The effects of aerobic interval training and moderate-to-vigorous intensity continuous exercise on mental and physical health in women with heart disease

Reed, Jennifer L.; Keast, Marja-Leena; Beanlands, Rachelle A; Blais, Angelica; Clarke, Anna; Pipe, Andrew; Tulloch, Heather

doi:10.1177/2047487318795246

Cited by 14 publications

(9 citation statements)

References 12 publications

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“…The existing models of exercise prescription on cardiac rehabilitation focus mainly on aerobic exercises, with a progressive adaptation of the intensity and duration according to the patient’s capacity and preference. 5 Traditional periodization, proposed in the guidelines for coronary artery disease (CAD) patients, also referred to as linear periodization, typically begins with low exercise intensity and short duration and focuses on a gradual increase in both of these parameters. However, linear periodization could potentially lead to fatigue and overreaching.…”

Section: Focus On Exercise Training Modalitiesmentioning

confidence: 99%

Focus on cardiovascular rehabilitation and exercise training

Halász

Piepoli

2020

Eur J Prev Cardiolog

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The benefits gained from exercise-based cardiac rehabilitation programmes are evidence-based and widely recognized. 1,2 Furthermore, cardiac rehabilitation is a cost-effective therapy, proven to reduce premature cardiovascular and all-cause mortality and to improve health-related quality of life. 3 However, its implementation in clinical practice is still very poor. 4 In this focus issue of the journal, some of the controversial points related to clinical implementation of cardiac rehabilitation are discussed in original research studies. Focus on exercise training modalities Non-linear is not superior to linear aerobic training periodization in coronary heart disease patients The existing models of exercise prescription on cardiac rehabilitation focus mainly on aerobic exercises, with a progressive adaptation of the intensity and duration according to the patient's capacity and preference. 5 Traditional periodization, proposed in the guidelines for coronary artery disease (CAD) patients, also referred to as linear periodization, typically begins with low exercise intensity and short duration and focuses on a gradual increase in both of these parameters. However, linear periodization could potentially lead to fatigue and overreaching. To mitigate this risk, various forms of non-linear periodization (NLP), characterized by a more frequent manipulation of the training load, were used mainly in athletes. Here, Boidin et al. compared linear periodization versus NLP, blindly randomized, in a 12-week supervised exercise programme on the cardiopulmonary exercise response in patients with CAD. 6 All patients completed cardiopulmonary exercise testing (CPET): peak oxygen uptake (peak VO 2), O 2 uptake, efficiency slope, ventilatory efficiency slope, VO 2 at the first and second ventilatory thresholds, and oxygen pulse (O 2 pulse) were measured. In short, the authors showed that after three months of aerobic exercise training both protocols similarly improved peak VO 2 , peak ventilation, O 2 pulse and oxygen uptake efficiency slope. This finding confirmed that more variation (NLP), as suggested by some authors, is not necessary for greater cardiopulmonary and haemodynamic adaptations.

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Section: Focus On Exercise Training Modalitiesmentioning

confidence: 99%

Focus on cardiovascular rehabilitation and exercise training

Halász

Piepoli

2020

Eur J Prev Cardiolog

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“…There is growing interest in implementing highintensity interval training (HIIT) in CR settings given the significant cardiovascular health improvements observed in adults with coronary artery disease [6][7][8][9] and heart failure [10,11] when compared to traditional CR (moderate-to-vigorous intensity continuous aerobic exercise for 30-60 min) [12]. HIIT consists of repeated bouts of high-intensity exercise interspersed with lower intensity active/passive periods of recovery [13].…”

Section: Introductionmentioning

confidence: 99%

The feasibility of implementing high-intensity interval training in cardiac rehabilitation settings: a retrospective analysis

