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High-intensity interval training in patients with coronary heart disease : Prescription models and perspectives

RIBEIRO PA; BOIDIN M; JUNEAU M; NIGAM A; GAYDA M
ANN PHYS REHABIL MED , 2017, vol. 60, n° 1, p. 50-57
Doc n°: 181107
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1016/j.rehab.2016.04.004
Descripteurs : FA331 - MALADIE CORONARIENNE

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.
CI - Copyright (c) 2016 Elsevier Masson SAS. All rights reserved.

Langue : ANGLAIS

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