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Cardiovascular rehabilitation / Vincent Gremeaux in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p.1 Titre : Cardiovascular rehabilitation Type de document : texte imprimé Auteurs : Vincent Gremeaux ; Jean-Marie Casillas Année de publication : 2017 Article en page(s) : p.1 Langues : Français (fre) Permalink : ./index.php?lvl=notice_display&id=48093 [article] Cardiovascular rehabilitation [texte imprimé] / Vincent Gremeaux ; Jean-Marie Casillas . - 2017 . - p.1. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p.1 Permalink : ./index.php?lvl=notice_display&id=48093

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Vitamin D deficiency related to physical capacity during cardiac rehabilitation / Olivier Ucay in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 2-5 Titre : Vitamin D deficiency related to physical capacity during cardiac rehabilitation Type de document : texte imprimé Auteurs : Olivier Ucay ; Marion Pouche ; Thibaut Guiraud ; [et al...] Année de publication : 2017 Article en page(s) : p. 2-5 Langues : Français (fre) Mots-clés : vitamine D  réhabilitation cardiaque Résumé : Background Vitamin D deficiency is a frequent pathology associated with cardiovascular diseases and physical performance. Objective To study the link between 25-hydroxyvitamin D (25OHD) level and physical performance and gain in physical performance after cardiovascular rehabilitation (CVR) with vitamin D deficiency. Methods 25OHD level was assessed in a retrospective cohort of patients admitted for CVR. Data were collected on physical fitness [6-min walk test distance (6MWD) in percentage of predicted, maximal power (Pmax)]. The threshold of vitamin D deficiency was 20ng/ml chosen according to the literature. Results Among the 131 patients included, as compared with those with nondeficiency (n=83; 63%), patients with vitamin D deficiency (n=48, 37%) had lower initial 6MWD (82±18 vs 89±12% predicted, P=0.009) and Pmax (100±58 vs 120±39W, P=0.006). After CVR, this difference was maintained. The improvement in 6MWD and Pmax was significantly lower with deficiency than nondeficiency, for an increase of 11±8% versus 14±9% predicted (P=0.048) and 10±30 versus 32±30W (P=0.00001), respectively. Conclusion Vitamin D deficiency may be associated with impaired physical fitness before CVR and a smaller gain in physical fitness with CVR, probably related to the action of vitamin D on the muscle. Permalink : ./index.php?lvl=notice_display&id=48094 [article] Vitamin D deficiency related to physical capacity during cardiac rehabilitation [texte imprimé] / Olivier Ucay ; Marion Pouche ; Thibaut Guiraud ; [et al...] . - 2017 . - p. 2-5. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 2-5 Mots-clés : vitamine D  réhabilitation cardiaque Résumé : Background Vitamin D deficiency is a frequent pathology associated with cardiovascular diseases and physical performance. Objective To study the link between 25-hydroxyvitamin D (25OHD) level and physical performance and gain in physical performance after cardiovascular rehabilitation (CVR) with vitamin D deficiency. Methods 25OHD level was assessed in a retrospective cohort of patients admitted for CVR. Data were collected on physical fitness [6-min walk test distance (6MWD) in percentage of predicted, maximal power (Pmax)]. The threshold of vitamin D deficiency was 20ng/ml chosen according to the literature. Results Among the 131 patients included, as compared with those with nondeficiency (n=83; 63%), patients with vitamin D deficiency (n=48, 37%) had lower initial 6MWD (82±18 vs 89±12% predicted, P=0.009) and Pmax (100±58 vs 120±39W, P=0.006). After CVR, this difference was maintained. The improvement in 6MWD and Pmax was significantly lower with deficiency than nondeficiency, for an increase of 11±8% versus 14±9% predicted (P=0.048) and 10±30 versus 32±30W (P=0.00001), respectively. Conclusion Vitamin D deficiency may be associated with impaired physical fitness before CVR and a smaller gain in physical fitness with CVR, probably related to the action of vitamin D on the muscle. Permalink : ./index.php?lvl=notice_display&id=48094

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Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation / Jean-Christophe Chauvet-Gelinier in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 6-12 Titre : Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation Type de document : texte imprimé Auteurs : Jean-Christophe Chauvet-Gelinier ; Bernard Bonin Année de publication : 2017 Article en page(s) : p. 6-12 Langues : Français (fre) Mots-clés : réhabilitation cardiaque  stress  dépression  anxiété Résumé : Cardiovascular events and emotional disorders share a common epidemiology, thus suggesting fundamental pathways linking these different diseases. Growing evidence in the literature highlights the influence of psychological determinants in somatic diseases. A patient's socio-economic