Sportkardiologie / Sports Cardiology

Introduction: Applicability and effectiveness of high-intensity interval training currently arediscussed and investigated as a possible addition to moderate continuous training (MCT) in cardiac rehabilitation (CR). Meanwhile, prospective multi-centre-RCTs and meta-analyses are also available for AIT...

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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/da0f0663126b4354bf68e7b508c36444
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spelling	oai:doaj.org-article:da0f0663126b4354bf68e7b508c364442021-11-16T19:01:41ZSportkardiologie / Sports Cardiology0344-59252510-526410.5960/dzsm.2018.331https://doaj.org/article/da0f0663126b4354bf68e7b508c364442018-06-01T00:00:00Zhttps://www.germanjournalsportsmedicine.com/archive/archive-2018/issue-6/high-intensity-interval-training-in-patients-with-chd-and-preserved-ventricular-function/https://doaj.org/toc/0344-5925https://doaj.org/toc/2510-5264Introduction: Applicability and effectiveness of high-intensity interval training currently arediscussed and investigated as a possible addition to moderate continuous training (MCT) in cardiac rehabilitation (CR). Meanwhile, prospective multi-centre-RCTs and meta-analyses are also available for AIT/HIIT (aerobic interval training/ high-intensity interval training) in patients with CHD and CHF / HFrEF.Method: We conducted a selective literature search until December 2017. This was focussed on studies to evaluate high-intensity interval training modalities in CR both in general as in patients with CHD.Results: While early (and often small) studies and the following meta-analyses often showed highly significant positive results for high-intensity interval training in comparison to MCT with regards to the maximum oxygen uptake (VO2peak) and other clinically relevant parameters, current prospective multicentre RCTs and meta-analyses show no such significant advantages for high-intensity interval training. Total energy-expenditure (EE) appears to be more relevant for the benefits of such inventions independent of session duration, programme length and training intensity.Discussion: High-intensity interval training in CR is a safe form of training for CHD patients with preserved left ventricular function showing equivalent improvement of cardiovascular protection factors compared with MCT. It offers a more variable and slightly time saving training option, but requires more intense coaching for the individual patient. Sometimes interval trainingis not tolerated by CHD-patients. Nevertheless, there is still a need for research in a more precise application and its long-term effects. KEY WORDS: Cardiac Rehabilitation, Exercise, Endurance Training, Coronary Arterial Disease, 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 arediscussed and investigated as a possible addition to moderate continuous training (MCT) in cardiac rehabilitation (CR). Meanwhile, prospective multi-centre-RCTs and meta-analyses are also available for AIT/HIIT (aerobic interval training/ high-intensity interval training) in patients with CHD and CHF / HFrEF.Method: We conducted a selective literature search until December 2017. This was focussed on studies to evaluate high-intensity interval training modalities in CR both in general as in patients with CHD.Results: While early (and often small) studies and the following meta-analyses often showed highly significant positive results for high-intensity interval training in comparison to MCT with regards to the maximum oxygen uptake (VO2peak) and other clinically relevant parameters, current prospective multicentre RCTs and meta-analyses show no such significant advantages for high-intensity interval training. Total energy-expenditure (EE) appears to be more relevant for the benefits of such inventions independent of session duration, programme length and training intensity.Discussion: High-intensity interval training in CR is a safe form of training for CHD patients with preserved left ventricular function showing equivalent improvement of cardiovascular protection factors compared with MCT. It offers a more variable and slightly time saving training option, but requires more intense coaching for the individual patient. Sometimes interval trainingis not tolerated by CHD-patients. Nevertheless, there is still a need for research in a more precise application and its long-term effects. KEY WORDS: Cardiac Rehabilitation, Exercise, Endurance Training, Coronary Arterial Disease, 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/da0f0663126b4354bf68e7b508c36444
work_keys_str_mv	AT nebelr sportkardiologiesportscardiology AT bjarnasonwehrensb sportkardiologiesportscardiology
_version_	1718426207291179008

Sportkardiologie / Sports Cardiology

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