The influence of training characteristics on the effect of exercise training in patients with coronary artery disease: Systematic review and meta-regression analysis

Abstract

We conclude that the design of an exercise programme should primarily be aimed at optimising total energy expenditure rather than on one specific training characteristic.

High intensity interval training in coronary artery disease patients, is it worth the effort?

“…These results suggest that not the intensity nor the modality but the total EE of the exercise programmes determines the improvement in exercise capacity after training. This concords with a recent meta-analysis by Kraal et al, 4 who showed that session duration, programme length and training intensity were all related to the improvement in exercise capacity, but found no independent effect of any of these training characteristics after correction for total EE in patients with CAD. As such, one could conclude that HIIT offers a time-efficient alternative for MCT as it requires less time (approximately 30 minutes/week) to be spent exercising while providing similar health benefits compared to MCT.…”

“…2 Based on a large body of evidence that shows that participation in cardiac rehabilitation (CR) reduces CAD mortality and morbidity 3 and improves exercise capacity 4 and quality of life, 3 referral to exercise-based CR is now a class I recommendation for CAD patients. 5 Nevertheless, the effectiveness of CR depends largely on the intensity, duration, frequency and type (FITT) of exercise; 4,6,7 although the optimal exercise prescription remains under debate.…”

Efectos del entrenamiento por intervalos vs entrenamiento continuo sobre capacidad aeróbica en pacientes con enfermedad de las arterias coronarias

“…A su vez, estudios anteriores establecen que intervalos de alta intensidad de larga duración (3-4 minutos) generaron menor adherencia de los pacientes al HIIT (Ballesta García et al, 2019). La adherencia al entrenamiento es un elemento importante en la efectividad del PEF (Kraal et al, 2017). En efecto, algunas investigaciones sostienen que los pacientes cardíacos que participan del HIIT prefieren una duración corta del intervalo de alta intensidad, favoreciendo una mayor adherencia al entrenamiento y una mayor mejoría sobre la capacidad aeróbica (Guiraud et al, 2010(Guiraud et al, , 2012.…”

“…La realización del HIIT en cinta de correr presentó mayores mejorías sobre la capacidad aeróbica en comparación al cicloergómetro (Pattyn et al, 2018). El tipo de ejercicio físico utilizado puede asociarse con la cantidad de músculos involucrados en la actividad o con la preferencia y adherencia del paciente al HIIT, siendo un elemento importante a tener en cuenta en los efectos del PEF (Kraal et al, 2017). Ballesta García et al, 2019;Taylor et al, 2019).…”

Changes in Aerobic Capacity Over Time in Elderly Patients With Acute Myocardial Infarction During Cardiac Rehabilitation

“…What duration of CR is needed to be effective? Cardiac rehabilitation studies with more than two sessions per week for multiple weeks (from 2 to 28 weeks) improved the exercise capacity of patients with coronary artery disease [11]. The World Health Organization recommends phase II CR lasting 6 to 8+ weeks [9].…”