Exercise intensity in patients with cardiovascular diseases : systematic review with meta-analysis

Detalhes bibliográficos
Autor(a) principal: Gonçalves, Catarina
Data de Publicação: 2021
Outros Autores: Raimundo, Armando, Abreu, Ana, Bravo, Jorge
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: http://hdl.handle.net/10451/47428
Resumo: © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
id RCAP_beda18057701e7620dd77c1d2845b19b
oai_identifier_str oai:repositorio.ul.pt:10451/47428
network_acronym_str RCAP
network_name_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository_id_str 7160
spelling Exercise intensity in patients with cardiovascular diseases : systematic review with meta-analysisCardiac rehabilitationCardiorespiratory fitnessExercise therapyHeart diseasesHigh-intensity intermittent exercise© 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).Exercise-induced improvements in the VO2peak of cardiac rehabilitation participants are well documented. However, optimal exercise intensity remains doubtful. This study aimed to identify the optimal exercise intensity and program length to improve VO2peak in patients with cardiovascular diseases (CVDs) following cardiac rehabilitation. Randomized controlled trials (RCTs) included a control group and at least one exercise group. RCTs assessed cardiorespiratory fitness (CRF) changes resulting from exercise interventions and reported exercise intensity, risk ratio, and confidence intervals (CIs). The primary outcome was CRF (VO2peak or VO2 at anaerobic threshold). Two hundred and twenty-one studies were found from the initial search (CENTRAL, MEDLINE, CINAHL and SPORTDiscus). Following inclusion criteria, 16 RCTs were considered. Meta-regression analyses revealed that VO2peak significantly increased in all intensity categories. Moderate-intensity interventions were associated with a moderate increase in relative VO2peak (SMD = 0.71 mL-kg-1-min-1; 95% CI = [0.27-1.15]; p = 0.001) with moderate heterogeneity (I2 = 45%). Moderate-to-vigorous-intensity and vigorous-intensity interventions were associated with a large increase in relative VO2peak (SMD = 1.84 mL-kg-1-min-1; 95% CI = [1.18-2.50], p < 0.001 and SMD = 1.80 mL-kg-1-min-1; 95% CI = [0.82-2.78] p = 0.001, respectively), and were also highly heterogeneous with I2 values of 91% and 95% (p < 0.001), respectively. Moderate-to-vigorous and vigorous-intensity interventions, conducted for 6-12 weeks, were more effective at improving CVD patients' CRF.This research was funded by Fundação para a Ciência e Tecnologia (Portugal), grant number SFRH/BD/138326/2018.MDPIRepositório da Universidade de LisboaGonçalves, CatarinaRaimundo, ArmandoAbreu, AnaBravo, Jorge2021-04-14T16:14:59Z2021-03-302021-03-30T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10451/47428engInt J Environ Res Public Health. 2021 Mar 30;18(7):35741661-782710.3390/ijerph180735741660-4601info:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-11-08T16:50:22Zoai:repositorio.ul.pt:10451/47428Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T21:59:28.183229Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Exercise intensity in patients with cardiovascular diseases : systematic review with meta-analysis
title Exercise intensity in patients with cardiovascular diseases : systematic review with meta-analysis
spellingShingle Exercise intensity in patients with cardiovascular diseases : systematic review with meta-analysis
Gonçalves, Catarina
Cardiac rehabilitation
Cardiorespiratory fitness
Exercise therapy
Heart diseases
High-intensity intermittent exercise
title_short Exercise intensity in patients with cardiovascular diseases : systematic review with meta-analysis
title_full Exercise intensity in patients with cardiovascular diseases : systematic review with meta-analysis
title_fullStr Exercise intensity in patients with cardiovascular diseases : systematic review with meta-analysis
title_full_unstemmed Exercise intensity in patients with cardiovascular diseases : systematic review with meta-analysis
title_sort Exercise intensity in patients with cardiovascular diseases : systematic review with meta-analysis
author Gonçalves, Catarina
author_facet Gonçalves, Catarina
Raimundo, Armando
Abreu, Ana
Bravo, Jorge
author_role author
author2 Raimundo, Armando
Abreu, Ana
Bravo, Jorge
author2_role author
author
author
dc.contributor.none.fl_str_mv Repositório da Universidade de Lisboa
dc.contributor.author.fl_str_mv Gonçalves, Catarina
Raimundo, Armando
Abreu, Ana
Bravo, Jorge
dc.subject.por.fl_str_mv Cardiac rehabilitation
Cardiorespiratory fitness
Exercise therapy
Heart diseases
High-intensity intermittent exercise
topic Cardiac rehabilitation
Cardiorespiratory fitness
Exercise therapy
Heart diseases
High-intensity intermittent exercise
description © 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
publishDate 2021
dc.date.none.fl_str_mv 2021-04-14T16:14:59Z
2021-03-30
2021-03-30T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10451/47428
url http://hdl.handle.net/10451/47428
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv Int J Environ Res Public Health. 2021 Mar 30;18(7):3574
1661-7827
10.3390/ijerph18073574
1660-4601
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv MDPI
publisher.none.fl_str_mv MDPI
dc.source.none.fl_str_mv reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron:RCAAP
instname_str Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
instacron_str RCAAP
institution RCAAP
reponame_str Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
collection Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
repository.name.fl_str_mv Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação
repository.mail.fl_str_mv
_version_ 1799134541014630400

Registros relacionados