Superior Effects of High-Intensity Interval Training vs. Moderate Continuous Training on Arterial Stiffness in Episodic Migraine: A Randomized Controlled Trial

Hanssen, Henner; Minghetti, Alice; Magon, Stefano; Rossmeissl, Anja; Papadopoulou, Athina; Klenk, Christopher; Schmidt‐Trucksäss, Arno; Faude, Oliver; Zahner, Lukas; Sprenger, Till; Donath, Lars

doi:10.3389/fphys.2017.01086

Cited by 33 publications

(38 citation statements)

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“…Apart from the benefits of exercise on post‐concussive symptom resolution, outlined in detail above, a recent systemic review and meta‐analysis have shown that exercise can reduce the frequency, duration, and severity of migraine headaches 125‐128 . Additionally, exercise has been shown to be either additive (amitriptyline) or non‐inferior (topiramate) to pharmaceuticals in the management of migraine .…”

Section: Return To Learn and Return To Play (Rtl/rtp) Post‐mtbimentioning

confidence: 99%

Pediatric Post‐Traumatic Headache and Implications for Return to Sport: A Narrative Review

2020

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Background.-Headache attributed to mild traumatic injury of the head (aka: mild traumatic brain injury, mTBI), frequently abbreviated to Post-Traumatic Headache (PTH), is one of the most common and disabling symptoms after a head injury. PTH often phenotypes to migraine. Evidence for treating PTH in the pediatric population is limited. Widely accepted guidelines do not exist to aid the clinician and there are currently no placebo-controlled trials for the pharmacologic management of PTH in this age group. Recommendations for when to return a child or adolescent to sport if they develop and/or are being treated for persistent PTH (PPTH) are lacking. The objective of this narrative review is to review the implications of returning an adolescent with PPTH to sport.Methods.-Pediatric neurologists with special qualification in headache collaborated on this narrative review. Literature was searched up until Oct 2019 for articles pertaining to PTH, concussion, mTBI, and the return of a pediatric athlete to sport after mTBI. Article inclusion was at the discretion of the authors. There was author consensus regarding all recommendations made.Conclusion.-The authors recommend that strict adherence to the guidelines that return to sport cannot occur until a child is symptom free at rest, off any medication, may be unreasonable in certain situations. Symptom stability is the proposed new concept for return to sport.Abbreviations: CDC Center for Disease Control, mTBI mild traumatic brain injury, PPTH persistent post-traumatic headache, PTH post-traumatic headache, RTP return to play

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Section: Return To Learn and Return To Play (Rtl/rtp) Post‐mtbimentioning

confidence: 99%

Pediatric Post‐Traumatic Headache and Implications for Return to Sport: A Narrative Review

2020

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“…Compared to moderate continuous aerobic training, high intensity interval training had a more pronounced effect on reducing migraine days and cerebrovascular outcomes, but overall, aerobic activity exerted positive effects for migraineurs 46,47 . In light of the greater conferred benefit of higher intensity physical activity, the authors concluded that the positive effects of exercise may be dependent on both type of exercise and its intensity 46 . The authors’ conclusions are consistent with our findings, given the observed differences in the strength of the stress‐migraine associations across levels of physical activity.…”

Section: Discussionmentioning

confidence: 98%

“…Using a 3‐armed RCT, Hanssen et al 46,47 examined the differential effects of aerobic activities on multiple health outcomes among episodic migraineurs. Compared to moderate continuous aerobic training, high intensity interval training had a more pronounced effect on reducing migraine days and cerebrovascular outcomes, but overall, aerobic activity exerted positive effects for migraineurs 46,47 . In light of the greater conferred benefit of higher intensity physical activity, the authors concluded that the positive effects of exercise may be dependent on both type of exercise and its intensity 46 .…”

Section: Discussionmentioning

confidence: 99%

The Role of Positive Health Behaviors in the Relationship Between Early Life Stress and Migraine

