scholarly journals Cardiorespiratory Responses During High-Intensity Interval Training Prescribed by Rating of Perceived Exertion in Patients After Myocardial Infarction Enrolled in Early Outpatient Cardiac Rehabilitation

2022 ◽  
Vol 8 ◽  
Author(s):  
Yaoshan Dun ◽  
Shane M. Hammer ◽  
Joshua R. Smith ◽  
Mary C. MacGillivray ◽  
Benjamin S. Simmons ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Blood Pressure ◽  
Heart Rate ◽  
Gas Exchange ◽  
Cardiac Rehabilitation ◽  
High Intensity ◽  
Perceived Exertion ◽  
Interval Training ◽  
High Intensity Interval Training ◽  
High Intensity Interval

Objective: We aimed to determine the cardiorespiratory responses during, and adaptations to, high-intensity interval training (HIIT) prescribed using ratings of perceived exertion (RPE) in patients after myocardial infarction (MI) during early outpatient cardiac rehabilitation (CR).Methods: We prospectively recruited 29 MI patients after percutaneous coronary intervention who began CR within 2 weeks after hospital discharge. Eleven patients (seven men; four women; age: 61 ± 11 yrs) who completed ≥24 supervised HIIT sessions with metabolic gas exchange measured during HIIT once weekly for 8 weeks and performed pre- and post- CR cardiopulmonary exercise tests were included in the study. Each HIIT session consisted of 5–8 high-intensity intervals [HIIs, 1-min RPE 14–17 (Borg 6–20 scale)] and low-intensity intervals (LIIs, 4-min RPE < 12). Metabolic gas exchange, heart rate (HR), and blood pressure during HIIT were measured.Results: The mean oxygen uptake (V˙O2) during HIIs across 88 sessions of HIITs [91 (14)% of V˙O2peak, median (interquartile range, IQR)] was significantly higher than the lower limit of target V˙O2 zone (75% of V˙O2peak) recommended for the HII (p < 0.001). Exercise intensity during RPE-prescribed HIITs, determined as %V˙O2peak, was highly repeatable with intra-class correlations of 0.95 (95% CI 0.86– 0.99, p < 0.001). For cardiorespiratory adaptations from the first to the last session of HIIT, treadmill speed, treadmill grade, treadmill power, V˙O2HII, %V˙O2peak, and VE during HIIs were increased (all p < 0.05), while no difference was found for HR, %HRpeak and systolic blood pressure (all p > 0.05). V˙O2peak increased by an average of 9% from pre-CR to post-CR. No adverse events occurred.Conclusion: Our results demonstrate that HIIT can be effectively prescribed using RPE in MI patients during early outpatient CR. Participation in RPE-prescribed HIIT increases exercise workload and V˙O2 during exercise training without increased perception of effort or excessive increases in heart rate or blood pressure.

scholarly journals High-Intensity Interval Training in Cardiac Rehabilitation: Impact on Fat Mass in Patients With Myocardial Infarction

2019 ◽  
Vol 94 (9) ◽  
pp. 1718-1730 ◽  
Author(s):  
Yaoshan Dun ◽  
Randal J. Thomas ◽  
Jose R. Medina-Inojosa ◽  
Ray W. Squires ◽  
Hsuhang Huang ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Cardiac Rehabilitation ◽  
Fat Mass ◽  
High Intensity ◽  
Interval Training ◽  
High Intensity Interval Training ◽  
High Intensity Interval

scholarly journals The Feasibility of Implementing High-Intensity Interval Training in Cardiac Rehabilitation Settings: A Retrospective Analysis

2020 ◽  
Author(s):  
Kimberley Way ◽  
Sol Vidal-Almela ◽  
Marja-Leena Keast ◽  
Harleen Hans ◽  
Andrew L. Pipe ◽  
...  
Keyword(s):  
Sex Differences ◽  
Cardiac Rehabilitation ◽  
High Intensity ◽  
Perceived Exertion ◽  
Interval Training ◽  
Rating Of Perceived Exertion ◽  
Attrition Rate ◽  
High Intensity Interval Training ◽  
Chi Square ◽  
High Intensity Interval

