Health aspects of aerobic interval training in the rehabilitation of the patients with cardiovascular diseases

A systematic review

Authors

DOI:

https://doi.org/10.35469/ak.2023.390

Keywords:

aerobic exercise, interval training, rehabilitation, cardiovascular diseases

Abstract

Purpose: The aim of this study was to review the literature analyzing the effects of aerobic interval training in the rehabilitation of cardiovascular patients.

Methods: Research data was collected considering the inclusion and exclusion criteria of the research studies published in English. In order for the study to be included in the analysis, it had to meet the following criteria: year of publication (2004–2022), respondents were people with cardiovascular disease, and the studies included in this review must contain data on disease, training programme and outcomes. Papers without full texts available and systematic review studies were excluded. The first search identified 71 articles. In the initial assessment carried out in accordance with the inclusion and exclusion criteria, 15 articles were found suitable and were included in the study, while 20 studies were excluded for being duplicates, 28 studies excluded for not having the full text available and eight for non-compliance.

Results: The reviewed materials indicate that aerobic interval training has an impact on VO2 max, functional abilities, Vo2 peak and functional capacity in the rehabilitation of cardiovascular diseases, especially in the elderly. The duration of the programme in most studies has a similar time range from 10 to 16 weeks. The programmes that showed the best effects are related to aerobic interval training, from 2 to 3 times per week with moderate (50–60% of VO2 max) or high intensity (80–90% of VO2 max).

Conclusion: Studies indicate that properly dosed physical activity contributes to a better lifestyle for people with cardiovascular diseases. All 15 studies showed positive effects of aerobic interval training in cardiovascular disease rehabilitation.

References

Ades, P. A., & Coello, C. E. (2000). Effects of exercise and cardiac rehabilitation on cardiovascular outcomes. Medical Clinics of North America, 84(1), 251-265. https://doi.org/10.1016/S0025-7125(05)70217-0

Anderson, L., Thompson, D. R., Oldridge, N., Zwisler, A. D., Rees, K., Martin, N., & Taylor, R. S. (2016). Exercise-based cardiac rehabilitation for coronary heart disease. Journal of the American College of Cardiology, 67(1), 1–12. https://doi.org/10.1002/14651858.CD001800.pub3

Cardozo, G. G., Oliveira, R. B., & Farinatti, P. T. (2015). Effects of high intensity interval versus moderate continuous training on markers of ventilatory and cardiac efficiency in coronary heart disease patients. Scientific World Journal, 15, Article 192479. https://doi.org/10.1155/2015/192479

Conraads, V. M., Pattyn, N., De Maeyer, C., Beckers, P. J., Coeckelberghs, E., Cornelissen, V. A., ... & Vanhees, L. (2015). Aerobic interval training and continuous training equally improve aerobic exercise capacity in patients with coronary artery disease: the SAINTEX-CAD study. International Journal of Cardiology, 179, 203-210. https://doi.org/10.1016/j.ijcard.2014.10.155

Donelli da Silveira, A., Beust de Lima, J., da Silva Piardi, D., dos Santos Macedo, D., Zanini, M., Nery, R., ... & Stein, R. (2020). High-intensity interval training is effective and superior to moderate continuous training in patients with heart failure with preserved ejection fraction: a randomized clinical trial. European Journal of Preventive Cardiology, 27(16), 1733-1743. https://doi.org/10.1177/2047487319901206

Fletcher, G. F., Ades, P. A., Kligfield, P., Arena, R., Balady, G. J., Bittner, V. A., ... & Williams, M. A. (2013). Exercise standards for testing and training: a scientific statement from the American Heart Association. Circulation, 128(8), 873-934. https://doi.org/10.1161/CIR.0b013e31829b5b44

Jaureguizar, K. V., Vicente-Campos, D., Bautista, L. R., de la Peña, C. H., Gómez, M. J. A., Rueda, M. J. C., & Mahillo, I. F. (2016). Effect of high-intensity interval versus continuous exercise training on functional capacity and quality of life in patients with coronary artery disease: a randomized clinical trial. Journal of Cardiopulmonary Rehabilitation and Prevention, 36(2), 96-105. https://doi.org/10.1097/HCR.0000000000000156

Kim, C., Choi, H. E., & Lim, M. H. (2015). Effect of high interval training in acute myocardial infarction patients with drug-eluting stent. American Journal of Physical Medicine & Rehabilitation, 94(10S), 879-886. https://doi.org/10.1097/PHM.0000000000000290

Lee, L. S., Tsai, M. C., Brooks, D., & Oh, P. I. (2019). Randomised controlled trial in women with coronary artery disease investigating the effects of aerobic interval training exercise in cardiac rehabilitation. BMJ Open Sport & Exercise Medicine, 5(1), e000589. https://doi.org/10.1136/bmjsem-2019-000589

Lee, L. S., Tsai, M. C., Oh, P. I., & Brooks, D. (2018). The effectiveness of progressive aerobic interval training in cardiac rehabilitation. Medicine & Science in Sports & Exercise, 50(5), 881-888. https://doi.org/10.1249/MSS.0000000000001526

