore, the present study evaluated the effectiveness of plant-based diets on aerobic and strength/power performances, as well as on body mass index (BMI) of physically active individuals. This systematic review and meta-analysis was conducted and reported according to the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement. A systematic search of electronic databases, including PubMed, Web of Science and SPORTDiscus, was performed. On the basis of the search and inclusion criteria, four and six studies evaluating the effects of plant-based diets on aerobic and strength/power performances in humans were respectively included in the systematic review and meta-analysis. Plant-based diets had a moderate but positive effect on aerobic performance (0.55; 95% CI: 0.29 to 0.81), and no effect on strength/power performance (-0.30; 95% CI: -0.67 to 0.07). The altogether analyses of both aerobic and strength/power exercises revealed that athletic performance was unchanged (0.01; 95% CI: -0.21 to 0.22) in athletes that adopted plant-based diets. However, a small negative effect on BMI (-0.27; 95% CI: -0.40 to –0.15) was induced by these diets. The results indicate that plant-based diets have the potential to exclusively assist aerobic performance. On the other hand, these diets do not jeopardize strength/power performance. Overall, the predicted effects of plant-based diets on physical performance are impactless, even though the BMI of their adherents is reduced.

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Exercise-based cardiac rehabilitation after myocardial revascularization: a systematic review and meta-analysis

Cited by 18 publications

References 50 publications

Effects of Different Kinds of Physical Activity on Vascular Function

Effects of Different Kinds of Physical Activity on Vascular Function

Identifying the Optimal Exercise Prescription for Patients with Coronary Artery Disease Undergoing Cardiac Rehabilitation: Protocol for a Systematic Review and Network Meta-Analysis of Randomized Control Trials

Plant-based diets benefit aerobic performance and do not compromise strength/power performance: a systematic review and meta-analysis

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