Interval Endurance and Resistance Training as Part of a Community-Based Secondary Prevention Program for Patients With Diabetes Mellitus and Coronary Artery Disease. Issue 1 (January 2020)

• Record Type: Journal Article
• Authors: Christle, Jeffrey W.; Knapp, Sebastian; Geisberger, Marisa; Cervenka, Marina; Moneghetti, Kegan; Myers, Jonathan; Halle, Martin; Boscheri, Alessandra
• Is Part Of: Journal of cardiopulmonary rehabilitation and prevention. Volume 40:Issue 1(2020)
• Publication Date: 2020-01
• Subjects: cardiac maintenance program -- coronary artery disease -- diabetes mellitus -- exercise capacity; Cardiopulmonary system -- Diseases -- Patients -- Rehabilitation -- Periodicals; Cardiopulmonary system -- Diseases -- Prevention -- Periodicals; 616.103
• DOI: 10.1097/HCR.0000000000000426
• Languages: English
• ISSNs: 1932-7501

Abstract

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. Abstract : Moderate-intensity interval training (MIIT) and resistance training (RT) are emerging as effective alternatives to high-intensity interval training (HIIT). Two hundred ninety-two patients with cardiovascular disease (CVD) concluded 6 mo of cardiac maintenance program (CMP) with MIIT and RT, 3 to 5 d/wk. MIIT and RT were safe, improved exercise performance and blood glucose control for patients with CVD.