Way

Vidal-Almela

Keast

et al. 2020

BMC Sports Sci Med Rehabil

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Background: Cardiovascular disease is the leading cause of death worldwide. Notwithstanding the well-known benefits of cardiac rehabilitation (CR), adherence to CR remains low, particularly in women. High-intensity interval training (HIIT) has received specific attention as an emerging exercise-training paradigm that addresses frequently cited barriers to CR (i.e. lack of motivation/enjoyment and time, perceiving exercise regime as tiring/boring) and improves cardiovascular risk factors. Previous studies have examined the safety of HIIT in CR; there is little evidence on the feasibility of HIIT in CR. The aims of this study were to evaluate the feasibility of HIIT within a CR setting and examine the sex differences regarding the feasibility of such programming. Methods: Patients attended an on-site HIIT CR program (10-min warm-up, 25 min of interspersed high-intensity [HI-4 min at 85-95% HRpeak] and lower intensity [LO-3 min at 60-70% HRpeak] intervals, 10-min cool-down) twice weekly for 10 weeks. Heart rate (HR) and the Borg rating of perceived exertion (RPE) scale (6-20 points) were recorded at each session. Feasibility was assessed by: [1] attendance and compliance: the number of sessions attended and the compliance to the prescribed HI and LO HR ranges; [2] the patient experience: patients' perceived effort, program difficulty, if the program was challenging and satisfying; and, [3] safety. Descriptive statistics were used to report the means and their variations. Mann-Whitney U tests and Chi-square analyses were performed to examine sex-differences.

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“…There is growing interest in implementing high-intensity interval training (HIIT) in CR settings given the signi cant cardiovascular health improvements observed in adults with coronary artery disease (6)(7)(8)(9) and heart failure (10,11) when compared to traditional CR (moderate-to-vigorous intensity continuous aerobic exercise for 30-60 minutes) (12). HIIT consists of repeated bouts of high-intensity exercise interspersed with lower intensity active/passive periods of recovery (13).…”

Section: Introductionmentioning

confidence: 99%

The Feasibility of Implementing High-Intensity Interval Training in Cardiac Rehabilitation Settings: A Retrospective Analysis

Way

Vidal-Almela

Keast

et al. 2020

Preprint

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Abstract Background: Cardiovascular disease is the leading cause of death worldwide. Notwithstanding the well-known benefits of cardiac rehabilitation (CR), adherence to CR remains low, particularly in women. High-intensity interval training (HIIT) has received specific attention as an emerging exercise-training paradigm that addresses frequently cited barriers to CR (i.e. lack of motivation/enjoyment and time, perceiving exercise regime as tiring/boring) and improves cardiovascular risk factors. Previous studies have examined the safety of HIIT in CR; there is little evidence on the feasibility of HIIT in CR. The aims of this study were to evaluate the feasibility of HIIT within a CR setting and examine the sex differences regarding the feasibility of such programming. Methods: Patients attended an on-site HIIT CR program (10-minute warm-up, 25 minutes of interspersed high [HI - 4 minutes at 85-95% HRpeak] and low [LO - 3 minutes at 60-70% HRpeak] intervals, 10-minute cool-down) twice weekly for 10 weeks. Heart rate (HR) and the Borg rating of perceived exertion (RPE) scale (6-20 points) were recorded at each session. Feasibility was assessed by: (1) attendance and compliance: the number of sessions attended and the compliance to the prescribed HI and LO HR ranges; (2) the patient experience: patients’ perceived effort, program difficulty, if the program was challenging and satisfying; and, (3) safety. Descriptive statistics were used to report the means and their variations. Mann-Whitney U tests and Chi-square analyses were performed to examine sex-differences. Results: A total of 151 patients (33% women, 57.5 ± 9.1 years) attended the HIIT program and completed 16±5 classes with a low attrition rate (11.3%). Most patients met or exceeded the prescribed target HR for the HI (80%) and LO (84%) intervals, respectively. Patients reported a “somewhat hard” RPE for HI (14 ± 2) and “very light” for LO (10 ± 2) intervals. All patients were satisfied with the program and found it challenging. Most patients found HIIT to be difficult (7 ± 2 points, scale range 0-10 points), yet safe (97%). Three vasovagal episodes occurred and more women dropped-out of the program than men (p<0.01). Conclusions: HIIT is a feasible, safe and well-received exercise paradigm in a CR setting.

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The effects of aerobic interval training and moderate-to-vigorous intensity continuous exercise on mental and physical health in women with heart disease

Cited by 14 publications

References 12 publications

Focus on cardiovascular rehabilitation and exercise training

Focus on cardiovascular rehabilitation and exercise training

The feasibility of implementing high-intensity interval training in cardiac rehabilitation settings: a retrospective analysis

The Feasibility of Implementing High-Intensity Interval Training in Cardiac Rehabilitation Settings: A Retrospective Analysis

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