aspects, personality traits, health behavior and even biological pathways may contribute to the course of cardiovascular disease. Cardiac events often occur suddenly and the episode can be traumatic for people not prepared for such an event. In this review of the literature, the authors tackle the question of psychobiological mechanisms of stress, in a pathophysiological approach to fundamental pathways linking the brain to the heart. Various psychological, biological and genetic arguments are presented in support of the hypothesis that various etiological mechanisms may be involved. The authors finally deal with biological and psychological strategies in a context of cardiovascular disease. Indeed, in this context, cardiac rehabilitation, with its global approach, seems to be a good time to diagnose emotional disorders like anxiety and depression, and to help people to cope with stressful events. In this field, cardiac rehabilitation seems to be a crucial step in order to improve patients’ outcomes, by helping them to understand the influence of psychobiological risk factors, and to build strategies in order to manage daily stress. Permalink : ./index.php?lvl=notice_display&id=48095 [article] Stress, anxiety and depression in heart disease patients: A major challenge for cardiac rehabilitation [texte imprimé] / Jean-Christophe Chauvet-Gelinier ; Bernard Bonin . - 2017 . - p. 6-12. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 6-12 Mots-clés : réhabilitation cardiaque  stress  dépression  anxiété Résumé : Cardiovascular events and emotional disorders share a common epidemiology, thus suggesting fundamental pathways linking these different diseases. Growing evidence in the literature highlights the influence of psychological determinants in somatic diseases. A patient's socio-economic aspects, personality traits, health behavior and even biological pathways may contribute to the course of cardiovascular disease. Cardiac events often occur suddenly and the episode can be traumatic for people not prepared for such an event. In this review of the literature, the authors tackle the question of psychobiological mechanisms of stress, in a pathophysiological approach to fundamental pathways linking the brain to the heart. Various psychological, biological and genetic arguments are presented in support of the hypothesis that various etiological mechanisms may be involved. The authors finally deal with biological and psychological strategies in a context of cardiovascular disease. Indeed, in this context, cardiac rehabilitation, with its global approach, seems to be a good time to diagnose emotional disorders like anxiety and depression, and to help people to cope with stressful events. In this field, cardiac rehabilitation seems to be a crucial step in order to improve patients’ outcomes, by helping them to understand the influence of psychobiological risk factors, and to build strategies in order to manage daily stress. Permalink : ./index.php?lvl=notice_display&id=48095

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Fixed-distance walk tests at comfortable and fast speed: Potential tools for the functional assessment of coronary patients? / Marie-Doriane Morard in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 13-19 Titre : Fixed-distance walk tests at comfortable and fast speed: Potential tools for the functional assessment of coronary patients? Type de document : texte imprimé Auteurs : Marie-Doriane Morard ; Delphine Besson ; Davy Laroche ; [et al...] Année de publication : 2017 Article en page(s) : p. 13-19 Langues : Français (fre) Mots-clés : réhabilitation cardiaque  test fonctionnel  test de marche Résumé : Objectives There is ambiguity concerning the walk tests available for functional assessment of coronary patients, particularly for the walking speed. This study explores the psychometric properties of two walking tests, based on fixed-distance tests, at comfortable and fast velocity, in stabilized patients at the end of a cardiac rehabilitation program. Methods At a three-day interval 58 coronary patients (mean age of 64.85±6.03 years, 50 men) performed three walk tests, the first two at a comfortable speed in a random order (6-minute walk test – 6MWT – and 400-metre comfortable walk test – 400mCWT) and the third at a brisk speed (200-metre fast walk test – 200mFWT). A modified Bruce treadmill test was associated at the end of the second phase. Monitored main parameters were: heart rate, walking velocity, VO2. Results Tolerance to the 3 tests was satisfactory. The reliability of the main parameters was good (intraclass correlation coefficient>0.8). The VO2 concerning 6MWT and 400mCWT were not significantly different (P=0.33) and were lower to the first ventilatory threshold determined by the stress test (P<0.001): 16.2±3.0 vs. 16.5±2.6 vs. 20.7±5.1mL·min−1·kg−1 respectively. The VO2 of the 200mFWT (20.2±3.7) was not different from the first ventilatory threshold. Conclusions 400mCWT and 200mFWT are feasible, well-tolerated and reliable. They explore two levels of effort intensity (lower and not different to the first ventilatory threshold respectively). 