Hammond

Colman

2020

Headache

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Background.-The use of diet and physical activity in alleviating the burden of migraine is unclear, therefore, more scientific study on the role of positive health behaviors in migraine management is needed.Objective.-To explore the potential moderating influence of positive health behaviors on the early life stress-migraine relationship in a sample of the Canadian adult population.Methods.-This study used data from the 2011-2012 Canadian Community Health Survey -Annual Component, a National cross-sectional survey. Adults ≥18 years of age residing in British Columbia were surveyed about stressors experienced as children/teenagers (eg, parental divorce and substance abuse exposure). Migraine was self-report of health-professional diagnosis. Positive health behaviors were measured using an index of transportation and leisure time physical activity, and self-reported frequency of vegetable and fruit consumption. Population survey weights were employed throughout and analytic models were adjusted for known confounders (n unweighted = 11,910).Results.-The weighted prevalence of migraine was 9.7% (95% CI: 9.1%, 10.2%). Odds of migraine increased as number of stressors increased: 1 early life stressor (OR = 1.18, 95% CI: 1.01, 1.39), and ≥ 2 early life stressors (OR = 1.51, 95% CI: 1.29, 1.76), compared to no stress. There was evidence of effect modification by physical activity (χ 2 (4) = 16.02, P < .001). OR = 1.20, 95% CI: 0.90, 1.61; active: OR = 0.82, 95% CI: 0.61, 1.11). This difference was not apparent for those who experienced 2 or more early life stressors (moderately active: OR = 1.67, 95% CI: 1.28, 2.17; active: OR = 1.55, 95% CI: 1.21, 1.99). Across all levels of early life stress, physically active respondents had lower odds of migraine than moderately active respondents. There was no effect modification by vegetable, fruit, and total fruit/vegetable consumption. The association between 1 early life stressor and migraine was lower for those who were physically active (moderately active:Conclusions.-Stressors experienced early in life are associated with migraine, and physical activity may ameliorate this relationship, particularly for those with exposure to a minimal level of early life stress. A higher dose of physical activity may yield greater benefit than a less intensive dose (ie, moderate activity level). However, the cross-sectional nature of this study precludes us from inferring causality, and future investigation requires prospectively collected data.

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“…Migrénesek (3,7 nap/hó) HIIT-edzése az augmentációs index -a pulzushullám-visszaverődés -az aorta merevsége -csökkenéséhez (22-ről 14,9-re), a centrális szisztolés és diasztolés vérnyomás csökkenéséhez vezetett, nagyobb mértékben, mint az egyenletes edzés, és a migrénes napok száma csökkent [38].…”

Section: Interval Edzés Egyéb Betegségek Eseténunclassified

A szívbetegek rehabilitációjának sportos arca

Apor

2018

Orvosi Hetilap

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A cardiorespiratoricus fittség (aerob kapacitás, VO 2max ) mértéke nagymértékben meghatározza az életkilátásokat, ezért növelése az egészség helyreállítására a szervezett edzésprogramon alapuló multidiszciplináris rehabilitáció egyik fő célja -a többi rizikótényező csökkentése mellett. A (tünetek által behatárolt) egyenletes iramú testmozgások mellett egyre kiterjedtebb az interval jellegű "edzés". Ilyenkor a néhány perces intenzívebb szakaszt hasonló tartamú vagy hosszabb könnyű mozgás vagy passzív pihenő váltja (mérsékelt intenzitású interval edzés: MICE). Az intenzív szakasz történhet a tünetküszöb alatti maximális intenzitással is (high-intensity interval training: HIIT), sőt igen rövid, 10-30 másodperces szupramaximális és hosszabb pihenőszakaszok váltakozásával is (sprint interval training: SIT). Ezek előnye a 30-40%-kal rövidebb edzéstartam, emellett sokak számára ezek elfogadhatóbb edzésformák, változatosabbá teszik a programot, hatásosabban, extra veszély nélkül. Az interval jellegű rehabilitációs edzésprogramok helyet kapnak az egyéb kórállapotok kezelésében is, káros mellékhatások nélkül. Orv Hetil. 2018; 159(33): 1346-1352.Kulcsszavak: váltakozó intenzitású edzésterhelések a szívbetegeknek, mérsékelt intenzitású folyamatos edzés (MICE), nagy intenzitású interval edzés (HIIT), igen nagy (vágta-) intenzitású interval edzés (SIT), interval tréning egyéb kórállapotokban Cardiac rehabilitation and its sporty faceThe prognosis of cardiac and other diseases is highly determined by the level of cardiopulmonary fitness (aerobic capacity). The main purposes of rehabilitative activities include the restoration and increase of VO 2max . The "classic" method is the continuous aerobic exercise (moderate-intensity continuous exercise). The higher increase of aerobic capacity in a shorter time can be developed by interval loads: shorter or longer active periods are interspersed by lowintensity rest periods. A recent form is the high-intensity interval training: 0.5-4 minutes on 70-90% of the aerobic capacity followed by a rest or low-intensity biking/walking/jogging/any activity. The sprint interval training uses a few ten seconds of maximal intensity bursts changed with longer low-intensity activities. The advantages of the interval methods are shorter training time, less monotony, higher efficiency with not more risks. Interval training methods are applied also in other pathologies without disadvantages.Keywords: interval training methods in cardiac rehabilitation, moderate-intensity cardiac exercise, high-intensity interval training, sprint interval training, advantages of intensive exercise in non-cardiac pathologies Apor P. [Cardiac rehabilitation and its sporting face].

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Superior Effects of High-Intensity Interval Training vs. Moderate Continuous Training on Arterial Stiffness in Episodic Migraine: A Randomized Controlled Trial

Cited by 33 publications

References 50 publications

Pediatric Post‐Traumatic Headache and Implications for Return to Sport: A Narrative Review

Pediatric Post‐Traumatic Headache and Implications for Return to Sport: A Narrative Review

The Role of Positive Health Behaviors in the Relationship Between Early Life Stress and Migraine

A szívbetegek rehabilitációjának sportos arca

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