Comparison of continuous moderate training with high intensity interval training on cardiopulmonary exercise test variables in patients with coronary artery disease: A meta-analysis
DOI:
https://doi.org/10.33233/rbfe.v19i1.3984Keywords:
coronary heart disease; high intensity interval training; moderate continuous trainingAbstract
Background: Cardiovascular rehabilitation has the objective of reducing the risks of mortality and within this intervention there are two training modalities: high intensity interval training (HIIT) and moderate continuous intensity training (MIT). The exercise prescription is performed by cardiopulmonary exercise test. There are differences about which one is the best training for this patient. Aim: To compare the effects of HIIT and moderate continuous training on the variables of the cardiopulmonary exercise test (CPX) in patients with coronary artery disease. Methods: This is a systematic review of randomized clinical trials on coronary artery disease. This study was registered on PROSPERO. The search was executed on the databases: Medline, Scielo, Lilacs and Pedro. The selection of studies was a two-phase process: Reading of title and abstract and reading of full article. The data extraction was performed by the transcription of information. The methodological quality was evaluated by the PEDro scale and the risk of bias scale. The statistical analysis was performed using the RStudio software by random effect model and was applied the Q-Cochran test to evaluate the statistical heterogeneity. Results: 10 clinical trials were included. The methodological quality assessed by PEDro generated scores of four to nine, and the bias risk scale detected a low risk of bias. For the variables:Â VO2 peak (p = 0.04), Ventilatory Threshold (p = 0.05), HR max (p = 0.01), SBP max (p = 0.02), the HIIT proved to be more effective. The other variables did not present differences between the two modalities. Conclusion: HIIT showed to be the most effective training modality for the increase of VO2 max, Ventilatory Threshold, SBP max and HR max.
References
Cesar LA, Ferreira JF, Armaganijan D, Gowdak LH, Mansur AP, Bodanese LC et al. Diretriz de Doença Coronária Estável. Arq Bras Cardiol 2014;103(2Supl.2):1-59.
Moran AE, Forouzanfar MH, Roth GA, Mensah GA, Ezzati M, Murray CJL. Temporal trends in ischemic heart disease mortality in 21 world regions, 1980 to 2010 The Global Burden of Disease 2010 Study Andrew. Circulation 2014;129(14):1483-92.
SBC SBDC. Cardiomêtro. Mortes por doenças cardiovasculares no Brasil. Available from: http://www.cardiometro.com.br/anteriores.asp
Sá A, Siqueira E, Siqueira-Filho AG, Gerardin M, Land P. Análise do impacto econômico das doenças cardiovasculares nos últimos cinco anos no Brasil. Arq Bras Cardiol 2017;39-46. https://doi.org/10.5935/abc.20170068
Claudio A, Nóbrega L, Castro RRT, Negrão CE, Stein R, Serra SM. Diretriz de Reabilitação Cardíaca. Arq Bras Cardiol. 2005;84(5):431-40. https://doi.org/10.1590/S0066-782X2005000500015
Rabelo D, Araújo CGS. Reabilitação cardíaca com ênfase no exercício : uma revisão sistemática. Rev Bras Med Esporte 2006;12:279-85.
Muela H, Bassan R, Serra S. Avaliação dos benefícios funcionais de um programa de reabilitação cardíaca. Rev Bras Cardiol 2011;24(4):241-50.
Serra S. Considerações sobre ergoespirometria. Arq Bras Cardiol 1997;68(4):301-4.
Negrão CE, Barretto ACP. Cardiologia do Exercicio. 3o. São Paulo: Manole; 2010. 725 p.
Dourado VZ. Exercicio físico aplicado a reabilitação pulmonar. 1a ed. Rio de Janeiro: Revinter; 2011. 348 p.
Herdy AH, Ritt LEF, Stein R, Araújo CGS, Milani M, Meneghelo RS et al. Cardiopulmonary exercise test: fundamentals, applicability and interpretation. Arq Bras Cardiol 2016;467-81. https://doi.org/10.5935/abc.20160171
Gomes ELFD, Silva DS, Costa D. Testes de avaliação da capacidade física em pediatria. Fisioter Bras 2012;13(6):469-75. https://doi.org/10.33233/fb.v13i6.586
Gillen JB, Gibala MJ. Is high-intensity interval training: a time-efficient exercise strategy to improve health and fitness? Appl Physiol Nutr Metab 2014;39(3):409-12. https://doi.org/10.1139/apnm-2013-0187.
Herdy AH, López-Jiménez F, Terzic CP, Milani M, Stein R, Carvalho T et al. Diretriz sul-americana de prevenção e reabilitação cardiovascular. Soc Bras Cardiol 2014;103(1):1-30. https://doi.org/10.5935/abc.2014S003.
Alves VLS, Guizillini S, Umeda IIK, Pulz C, Medeiros WM. Fisioterapia em Cardiologia. 2a ed. São Paulo: Ateneu; 2014. 387 p.
Zuhl M, Kravitz L. HIIT vs continuous endurance training: battle of the aerobic titans. Fit J 2012.