400mCWT is a possible alternative to 6MWT. Associated with 200mFWT it should allow a better measurement of physical capacities and better customization of exercise training. Permalink : ./index.php?lvl=notice_display&id=48096 [article] Fixed-distance walk tests at comfortable and fast speed: Potential tools for the functional assessment of coronary patients? [texte imprimé] / Marie-Doriane Morard ; Delphine Besson ; Davy Laroche ; [et al...] . - 2017 . - p. 13-19. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 13-19 Mots-clés : réhabilitation cardiaque  test fonctionnel  test de marche Résumé : Objectives There is ambiguity concerning the walk tests available for functional assessment of coronary patients, particularly for the walking speed. This study explores the psychometric properties of two walking tests, based on fixed-distance tests, at comfortable and fast velocity, in stabilized patients at the end of a cardiac rehabilitation program. Methods At a three-day interval 58 coronary patients (mean age of 64.85±6.03 years, 50 men) performed three walk tests, the first two at a comfortable speed in a random order (6-minute walk test – 6MWT – and 400-metre comfortable walk test – 400mCWT) and the third at a brisk speed (200-metre fast walk test – 200mFWT). A modified Bruce treadmill test was associated at the end of the second phase. Monitored main parameters were: heart rate, walking velocity, VO2. Results Tolerance to the 3 tests was satisfactory. The reliability of the main parameters was good (intraclass correlation coefficient>0.8). The VO2 concerning 6MWT and 400mCWT were not significantly different (P=0.33) and were lower to the first ventilatory threshold determined by the stress test (P<0.001): 16.2±3.0 vs. 16.5±2.6 vs. 20.7±5.1mL·min−1·kg−1 respectively. The VO2 of the 200mFWT (20.2±3.7) was not different from the first ventilatory threshold. Conclusions 400mCWT and 200mFWT are feasible, well-tolerated and reliable. They explore two levels of effort intensity (lower and not different to the first ventilatory threshold respectively). 400mCWT is a possible alternative to 6MWT. Associated with 200mFWT it should allow a better measurement of physical capacities and better customization of exercise training. Permalink : ./index.php?lvl=notice_display&id=48096

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Whole-body strength training with Huber Motion Lab and traditional strength training in cardiac rehabilitation: A randomized controlled study / Thibaut Guiraud in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 20-26 Titre : Whole-body strength training with Huber Motion Lab and traditional strength training in cardiac rehabilitation: A randomized controlled study Type de document : texte imprimé Auteurs : Thibaut Guiraud ; Marc Labrunée ; Florent Besnier ; [et al...] Année de publication : 2017 Article en page(s) : p. 20-26 Langues : Français (fre) Mots-clés : réhabilitation cardiaque  force  contraction isométrique Résumé : Background Isometric strengthening has been rarely studied in patients with coronary heart disease (CHD), mainly because of possible potential side effects and lack of appropriate and reliable devices. Objective We aimed to compare 2 different modes of resistance training, an isometric mode with the Huber Motion Lab (HML) and traditional strength training (TST), in CHD patients undergoing a cardiac rehabilitation program. Design We randomly assigned 50 patients to HML or TST. Patients underwent complete blinded evaluation before and after the rehabilitation program, including testing for cardiopulmonary exercise, maximal isometric voluntary contraction, endothelial function and body composition. Results After 4 weeks of training (16 sessions), the groups did not differ in body composition, anthropometric characteristics, or endothelial function. With HML, peak power output (P=0.035), maximal heart rate (P<0.01) and gain of force measured in the chest press position (P<0.02) were greater after versus before training. Conclusion Both protocols appeared to be well tolerated, safe and feasible for these CHD patients. A training protocol involving 6s phases of isometric contractions with 10s of passive recovery on an HML device could be safely implemented in rehabilitation programs for patients with CHD and improve functional outcomes. Permalink : ./index.php?lvl=notice_display&id=48097 [article] Whole-body strength training with Huber Motion Lab and traditional strength training in cardiac rehabilitation: A randomized controlled study [texte imprimé] / Thibaut Guiraud ; Marc Labrunée ; Florent Besnier ; [et al...] . - 2017 . - p. 20-26. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 20-26 Mots-clés : réhabilitation cardiaque  force  contraction isométrique Résumé : Background Isometric strengthening has been rarely studied in patients with coronary heart disease (CHD), mainly because of possible potential side effects and lack of appropriate and reliable devices. Objective We aimed to compare 2 different modes of resistance training, an isometric mode with the Huber Motion Lab (HML) and traditional strength training (TST), in CHD patients undergoing a cardiac rehabilitation program. Design We randomly assigned 50 patients to HML or TST. Patients underwent complete blinded evaluation before and after the rehabilitation program, including testing for cardiopulmonary exercise, maximal isometric voluntary contraction, endothelial function and body composition. Results After 4 weeks of training (16 sessions), the groups did not differ in body composition, anthropometric characteristics, or endothelial function. With HML, peak power output (P=0.035), maximal heart rate (P<0.01) and gain of force measured in the chest press position (P<0.02) were greater after versus before training. Conclusion Both protocols appeared to be well tolerated, safe and feasible for these CHD patients. A training protocol involving 6s phases of isometric contractions with 10s of passive recovery on an HML device could be safely implemented in rehabilitation programs for patients with CHD and improve functional outcomes. Permalink : ./index.php?lvl=notice_display&id=48097

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Exercise training-induced modification in autonomic nervous system: An update for cardiac patients / Florent Besnier in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 27-35 Titre : Exercise training-induced modification in autonomic nervous system: An update for cardiac patients Type de document : texte imprimé Auteurs : Florent Besnier ; Marc Labrunée ; Atul Pathak ; [et al...] Année de publication : 2017 Article en page(s) : p. 27-35 Langues : Français (fre) Mots-clés : réhabilitation cardiaque  entrainement  maladie cardio-vaxculaire Résumé : Patients with cardiovascular disease show autonomic dysfunction, including sympathetic activation and vagal withdrawal, which leads to fatal events. This review aims to place sympathovagal balance as an essential element to be considered in management for cardiovascular disease patients who benefit from a cardiac rehabilitation program. Many studies showed that exercise training, as non-pharmacologic treatment, plays an important role in enhancing sympathovagal balance and could normalize levels of markers of sympathetic flow measured by microneurography, heart rate variability or plasma catecholamine levels. This alteration positively affects prognosis with cardiovascular disease. In general, cardiac rehabilitation programs include moderate-intensity and continuous aerobic exercise. Other forms of activities such as high-intensity interval training, breathing exercises, relaxation and transcutaneous electrical stimulation can improve sympathovagal balance and should be implemented in cardiac rehabilitation programs. Currently, the exercise training programs in cardiac rehabilitation are individualized to optimize health outcomes. The sports science concept of the heart rate variability (HRV)-vagal index used to manage exercise sessions (for a goal of performance) could be implemented in cardiac rehabilitation to improve cardiovascular fitness and autonomic nervous system function. Permalink : ./index.php?lvl=notice_display&id=48098 [article] Exercise training-induced modification in autonomic nervous system: An update for cardiac patients [texte imprimé] / Florent Besnier ; Marc Labrunée ; Atul Pathak ; [et al...] . - 2017 . - p. 27-35. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 27-35 Mots-clés : réhabilitation cardiaque  entrainement  maladie cardio-vaxculaire Résumé : Patients with cardiovascular disease show autonomic dysfunction, including sympathetic activation and vagal withdrawal, which leads to fatal events. This review aims to place sympathovagal balance as an essential element to be considered in management for cardiovascular disease patients who benefit from a cardiac rehabilitation program. Many studies showed that exercise training, as non-pharmacologic treatment, plays an important role in enhancing sympathovagal balance and could normalize levels of markers of sympathetic flow measured by microneurography, heart rate variability or plasma catecholamine levels. This alteration positively affects prognosis with cardiovascular disease. In general, cardiac rehabilitation programs include moderate-intensity and continuous aerobic exercise. Other forms of activities such as high-intensity interval training, breathing exercises, relaxation and transcutaneous electrical stimulation can improve sympathovagal balance and should be implemented in cardiac rehabilitation programs. Currently, the exercise training programs in cardiac rehabilitation are individualized to optimize health outcomes. The sports science concept of the heart rate variability (HRV)-vagal index used to manage exercise sessions (for a goal of performance) could be implemented in cardiac rehabilitation to improve cardiovascular fitness and autonomic nervous system function. Permalink : ./index.php?lvl=notice_display&id=48098