Abstract Background: Cardiovascular disease is the leading cause of death worldwide. Notwithstanding the well-known benefits of cardiac rehabilitation (CR), adherence to CR remains low, particularly in women. High-intensity interval training (HIIT) has received specific attention as an emerging exercise-training paradigm that addresses frequently cited barriers to CR (i.e. lack of motivation/enjoyment and time, perceiving exercise regime as tiring/boring) and improves cardiovascular risk factors. Previous studies have examined the safety of HIIT in CR; there is little evidence on the feasibility of HIIT in CR. The aims of this study were to evaluate the feasibility of HIIT within a CR setting and examine the sex differences regarding the feasibility of such programming. Methods: Patients attended an on-site HIIT CR program (10-minute warm-up, 25 minutes of interspersed high [HI - 4 minutes at 85-95% HRpeak] and low [LO - 3 minutes at 60-70% HRpeak] intervals, 10-minute cool-down) twice weekly for 10 weeks. Heart rate (HR) and the Borg rating of perceived exertion (RPE) scale (6-20 points) were recorded at each session. Feasibility was assessed by: (1) attendance and compliance: the number of sessions attended and the compliance to the prescribed HI and LO HR ranges; (2) the patient experience: patients’ perceived effort, program difficulty, if the program was challenging and satisfying; and, (3) safety. Descriptive statistics were used to report the means and their variations. Mann-Whitney U tests and Chi-square analyses were performed to examine sex-differences. Results: A total of 151 patients (33% women, 57.5 ± 9.1 years) attended the HIIT program and completed 16±5 classes with a low attrition rate (11.3%). Most patients met or exceeded the prescribed target HR for the HI (80%) and LO (84%) intervals, respectively. Patients reported a “somewhat hard” RPE for HI (14 ± 2) and “very light” for LO (10 ± 2) intervals. All patients were satisfied with the program and found it challenging. Most patients found HIIT to be difficult (7 ± 2 points, scale range 0-10 points), yet safe (97%). Three vasovagal episodes occurred and more women dropped-out of the program than men (p<0.01). Conclusions: HIIT is a feasible, safe and well-received exercise paradigm in a CR setting.

Blood Pressure and Heart Rate Variability Responses to High-intensity Interval Training in Untrained Postmenopausal Women

2021 ◽  
pp. 1-9
Author(s):  
Victor Hugo de Freitas ◽  
Igor Moraes Mariano ◽  
Ana Luiza Amaral ◽  
Mateus Lima Rodrigues ◽  
Victor Hugo Vilarinho Carrijo ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Heart Rate ◽  
Heart Rate Variability ◽  
Postmenopausal Women ◽  
High Intensity ◽  
Interval Training ◽  
High Intensity Interval Training ◽  
High Intensity Interval

Isometric exercise versus high-intensity interval training for the management of blood pressure: a systematic review and meta-analysis

2021 ◽  
pp. bjsports-2021-104642
Author(s):  
Jamie Edwards ◽  
Anthony De Caux ◽  
James Donaldson ◽  
Jonathan Wiles ◽  
Jamie O'Driscoll
Keyword(s):  
Systematic Review ◽  
Blood Pressure ◽  
Heart Rate ◽  
High Intensity ◽  
Meta Analysis ◽  
Isometric Exercise ◽  
Interval Training ◽  
Resting Heart Rate ◽  
High Intensity Interval Training ◽  
High Intensity Interval

ObjectiveWe aimed to compare the efficacy of isometric exercise training (IET) versus high-intensity interval training (HIIT) in the management of resting blood pressure (BP).DesignSystematic review and meta-analysis.Data sourcesPubMed (MEDLINE), the Cochrane library and SPORTDiscus were systematically searched.Eligibility criteriaRandomised controlled trials published between 1 January 2000 and 1 September 2020. Research trials reporting the effects of IET or HIIT on resting BP following a short-term intervention (2–12 weeks).Results38 studies were analysed (18 IET and 20 HIIT), including 1583 (672 IET and 911 HIIT) participants, of which 612 (268 IET and 344 HIIT) were controls.IET produced significantly greater reductions in resting BP compared with HIIT with systolic, diastolic and mean BP effect sizes of 8.50 mm Hg vs 2.86 mm Hg (Q=17.10, p<0.001), 4.07 mm Hg vs 2.48 mm Hg (Q=4.71, p=0.03) and 6.46 mm Hg vs 3.15 mm Hg (Q=4.21, p=0.04) respectively. However, HIIT reduced resting heart rate significantly more than IET (3.17bpm vs 1.34bpm, Q=7.63, p=0.006).ConclusionWhile both modes are efficacious, IET appears to be the superior mode of exercise in the management of resting BP. However, HIIT may achieve wider physiological benefits, with greater reductions in resting heart rate.

