Effect of High-Intensity interval training versus moderate continuous training on 24-h blood pressure profile and insulin resistance in patients with chronic heart failure

2013 ◽  
Vol 9 (5) ◽  
pp. 547-552 ◽  
Author(s):  
Ferdinando Iellamo ◽  
Giuseppe Caminiti ◽  
Barbara Sposato ◽  
Cristiana Vitale ◽  
Michele Massaro ◽  
...  
Keyword(s):  
Heart Failure ◽  
Insulin Resistance ◽  
Blood Pressure ◽  
Interval Training ◽  
Pressure Profile ◽  
High Intensity Interval Training ◽  
Continuous Training ◽  
Blood Pressure Profile ◽  
High Intensity Interval ◽  
Moderate Continuous Training

scholarly journals Exercise training in heart failure: role, prescription and program

2018 ◽  
Vol 38 (4) ◽  
pp. 226-233
Author(s):  
Raymond Pranata ◽  
Emir Yonas ◽  
Bambang B. Siswanto ◽  
Budhi S. Purwowiyoto
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Exercise Training ◽  
High Intensity ◽  
Exercise Prescription ◽  
Interval Training ◽  
High Intensity Interval Training ◽  
Continuous Training ◽  
High Intensity Interval

Heart failure is one of the most common cardiovascular diseases and is a final pathway of various cardiac pathologies. Exercise intolerance and dyspnea accompanied by dete­riorating quality of life are common issues in those suffering from heart failure and may persist despite optimal medical therapy. Exercise training in heart failure theoretically helps to slow down the deterioration of the heart by antagonizing excess neurohormonal activity in heart failure, which translated into better functional capacity and quality of life. Exercise prescription is a mean of assessing and interpreting clinical information and applying the principles of training to develop an appropriate regimen and should be tailored to patient’s clinical condition. Resistance training improves peak VO2, exercise capacity and quality of life in heart failure patients. Both continuous and interval exercise training are linked to better quality of life despite ambiguous results in mortality. The aim of this article is to discuss the benefits of exercise in patients with congestive heart failure, exercise prescription, and exercise program including high-intensity interval training, continuous training and resistance exercise.   Abstrak Gagal jantung adalah salah satu penyakit kardiovaskular yang paling sering ditemui dan merupakan akhir daripada banyak jenis patologi jantung. Intoleransi olahraga dan sesak nafas disertai dengan memburuknya kualitas hidup merupakan beberapa masalah yang sering dihadapi oleh pasien gagal jantung, meskipun telah diberikan pengobatan yang optimal. Latihan olahraga pada gagal jantung secara teoritis dapat memperlambat menurunnya fungsi jantung dengan melawan aktivitas neurohormonal yang meningkat pada kondisi gagal jantung yang dicerminkan dengan kapasitas fungsional dan kualitas hidup yang lebih baik. Preskripsi olahraga meliputi pemeriksaan dan interpretasi dari informasi klinis dan aplikasi dari prinsip latihan untuk membentuk regimen yang sesuai dan harus di sesuaikan dengan keadaan klinis pasien. Latihan beban memperbaiki fungsi VO2 puncak, kapasitas olahraga dan kualitas hidup pada pasien dengan gagal jantung. Kedua metode olahraga baik secara kontinu ataupun interval dihubungkan dengan kualitas hidup yang lebih baik meskipun masih ambigu dalam hal mortalitas. Tujuan artikel ini adalah membahas manfaat latihan fisik pada pasien dengan gagal jantung kongestif, cara peresepan serta membahas program high intensity interval training, continuous training serta latihan beban.

scholarly journals 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

2020 ◽  
Vol 27 (16) ◽  
pp. 1733-1743 ◽  
Author(s):  
Anderson Donelli da Silveira ◽  
Juliana Beust de Lima ◽  
Diogo da Silva Piardi ◽  
Débora dos Santos Macedo ◽  
Maurice Zanini ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Clinical Trial ◽  
Randomized Clinical Trial ◽  
High Intensity ◽  
Interval Training ◽  
High Intensity Interval Training ◽  
Continuous Training ◽  
High Intensity Interval ◽  
Moderate Continuous Training

Background Heart failure with preserved ejection fraction (HFpEF) is a prevalent syndrome, with exercise intolerance being one of its hallmarks, contributing to worse quality of life and mortality. High-intensity interval training is an emerging training option, but its efficacy in HFpEF patients is still unknown. Design Single-blinded randomized clinical trial. Methods Single-blinded randomized clinical trial with exercise training 3 days per week for 12 weeks. HFpEF patients were randomly assigned to high-intensity interval training or moderate continuous training. At baseline and after 12 week follow-up, patients underwent clinical assessment, echocardiography and cardiopulmonary exercise testing (CPET). Results Mean age was 60 ± 9 years and 63% were women. Both groups ( N = 19) showed improved peak oxygen consumption (VO2), but high-intensity interval training patients ( n = 10) had a significantly higher increase, of 22%, compared with 11% in the moderate continuous training ( n = 9) individuals (3.5 (3.1 to 4.0) vs. 1.9 (1.2 to 2.5) mL·kg−1·min−1, p < 0.001). Ventilatory efficiency and other CPET measures, as well as quality of life score, increased equally in the two groups. Left ventricular diastolic function also improved with training, reflected by a significant reduction in E/e′ ratio by echocardiography (−2.6 (−4.3 to −1.0) vs. −2.2 (−3.6 to −0.9) for high-intensity interval training and moderate continuous training, respectively; p < 0.01). There were no exercise-related adverse events. Conclusions This randomized clinical trial provided evidence that high-intensity interval training is a potential exercise modality for HFpEF patients, being more effective than moderate continuous training in improving peak VO2. However, the two strategies were equally effective in improving ventilatory efficiency and other CPET parameters, quality of life score and diastolic function after 3 months of training.

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