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

2021-03-30Journal article Open access
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dc.contributor.authorGonçalves, Catarina
dc.contributor.authorRaimundo, Armando
dc.contributor.authorAbreu, Ana
dc.contributor.authorBravo, Jorge
dc.date.accessioned2021-04-14T16:14:59Z
dc.date.available2021-04-14T16:14:59Z
dc.date.issued2021-03-30
dc.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/).pt_PT
dc.description.abstractExercise-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.pt_PT
dc.description.sponsorshipThis research was funded by Fundação para a Ciência e Tecnologia (Portugal), grant number SFRH/BD/138326/2018.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationInt J Environ Res Public Health. 2021 Mar 30;18(7):3574pt_PT
dc.identifier.doi10.3390/ijerph18073574pt_PT
dc.identifier.eissn1660-4601
dc.identifier.issn1661-7827
dc.identifier.urihttp://hdl.handle.net/10451/47428
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.publisherMDPIpt_PT
dc.relationalterado para: “Phase III Cardiac Rehabilitation in coronary patients: High-intensity interval training or moderateintensity continuous training” Comparison between high intensity interval training HIT, traditional continuous training and home based training on the phase II and III of cardiac rehabilitation.
dc.relation.publisherversionhttps://www.mdpi.com/journal/ijerphpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.subjectCardiac rehabilitationpt_PT
dc.subjectCardiorespiratory fitnesspt_PT
dc.subjectExercise therapypt_PT
dc.subjectHeart diseasespt_PT
dc.subjectHigh-intensity intermittent exercisept_PT
dc.titleExercise intensity in patients with cardiovascular diseases : systematic review with meta-analysispt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.awardTitlealterado para: “Phase III Cardiac Rehabilitation in coronary patients: High-intensity interval training or moderateintensity continuous training” Comparison between high intensity interval training HIT, traditional continuous training and home based training on the phase II and III of cardiac rehabilitation.
oaire.awardURIinfo:eu-repo/grantAgreement/FCT//SFRH%2FBD%2F138326%2F2018/PT
oaire.citation.issue7pt_PT
oaire.citation.titleInternational Journal of Environmental Research and Public Healthpt_PT
oaire.citation.volume18pt_PT
person.familyNameAbreu
person.givenNameAna
person.identifier.ciencia-id881A-1343-A491
person.identifier.orcid0000-0003-0786-7830
project.funder.identifierhttp://doi.org/10.13039/501100001871
project.funder.nameFundação para a Ciência e a Tecnologia
rcaap.rightsopenAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublication0881e2c9-e3e9-4eff-b1e1-475ca2dfa3fd
relation.isAuthorOfPublication.latestForDiscovery0881e2c9-e3e9-4eff-b1e1-475ca2dfa3fd
relation.isProjectOfPublication9ba160fd-b467-4086-8dee-0d0cfe525d54
relation.isProjectOfPublication.latestForDiscovery9ba160fd-b467-4086-8dee-0d0cfe525d54

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