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Contemporary issues regarding nutrition in cardiovascular rehabilitation / Sébastien Lacroix in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 36-42 Titre : Contemporary issues regarding nutrition in cardiovascular rehabilitation Type de document : texte imprimé Auteurs : Sébastien Lacroix ; Jennifer Cantin ; Anil Nigam Année de publication : 2017 Article en page(s) : p. 36-42 Langues : Français (fre) Mots-clés : maladie cardiovasculaire  nutrition  alimentation Résumé : In this article, we discuss certain contemporary and controversial topics in cardiovascular (CV) nutrition including recent data regarding the health benefits of the Mediterranean diet, the role of saturated fatty acids, red meat and the microbiome in CV disease and the current role of personalized CV nutrition. Findings from the PREDIMED study now demonstrate the health benefits of the Mediterranean diet even in the absence of heart disease. The study highlighted that even small, sustained and easily implementable changes to diet can provide significant health benefits even in Mediterranean regions. Likewise, observational data in secondary prevention show that increased adherence to the Mediterranean diet is associated with good long-term clinical outcomes among subjects with stable coronary heart disease. The role of saturated fats in the development of CV disease remains controversial, although data suggest that these fats are associated with modestly increased risk of CV events. In contrast, the obesity epidemic currently driving the CV risk worldwide is in large part due to excess consumption of refined carbohydrates. Furthermore, a growing body of evidence suggests that the intestinal microbiome is highly sensitive to lifestyle choices and may play a pivotal role in modulating CV disease development. For example, recent evidence linking processed and unprocessed meats to increased CV risk pointed to the gut microbial metabolite trimethylamine N-oxide as a potential culprit. Finally, given the high interindividual variability in response to interventions including diet, personalized nutrition has potential to play a major role in tailoring diets based on genetic make-up to maximize health benefits. This approach is still in its infancy but is highly promising. Permalink : ./index.php?lvl=notice_display&id=48099 [article] Contemporary issues regarding nutrition in cardiovascular rehabilitation [texte imprimé] / Sébastien Lacroix ; Jennifer Cantin ; Anil Nigam . - 2017 . - p. 36-42. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 36-42 Mots-clés : maladie cardiovasculaire  nutrition  alimentation Résumé : In this article, we discuss certain contemporary and controversial topics in cardiovascular (CV) nutrition including recent data regarding the health benefits of the Mediterranean diet, the role of saturated fatty acids, red meat and the microbiome in CV disease and the current role of personalized CV nutrition. Findings from the PREDIMED study now demonstrate the health benefits of the Mediterranean diet even in the absence of heart disease. The study highlighted that even small, sustained and easily implementable changes to diet can provide significant health benefits even in Mediterranean regions. Likewise, observational data in secondary prevention show that increased adherence to the Mediterranean diet is associated with good long-term clinical outcomes among subjects with stable coronary heart disease. The role of saturated fats in the development of CV disease remains controversial, although data suggest that these fats are associated with modestly increased risk of CV events. In contrast, the obesity epidemic currently driving the CV risk worldwide is in large part due to excess consumption of refined carbohydrates. Furthermore, a growing body of evidence suggests that the intestinal microbiome is highly sensitive to lifestyle choices and may play a pivotal role in modulating CV disease development. For example, recent evidence linking processed and unprocessed meats to increased CV risk pointed to the gut microbial metabolite trimethylamine N-oxide as a potential culprit. Finally, given the high interindividual variability in response to interventions including diet, personalized nutrition has potential to play a major role in tailoring diets based on genetic make-up to maximize health benefits. This approach is still in its infancy but is highly promising. Permalink : ./index.php?lvl=notice_display&id=48099

