Sportkardiologie / Sports Cardiology

Sportkardiologie / Sports Cardiology

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Introduction: Applicability and effectiveness of high intensity interval training currently being discussed and investigated as a possible addition to moderate continuous training (MCT) for patients with CHF-HFrEF especially in cardiac rehabilitation (CR). Meanwhile, a prospective multi-centre-RCT a...

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Autores principales: Nebel R, Bjarnason-Wehrens B
Formato: article
Lenguaje:DE
EN
Publicado: Dynamic Media Sales Verlag 2018
Materias:
Sports medicine
RC1200-1245
Acceso en línea:https://doaj.org/article/27182f49c6634a08b0e03d03d3a98475
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spelling oai:doaj.org-article:27182f49c6634a08b0e03d03d3a984752021-11-16T19:01:41ZSportkardiologie / Sports Cardiology0344-59252510-526410.5960/dzsm.2018.330https://doaj.org/article/27182f49c6634a08b0e03d03d3a984752018-06-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2018/issue-6/high-intensity-interval-training-in-chd-patients-with-chronic-heart-failure-chf-hfref/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Introduction: Applicability and effectiveness of high intensity interval training currently being discussed and investigated as a possible addition to moderate continuous training (MCT) for patients with CHF-HFrEF especially in cardiac rehabilitation (CR). Meanwhile, a prospective multi-centre-RCT and meta-analyses are also available for high intensity interval training.Method: We conducted a selective literature search until December 2017. This was focussed on studies to evaluate high-intensity interval-training modalities in CR in patients with CHF-HFrEF.Results: While early (and often small) studies with a great variety in exercise-intensity and -protocol-modalities and following meta-analyses often showed highly significant positive results with regard to the maximum oxygen uptake (VO2peak) and other relevant clinical parameters, current prospective multicentre RCTs show no such significant advantages for high intensity training compared to MCT.Discussion: High intensity training in CR phase II and III is a equivalent form of exercise for CHF-HFrEF patients showing equivalent improvement of cardiovascular protection factors, clinical CHF-parameters and quality of life compared with MCT. High-intensity interval training may be applied in stable CHF-HFrEF-patients who tolerate MCT well and in whom further improvement in exercise capacity is aimed. Nevertheless, there is still a need for research in a more precise clinical-application and its long-term effects. KEY WORDS: Cardiac Rehabilitation, Exercise, Endurance Training, Chronic Heart Failure, High Intensity Interval TrainingNebel RBjarnason-Wehrens BDynamic Media Sales VerlagarticleSports medicineRC1200-1245DEENDeutsche Zeitschrift für Sportmedizin, Vol 69, Iss 6 (2018)
institution DOAJ
collection DOAJ
language DE
EN
topic Sports medicine
RC1200-1245
spellingShingle Sports medicine
RC1200-1245
Nebel R
Bjarnason-Wehrens B
Sportkardiologie / Sports Cardiology
description Introduction: Applicability and effectiveness of high intensity interval training currently being discussed and investigated as a possible addition to moderate continuous training (MCT) for patients with CHF-HFrEF especially in cardiac rehabilitation (CR). Meanwhile, a prospective multi-centre-RCT and meta-analyses are also available for high intensity interval training.Method: We conducted a selective literature search until December 2017. This was focussed on studies to evaluate high-intensity interval-training modalities in CR in patients with CHF-HFrEF.Results: While early (and often small) studies with a great variety in exercise-intensity and -protocol-modalities and following meta-analyses often showed highly significant positive results with regard to the maximum oxygen uptake (VO2peak) and other relevant clinical parameters, current prospective multicentre RCTs show no such significant advantages for high intensity training compared to MCT.Discussion: High intensity training in CR phase II and III is a equivalent form of exercise for CHF-HFrEF patients showing equivalent improvement of cardiovascular protection factors, clinical CHF-parameters and quality of life compared with MCT. High-intensity interval training may be applied in stable CHF-HFrEF-patients who tolerate MCT well and in whom further improvement in exercise capacity is aimed. Nevertheless, there is still a need for research in a more precise clinical-application and its long-term effects. KEY WORDS: Cardiac Rehabilitation, Exercise, Endurance Training, Chronic Heart Failure, High Intensity Interval Training
format article
author Nebel R
Bjarnason-Wehrens B
author_facet Nebel R
Bjarnason-Wehrens B
author_sort Nebel R
title Sportkardiologie / Sports Cardiology
title_short Sportkardiologie / Sports Cardiology
title_full Sportkardiologie / Sports Cardiology
title_fullStr Sportkardiologie / Sports Cardiology
title_full_unstemmed Sportkardiologie / Sports Cardiology
title_sort sportkardiologie / sports cardiology
publisher Dynamic Media Sales Verlag
publishDate 2018
url https://doaj.org/article/27182f49c6634a08b0e03d03d3a98475
work_keys_str_mv AT nebelr sportkardiologiesportscardiology
AT bjarnasonwehrensb sportkardiologiesportscardiology
_version_ 1718426162372280320

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