High-intensity interval training versus moderate-intensity continuous training within cardiac rehabilitation: a systematic review and meta-analysis
Autor: | Wayne Hing, Rohan Jayasinghe, Mike Climstein, Jeff S. Coombes, James Furness, Joshua Byrnes, Amanda L Hannan, Vini Simas |
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Rok vydání: | 2018 |
Předmět: |
medicine.medical_specialty
Population Review 030204 cardiovascular system & hematology Interval training law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial cardiovascular disease law medicine physical therapy education interval training education.field_of_study exercise business.industry Cardiorespiratory fitness 030229 sport sciences Continuous training Confidence interval cardiac rehabilitation Meta-analysis Physical therapy intensity business High-intensity interval training coronary artery disease |
Zdroj: | Open Access Journal of Sports Medicine |
ISSN: | 1179-1543 |
Popis: | Background Aerobic capacity has been shown to be inversely proportionate to cardiovascular mortality and morbidity and there is growing evidence that high-intensity interval training (HIIT) appears to be more effective than moderate-intensity continuous training (MICT) in improving cardiorespiratory fitness within the cardiac population. Previously published systematic reviews in cardiovascular disease have neither investigated the effect that the number of weeks of intervention has on cardiorespiratory fitness changes, nor have adverse events been collated. Objective We aimed to undertake a systematic review and meta-analysis of randomized controlled trials (RCTs) within the cardiac population that investigated cardiorespiratory fitness changes resulting from HIIT versus MICT and to collate adverse events. Methods A critical narrative synthesis and meta-analysis was conducted after systematically searching relevant databases up to July 2017. We searched for RCTs that compared cardiorespiratory fitness changes resulting from HIIT versus MICT interventions within the cardiac population. Results Seventeen studies, involving 953 participants (465 for HIIT and 488 for MICT) were included in the analysis. HIIT was significantly superior to MICT in improving cardiorespiratory fitness overall (SMD 0.34 mL/kg/min; 95% confidence interval [CI; 0.2–0.48]; p6-week duration. Programs of 7–12 weeks’ duration resulted in the largest improvements in cardiorespiratory fitness for patients with coronary artery disease. HIIT appears to be as safe as MICT for CR participants. |
Databáze: | OpenAIRE |
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