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Assessment tools for personalizing training intensity during cardiac rehabilitation: Literature review and practical proposals / Jean-Marie Casillas in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 43-49 Titre : Assessment tools for personalizing training intensity during cardiac rehabilitation: Literature review and practical proposals Type de document : texte imprimé Auteurs : Jean-Marie Casillas ; Aurélie Gudjoncik ; Vincent Gremeaux ; [et al...] Année de publication : 2017 Article en page(s) : p. 43-49 Langues : Français (fre) Mots-clés : réhabilitation cardiaque  entrainement Résumé : Exercise training, associated with therapeutic education, is the main axis of cardiac rehabilitation (CR) programs. The aim of this study was to review the literature for descriptions of the various assessments of exercise tolerance used to prescribe exercise intensity during CR. A secondary objective was to attempt to formulate a rational practice with these assessments in CR programs. Permalink : ./index.php?lvl=notice_display&id=48100 [article] Assessment tools for personalizing training intensity during cardiac rehabilitation: Literature review and practical proposals [texte imprimé] / Jean-Marie Casillas ; Aurélie Gudjoncik ; Vincent Gremeaux ; [et al...] . - 2017 . - p. 43-49. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 43-49 Mots-clés : réhabilitation cardiaque  entrainement Résumé : Exercise training, associated with therapeutic education, is the main axis of cardiac rehabilitation (CR) programs. The aim of this study was to review the literature for descriptions of the various assessments of exercise tolerance used to prescribe exercise intensity during CR. A secondary objective was to attempt to formulate a rational practice with these assessments in CR programs. Permalink : ./index.php?lvl=notice_display&id=48100

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High-intensity interval training in patients with coronary heart disease: Prescription models and perspectives / Paula A.B. Ribeiro in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 50-57 Titre : High-intensity interval training in patients with coronary heart disease: Prescription models and perspectives Type de document : texte imprimé Auteurs : Paula A.B. Ribeiro ; Maxime Boidin ; Martin Juneau ; [et al...] Année de publication : 2017 Article en page(s) : p. 50-57 Langues : Français (fre) Mots-clés : entrainement  maladie coronarienne Résumé : Recently, high-intensity interval training (HIIT) has emerged as an alternative and/or complementary exercise modality to continuous aerobic exercise training (CAET) in CHD patients. However, the literature contains descriptions of many HIIT protocols with different stage durations, nature of recovery and intensities. In this review, we discuss the most recent forms of validated HIIT protocols in patients with coronary heart disease (CHD) and how to prescribe and use them during short- and long-term (phase II and III) cardiac rehabilitation programs. We also compare the superior and/or equivalent short- and long-term effects of HIIT versus CAET on aerobic fitness, cardiovascular function, and quality of life; their efficiency, safety, and tolerance; and exercise adherence. Short interval HIIT was found beneficial for CHD patients with lower aerobic fitness and would ideally be used in initiation and improvement stages. Medium and/or long interval HIIT protocols may be beneficial for CHD patients with higher aerobic fitness, and would be ideally used in the improvement and maintenance stages because of their high physiological stimulus. Finally, we propose progressive individualized models of HIIT programs (phase II to III) for patients with CHD and how to ideally use them according to the clinical status of patients and phase of the cardiac rehabilitation program. Permalink : ./index.php?lvl=notice_display&id=48101 [article] High-intensity interval training in patients with coronary heart disease: Prescription models and perspectives [texte imprimé] / Paula A.B. Ribeiro ; Maxime Boidin ; Martin Juneau ; [et al...] . - 2017 . - p. 50-57. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 50-57 Mots-clés : entrainement  maladie coronarienne Résumé : Recently, high-intensity interval training (HIIT) has emerged as an alternative and/or complementary exercise modality to continuous aerobic exercise training (CAET) in CHD patients. However, the literature contains descriptions of many HIIT protocols with different stage durations, nature of recovery and intensities. In this review, we discuss the most recent forms of validated HIIT protocols in patients with coronary heart disease (CHD) and how to prescribe and use them during short- and long-term (phase II and III) cardiac rehabilitation programs. We also compare the superior and/or equivalent short- and long-term effects of HIIT versus CAET on aerobic fitness, cardiovascular function, and quality of life; their efficiency, safety, and tolerance; and exercise adherence. Short interval HIIT was found beneficial for CHD patients with lower aerobic fitness and would ideally be used in initiation and improvement stages. Medium and/or long interval HIIT protocols may be beneficial for CHD patients with higher aerobic fitness, and would be ideally used in the improvement and maintenance stages because of their high physiological stimulus. Finally, we propose progressive individualized models of HIIT programs (phase II to III) for patients with CHD and how to ideally use them according to the clinical status of patients and phase of the cardiac rehabilitation program. Permalink : ./index.php?lvl=notice_display&id=48101