Moher D, Liberati A, Tetzlaff J, Altman DG. Principais itens para relatar revisões sistemáticas e meta-análises: A recomendação PRISMA. Epidemiol Serv Saúde 2015;24(2):335–42. https://doi.org/10.5123/S1679-49742015000200017
Pedro E. Escala de PEDro – Português (Portugal) 1. 2009;1–7. https://www.pedro.org.au/wp-content/uploads/PEDro_scale_portuguese(portugal).pdf
Carvalho APV, Silva VGA. Avaliação do risco de viés de ensaios clínicos randomizados pela ferramenta da colaboração Cochrane. Diagn Tratamento 2013;18(1):38–44.
Rognmo Ø, Hetland E, Helgerud J, Hoff J, Slørdahl SA. High intensity aerobic interval exercise is superior to moderate intensity exercise for increasing aerobic capacity in patients with coronary artery disease. Eur J Cardiovasc Prev Rehabil 2004;11(3):216-22. https://doi.org/10.1097/01.hjr.0000131677.96762.0c
Warburton DER, Mckenzie DC, Haykowsky MJ, Taylor A, Shoemaker P, Ignaszewski AP et al. Effectiveness of high-intensity interval training for artery disease. Am J Cardiol 2005;95(9):1080-4. https://doi.org/10.1016/j.amjcard.2004.12.063
Currie KD, Dubberley JB, McKelvie RS, MacDonald MJ. Low-volume, high-intensity interval training in patients with CAD. Med Sci Sports Exerc 2013;45(8):1436-42. https://doi.org/10.1249/MSS.0b013e31828bbbd4
Currie KD, Bailey KJ, Jung ME, Mckelvie RS, Macdonald MJ. Effects of resistance training combined with moderate-intensity endurance or low-volume high-intensity interval exercise on cardiovascular risk factors in patients with coronary artery disease. J Sci Med Sport 2015;18(6):637-42. https://doi.org/10.1016/j.jsams.2014.09.013
Keteyian SJ, Hibner BA, Bronsteen K, Kerrigan D, Aldred HA, Reasons LM et al. Greater improvement in cardiorespiratory fitness using higher-intensity interval training in the standard cardiac rehabilitation setting. J Cardiopulm Rehabil Prev 2014;34(2):98-105. https://doi.org/10.1097/HCR.0000000000000049
Cardozo GG, Oliveira RB, Farinatti PTV. Effects of high intensity interval versus moderate continuous training on markers of ventilatory and cardiac efficiency in coronary heart disease patients. Scientific World Journal 2015;2015:192479. https://doi.org/10.1155/2015/192479.
Conraads VM, Pattyn N, De Maeyer C, Beckers PJ, Coeckelberghs E, Cornelissen VA et al. Aerobic interval training and continuous training equally improve aerobic exercise capacity in patients with coronary artery disease: The SAINTEX-CAD study. Int J Cardiol. 2015;179:203-10. https://doi.org/10.1016/j.ijcard.2014.10.155
Jaureguizar KV, Vicente-Campos D, Bautista LR, Peña CH, Gómez MJA, Rueda MJC et al. Effect of high-intensity interval versus continuous exercise training on functional capacity and quality of life in patients with coronary artery disease: a randomized clinical trial. J Cardiopulm Rehabil Prev 2016;36(2):96-105. https://doi.org/10.1097/HCR.0000000000000156.
Prado DML, Rocco EA, Silva AG, Rocco DF, Pacheco MT, Silva PF et al. Effects of continuous vs interval exercise training on oxygen uptake ef fi ciency slope in patients with coronary artery disease. Braz J Med Biol Res 2016;49:1-7. https://doi.org/10.1590/1414-431X20154890
Pattyn N, Beckers PJ, Cornelissen VA, Coeckelberghs E, Maeyer C, Frederix G et al. The effect of aerobic interval training and continuous training on exercise capacity and its determinants. Acta Cardiol 2017;72(3):328-40. https://doi.org/10.1080/00015385.2017.1304712
Hannan AL, Hing W, Climstein M, Coombes JS, Byrnes J, Furness J. High-intensity interval training versus moderate- intensity continuous training within cardiac rehabilitation : a systematic review and. Open Access J Sports Med 2018;9:1-17. https://doi.org/10.2147/OAJSM.S150596.
Hussain SR, Macaluso A, Pearson SJ. High-Intensity interval training versus moderate-intensity continuous training in the prevention / Management of Cardiovascular Disease. Cardiol Rev 2016;24(6):273-81. https://doi.org/10.1097/CRD.0000000000000124
Brum PC, Negrão CE. Adaptações agudas e crônicas do exercício físico no sistema cardiovascular. Rev Paul Educ Fís 2004;18:21-31.
Umpierre D, Stein R. Efeitos hemodinâmicos e vasculares do treinamento resistido: implicações na doença cardiovascular. Arq Bras Cardiol 2007;89(4):256-62. https://doi.org/10.1590/S0066-782X2007001600008
Xie B, Yan X, Cai X, Li J. Effects of high-intensity interval training on aerobic capacity in cardiac patients : a systematic review with meta-analysis. Biomed Res Int 2017;2017:5420840. https://doi.org/10.1155/2017/5420840
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