Liu, H., Liu, F., Ji, H., Dai, Z., & Han, W. (2022). A bibliometric analysis of high-intensity interval training in cardiac rehabilitation. International Journal of Environmental Research and Public Health, 19(21), 13745. https://doi.org/10.3390/ijerph192113745

Lozano, R., Naghavi, M., Foreman, K., Lim, S., Shibuya, K., & Aboyans, V. (2012). Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. Lancet, 380(9859), 2095-2128. https://doi.org/10.1016/S0140-6736(12)61728-0

Madssen, E., Moholdt, T., Videm, V., Wisløff, U., Hegbom, K., & Wiseth, R. (2014). Coronary atheroma regression and plaque characteristics assessed by grayscale and radiofrequency intravascular ultrasound after aerobic exercise. The American Journal of Cardiology, 114(10), 1504-1511. https://doi.org/10.1016/j.amjcard.2014.08.012

Mezzani, A., Hamm, L. F., Jones, A. M., McBride, P. E., Moholdt, T., Stone, J. A., … Williams, M. A. (2013). Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: a joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation. European Journal of Preventive Cardiology, 20(3), 442-467. https://doi.org/10.1177/2047487312460484

Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & PRISMA Group*. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine, 151(4), 264-269. https://doi.org/10.7326/0003-4819-151-4-200908180-00135

Papathanasiou, J. V., Petrov, I., Tokmakova, M. P., Dimitrova, D. D., Spasov, L., Dzhafer, N. S., ... & Foti, C. (2020). Group-based cardiac rehabilitation interventions. A challenge for physical and rehabilitation medicine physicians: a randomized controlled trial. European Journal of Physical and Rehabilitation Medicine, 56(4), 479–488. https://doi.org/10.23736/S1973-9087.20.06013-X

Petković-Košćal, M., Dajmanov, V., Jevtović, I., Jovanović, M., & Pantović, V. (2007). Fizička aktivnost i modifikacija stila života u prevenciji šećerne bolesti [Physical activity and lifestyle modification in the prevention of diabetes]. Zdravstvena zaštita, 36(2),35-51.

Rankin, A. J., Rankin, A. C., MacIntyre, P., & Hillis, W. S. (2012). Walk or run? Is high-intensity exercise more effective than moderate-intensity exercise at reducing cardiovascular risk? Scottish Medical Journal, 57(2), 99-102. https://doi.org/10.1258/smj.2011.011284

Rognmo, Ø., Hetland, E., Helgerud, J., Hoff, J., & Slørdahl, S. A. (2004). High intensity aerobic interval exercise is superior to moderate intensity exercise for increasing aerobic capacity in patients with coronary artery disease. European Journal of Preventive Cardiology, 11(3), 216-222. https://doi.org/10.1097/01.hjr.0000131677.96762.0c

Scrutino, D., Bellotto, F., Lagioia, R., & Passantino, A. (2005). Physical activity for coronary heart disease: Cardioprotective mechanisms and effects on prognosis. Monaldi Archives for Chest Disease, 64(2), 77‒87. https://doi.org/10.4081/monaldi.2005.591

Secco, H., Paffenberger, R., & Lee I. (2000). Physical activity and coronary heart disease in men: The Harvard Alumni Health Study. Circulation, 102, 975‒980. https://doi.org/10.1161/01.CIR.102.9.975

Smart, N. A., & Steele, M. (2012). A comparison of 16 weeks of continuous vs intermittent exercise training in chronic heart failure patients. Congest Heart Failure, 18(4), 205-211. https://doi.org/10.1111/j.1751-7133.2011.00274.x

Šuščević, D., Obradović, Z., Dragosavljević, Š., Sekulić, T., Dragić, S., Baroš, I., … Mrđa, V. (2011). Uticaj organizovane fizičke aktivnosti na antropometrijske mjere i fizične faktore [The influence of organized physical activity on anthropometric measures and physical factors]. Glasnik Antropološkog društva Srbije, 46, 331-338.

Ulbrich, A. Z., Angarten, V. G., Netto, A. S., Sties, S. W., Bündchen, D. C., de Mara, L. … de Carvalho, T. (2016). Comparative effects of high intensity interval training versus moderate intensity continuous training on quality of life in patients with heart failure. Clinical Trials and Regulatory Science in Cardiology, 13, 21-28. https://doi.org/10.1016/j.ctrsc.2015.11.005

Van Camp, G. (2014). Cardiovascular disease prevention. Acta Clinica Belgica, 69(6), 407–411. https://doi.org/10.1179/2295333714Y.0000000069

Vanhees, L., Rauch. B., Piepoli, M., & van Buuren, F. (2012). Importance of characteristics and modalities of physical activity and exercise in the management of cardiovascular health in individuals with cardiovascular disease (Part III). European Journal of Preventive Cardiology, 19(6), 1333-1356. https://doi.org/10.1177/1741826711430926

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Published

29-12-2023

How to Cite

Ilić, T., Rančić, D., Stojanović, S. ., & Ilbak, I. (2023). Health aspects of aerobic interval training in the rehabilitation of the patients with cardiovascular diseases: A systematic review. Annales Kinesiologiae, 14(1), 5–18. https://doi.org/10.35469/ak.2023.390