The Effects of Combined Same Session Aerobic and Resistance Training on Physical Performance in Coronary Artery Disease Patients: Protocol Comparison

Aerobic training is included to cardiac rehabilitation programs together with resistance training. The effects of combined aerobic and resistance training performed in a same session with different protocols on peak aerobic capacity (VO2peak) and maximal dynamic strength (1RM: one repetition maximum) are not well known. We compared the effectiveness of two different combined aerobic and resistance training programs for 12 weeks performed three times in a week in stable Coronary Artery Disease (CAD) patients (n=30) who had previously performed aerobic training only. The patients were randomized to High Volume- Low Intensity Group (HLG) or Low Volume-High Intensity Group (LHG). Both groups performed laboratory controlled aerobic exercise first (60min, 80% of lactate threshold) followed by six major muscle group resistance exercises (HLG: 30-35% of 1RM, 3 sets, 12 repetitions) or (LHG: 60-70% of 1RM, 3 sets, 6 repetitions). VO2peak remained at the baseline level for whole study group (23 ± 6 vs. 24 ± 7 ml·kg-1·min-1, p=0.380) and the responses did not differ between the HLG and LHG (p=0.891). Muscle strength increased when analyzed as one group for both upper (Push Up; 24 ± 8 vs. 30 ± 7 kg, p <0.0001) and lower body (Leg Extension; 20 ± 6 vs. 27 ± 6 kg, p <0.0001) with no difference between subgroups (p=0.240 and p=0.504, respectively). As conclusion, combined aerobic and resistance training in the same training session for 12 weeks improved maximal strength independently of the intensity of resistance training. These results highlight the importance of regular resistance training, even at moderate intensity, for CAD patients in terms of physical performance and independent living.

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Effect of combined aerobic and resistance training versus aerobic training alone in individuals with coronary artery disease: a meta-analysis

European Journal of Preventive Cardiology ◽

10.1177/1741826710393197 ◽

2011 ◽

Vol 19 (1) ◽

pp. 81-94 ◽

Cited By ~ 70

Author(s):

Susan Marzolini ◽

Paul I Oh ◽

Dina Brooks

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Resistance Training ◽

Aerobic Training ◽

Meta Analysis ◽

Artery Disease

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DOES THE ADDITION OF HOME-BASED RESISTANCE TRAINING TO AEROBIC TRAINING MODIFY THE COMMON RISK FACTORS FOR CORONARY ARTERY DISEASE IN A GROUP OF POST-MI PATIENTS REFERRED FOR CARDIAC REHABILITATION? 3:30 PM

Journal of Cardiopulmonary Rehabilitation ◽

10.1097/00008483-199909000-00046 ◽

1999 ◽

Vol 19 (5) ◽

pp. 310

Author(s):

Susan Marzolini ◽

Donald J. Mertens ◽

Larry F. Hamm ◽

Terence Kavanagh

Keyword(s):

Risk Factors ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Resistance Training ◽

Cardiac Rehabilitation ◽

Aerobic Training ◽

Home Based ◽

Common Risk Factors ◽

The Common ◽

Artery Disease

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Energy expenditure during an exercise training session for cardiac patients

Applied Physiology Nutrition and Metabolism ◽

10.1139/apnm-2017-0109 ◽

2018 ◽

Vol 43 (3) ◽

pp. 292-298

Author(s):

Helena Santa-Clara ◽

Xavier Melo ◽

Romina Willi ◽

Rita Pinto ◽

Vanessa Santos ◽

...