scholarly journals When It HIITs, You Feel No Pain: Psychological and Psychophysiological Effects of Respite–Active Music in High-Intensity Interval Training

2020 ◽  
pp. 1-12
Author(s):  
Costas I. Karageorghis ◽  
Leighton Jones ◽  
Luke W. Howard ◽  
Rhys M. Thomas ◽  
Panayiotis Moulashis ◽  
...  
Keyword(s):  
Heart Rate ◽  
High Intensity ◽  
Perceived Exertion ◽  
Interval Training ◽  
Rating Of Perceived Exertion ◽  
High Intensity Interval Training ◽  
Active Recovery ◽  
Affective Valence ◽  
Fast Tempo ◽  
High Intensity Interval

The authors investigated the effects of respite–active music (i.e., music used for active recovery in between high-intensity exercise bouts) on psychological and psychophysiological outcomes. Participants (N = 24) made four laboratory visits for a habituation, medium- and fast-tempo music conditions, and a no-music control. A high-intensity interval-training protocol comprising 8 × 60-s exercise bouts at 100% Wmax with 90-s active recovery was administered. Measures were taken at the end of exercise bouts and recovery periods (rating of perceived exertion [RPE], state attention, and core affect) and then upon cessation of the protocol (enjoyment and remembered pleasure). Heart rate was measured throughout. Medium-tempo music enhanced affective valence during exercise and recovery, while both music conditions increased dissociation (only during recovery), enjoyment, and remembered pleasure relative to control. Medium-tempo music lowered RPE relative to control, but the heart rate results were inconclusive. As predicted, medium-tempo music, in particular, had a meaningful effect on a range of psychological outcomes.

A Comparison of Heart Rate Training Load and Perceptual Effort Between Masters and Young Cyclists

2020 ◽  
Vol 15 (5) ◽  
pp. 759-762
Author(s):  
Nattai R. Borges ◽  
Aaron T. Scanlan ◽  
Peter R. Reaburn ◽  
Thomas M. Doering
Keyword(s):  
Heart Rate ◽  
High Intensity ◽  
Perceived Exertion ◽  
Interval Training ◽  
Training Load ◽  
Peak Power Output ◽  
High Intensity Interval Training ◽  
Age Related ◽  
High Intensity Interval ◽  
Training Impulse

Purpose: Due to age-related changes in the psychobiological state of masters athletes, this brief report aimed to compare training load responses using heart rate (HR) and ratings of perceived exertion (RPE) during standardized training sessions between masters and young cyclists. Methods: Masters (n = 10; 55.6 [5.0] y) and young (n = 8; 25.9 [3.0] y) cyclists performed separate endurance and high-intensity interval training sessions. Endurance intensity was set at 95% of ventilatory threshold 2 for 1 hour. High-intensity interval training consisted of 6 × 30-second intervals at 175% peak power output with 4.5-minute rest between intervals. HR was monitored continuously and RPE collected at standardized time periods during each session. Banister training impulse and summated-HR-zones training loads were also calculated. Results: Despite a significantly lower mean HR in masters cyclists during endurance (P = .04; d = 1.06 [±0.8], moderate) and high-intensity interval training (P = .01; d = 1.34 [±0.8], large), no significant differences were noted (P > .05) when responses were determined relative to maximum HR or converted to training impulse and summated-HR-zone loads. Furthermore, no interaction or between-group differences were evident for RPE across either session (P > .05). Conclusions: HR and RPE values were comparable between masters and young cyclists when relative HR responses and HR training load models are used. This finding suggests HR and RPE methods used to monitor or prescribe training load can be used interchangeably between masters and young athletes irrespective of chronological age.

Sign in / Sign up

Export Citation Format

Share Document