Interval Endurance and Resistance Training as Part of a Community-Based Secondary Prevention Program for Patients with Diabetes Mellitus and Coronary Artery Disease
Christle JW, Knapp S, Geisberger M, Cervenka M, Moneghetti K, Myers J, Halle M, Boscheri A (2020)
Publication Type: Journal article
Publication year: 2020
Journal
Book Volume: 40
Pages Range: 17-23
Journal Issue: 1
DOI: 10.1097/HCR.0000000000000426
Abstract
Purpose: High-intensity interval training (HIIT) has been observed to improve health and fitness in patients with cardiovascular disease. High-intensity interval training may not be appropriate in community-based settings. Moderate-intensity interval training (MIIT) and resistance training (RT) are emerging as effective alternatives to HIIT. These have not been well investigated in a community-based cardiac maintenance program. Methods: Patients with coronary artery disease and/or diabetes mellitus participated in clinical examinations and a 6-mo exercise program. Center-based MIIT and home-based moderate continuous intensity exercise were performed for 3-5 d/wk for 30-40 min/session. RT, nutritional counseling, coping, and behavioral change strategies were offered to all patients. Within-group changes in clinical metrics and exercise performance were assessed on a per-protocol basis after 6 mo. Results: Two hundred ninety-two patients (74%) concluded the 6-mo program. There were no serious adverse events. The peak oxygen uptake and peak workload increased significantly, 21.8 ± 6.1 to 22.8 ± 6.3 mL/kg/min and 128 ± 39 to 138 ± 43 W, respectively (both P <.001). Submaximal exercise performance increased from 68 ± 19 to 73 ± 22 W (P <.001). Glycated hemoglobin decreased from 6.57 ± 0.93% to 6.43 ± 0.12%, (P =.023). Daily injected insulin dosage was reduced from 42 IU (interquartile range: 19.0, 60.0) to 26 IU (interquartile range: 0, 40.3, P <.001). Conclusions: MIIT and RT were feasible and effective in a community-based cardiac maintenance program for patients with cardiovascular disease, improving exercise performance, and blood glucose control.
Involved external institutions
United States (USA) (US)
Germany (DE)How to cite
APA:
Christle, J.W., Knapp, S., Geisberger, M., Cervenka, M., Moneghetti, K., Myers, J.,... Boscheri, A. (2020). Interval Endurance and Resistance Training as Part of a Community-Based Secondary Prevention Program for Patients with Diabetes Mellitus and Coronary Artery Disease. Journal of Cardiopulmonary Rehabilitation and Prevention, 40(1), 17-23. https://doi.org/10.1097/HCR.0000000000000426
MLA:
Christle, Jeffrey W., et al. "Interval Endurance and Resistance Training as Part of a Community-Based Secondary Prevention Program for Patients with Diabetes Mellitus and Coronary Artery Disease." Journal of Cardiopulmonary Rehabilitation and Prevention 40.1 (2020): 17-23.
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