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Resistance Training ◽

Energy Expenditure ◽

Cardiac Patients ◽

Phase Iii ◽

Moderate Intensity ◽

Exercise Session ◽

Recreational Activity ◽

Artery Disease

Increasing energy expenditure (EE) in cardiac patients remains a challenge. Exercise approaches in cardiac rehabilitation/secondary prevention programs (CR/SP) have consistently resulted in minimal weight loss, due in part to the low exercise-related EE. The purpose of this study was to measure the EE among patients participating in a routine exercise session of Phase III maintenance CR/SP, where a recreational activity was introduced. Twelve overweight/obese male patients with coronary artery disease (aged 62.6 ± 8.5 years) had their total EE measured during a combined aerobic (circuit workout (ACW) and recreational activity) and resistance training (RT) session using a portable gas analyzer. Subjects were instructed to exercise at 60%–70% of heart rate reserve. Activity EE was calculated from total EE and resting EE. The duration of the session was 75.3 ± 1.5 min, of which 59.7 ± 8.8 min were above moderate intensity (3–6 METs). Activity EE was 309 ± 76 kcal, concurring to a total EE of 457 ± 80 kcal (3.9 ± 0.8 METs-h). ACW, recreational activity, and RT fulfilled 34.4% ± 6.4%, 25.0% ± 5.3%, and 14.2% ± 2.7% of the activity EE, respectively. Absolute intensities (METs) were significantly different between the RT (3.9 ± 1.0) and the ACW (6.9 ± 1.8) and recreational activity (5.9 ± 0.8). In conclusion, a combined aerobic and resistance training following standard exercise prescription practices, coupled with a recreational activity, is an effective tool to promote exercise above moderate intensity in male coronary artery disease patients. Clinicians can adopt concepts from recreational activity to develop CR/SP sessions.

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SOME EFFECTS OF ADDING RESISTANCE TRAINING TO AEROBIC TRAINING ON PATIENTS WITH CORONARY ARTERY DISEASE

Medicine & Science in Sports & Exercise ◽

10.1097/00005768-199805001-00494 ◽

1998 ◽

Vol 30 (Supplement) ◽

pp. 87

Author(s):

D. J. Mertens ◽

S. Marzolini-Couch ◽

L. F. Hamm ◽

T. Kavanagh

Keyword(s):

Coronary Artery Disease ◽

Coronary Artery ◽

Resistance Training ◽

Aerobic Training ◽

Artery Disease

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Effects of Resistance versus Aerobic Training on Coronary Artery Disease Risk Factors

Experimental Biology and Medicine ◽

10.1177/153537020322800414 ◽

2003 ◽

Vol 228 (4) ◽

pp. 434-440 ◽

Cited By ~ 75

Author(s):

William J. Banz ◽

Margaret A. Maher ◽

Warren G. Thompson ◽

David R. Bassett ◽

Wayne Moore ◽

...

Keyword(s):

Risk Factors ◽

Coronary Artery Disease ◽

Coronary Artery ◽

Resistance Training ◽

Aerobic Training ◽

Disease Risk ◽

Density Lipoprotein ◽

Hdl Cholesterol ◽

Waist To Hip Ratio ◽

Artery Disease

Individuals exhibiting “the metabolic syndrome” have multiple coronary artery disease risk factors, including insulin resistance, hyperlipidemia, hypertension, and android obesity. We performed a randomized trial to compare the effects of aerobic and resistance training regimens on coronary risk factors. Twenty-six volunteers who exhibited android obesity and at least one other risk factor for coronary artery disease were randomized to aerobic or resistance training groups. Body mass index, waist-to-hip ratio, glucose, insulin, body composition, 24-hr urinary albumin, fibrinogen, blood pressure, and lipid profile were measured at baseline and after 10 weeks of exercise training. Both groups showed a significant reduction in waist-to-hip ratio and the resistance training group also showed a reduction in total body fat. There was no significant change in mean arterial blood pressure in either group. Fasting plasma glucose, insulin, total cholesterol, low-density lipoprotein (LDL) cholesterol, and triglycerides were unchanged in both groups. High-density lipoprotein (HDL) cholesterol increased (13%) with aerobic training only. Plasma fibrinogen was increased (28% and 34%, P < 0.02) in both groups and both groups showed a significant decrease (34% and 28%, P < 0.03) in microalbuminuria after their respective training regimen. In conclusion, resistance training was effective in improving body composition of middle-aged obese sedentary males. Only aerobic training was effective in raising HDL cholesterol. More studies are warranted to assess the effects of exercise on plasma fibrinogen and microalbuminuria.

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