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Eccentric exercise in ischemic cardiac patients and functional capacity: A systematic review and meta-analysis of randomized controlled trials / C. Karagiannis in Annals of physical and rehabilitation medicine, Vol. 60, n°1 (January 2017)

Public ISBD [article]  inAnnals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 58-64 Titre : Eccentric exercise in ischemic cardiac patients and functional capacity: A systematic review and meta-analysis of randomized controlled trials Type de document : texte imprimé Auteurs : C. Karagiannis ; C. Savva ; I. Mamais ; [et al...] Année de publication : 2017 Article en page(s) : p. 58-64 Langues : Français (fre) Mots-clés : Insuffisance cardiaque  entrainement Résumé : Background Eccentric (ECC) exercise is an “economical” type of exercise with low energy requirements and does not cause early fatigue. Therefore, it is used for cardiac patients, who have low physical activity and exercise intolerance, as an easier kind of training. Objective This systematic review aimed to investigate the efficacy of ECC exercise for functional capacity (FC) in patients with ischemic heart disease. Design Systematic review. Methods MEDLINE via PubMed and EBSCO databases were searched for articles of randomized controlled trials of adults with ischemic heart disease who underwent ECC training as compared with other forms of exercise (concentric exercise) or no exercise and assessed FC. The methodologic quality of studies was assessed by the PEDro scale. A meta-analysis was performed with sufficient homogeneity between at least 2 studies in the pre-defined comparisons. Results Four studies, investigating a total of 99 subjects, met the inclusion criteria. The results of the studies did not clearly indicate whether ECC exercise could improve FC better than traditional forms of exercise. However, the small number of studies and their methodologic weaknesses do not allow for drawing firm conclusions. Conclusions We found contradictory results about the effectiveness of ECC as compared with concentric exercise in terms of FC in ischemic cardiac patients. Further investigation with well-designed randomized trials is needed to determine the effectiveness of this kind of exercise for FC in such patients. Permalink : ./index.php?lvl=notice_display&id=48102 [article] Eccentric exercise in ischemic cardiac patients and functional capacity: A systematic review and meta-analysis of randomized controlled trials [texte imprimé] / C. Karagiannis ; C. Savva ; I. Mamais ; [et al...] . - 2017 . - p. 58-64. Langues : Français (fre) in Annals of physical and rehabilitation medicine > Vol. 60, n°1 (January 2017) . - p. 58-64 Mots-clés : Insuffisance cardiaque  entrainement Résumé : Background Eccentric (ECC) exercise is an “economical” type of exercise with low energy requirements and does not cause early fatigue. Therefore, it is used for cardiac patients, who have low physical activity and exercise intolerance, as an easier kind of training. Objective This systematic review aimed to investigate the efficacy of ECC exercise for functional capacity (FC) in patients with ischemic heart disease. Design Systematic review. Methods MEDLINE via PubMed and EBSCO databases were searched for articles of randomized controlled trials of adults with ischemic heart disease who underwent ECC training as compared with other forms of exercise (concentric exercise) or no exercise and assessed FC. The methodologic quality of studies was assessed by the PEDro scale. A meta-analysis was performed with sufficient homogeneity between at least 2 studies in the pre-defined comparisons. Results Four studies, investigating a total of 99 subjects, met the inclusion criteria. The results of the studies did not clearly indicate whether ECC exercise could improve FC better than traditional forms of exercise. However, the small number of studies and their methodologic weaknesses do not allow for drawing firm conclusions. Conclusions We found contradictory results about the effectiveness of ECC as compared with concentric exercise in terms of FC in ischemic cardiac patients. Further investigation with well-designed randomized trials is needed to determine the effectiveness of this kind of exercise for FC in such patients. Permalink : ./index.php?lvl=notice_display&id=48102

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