Exercise-based Cardiac Rehabilitation in Coronary Disease: Training Impulse or Modalities?

P.-M Leprêtre; M. Ghannem; M. Bulvestre; S. Ahmaidi; S. Delanaud; T. Weissland; P. Lopes

doi:10.1055/s-0042-112591

International Journal of Sports Medicine, Table of Contents

Int J Sports Med 2016; 37(14): 1144-1149
DOI: 10.1055/s-0042-112591

Training & Testing

Exercise-based Cardiac Rehabilitation in Coronary Disease: Training Impulse or Modalities?

P.-M Leprêtre

¹Laboratoire de Recherche Adaptations Physiologiques à l’Exercice et Réadaptation à l’Effort, EA-3300, UFR-STAPS, Université de Picardie Jules Verne, Amiens, France.

,

M. Ghannem

¹Laboratoire de Recherche Adaptations Physiologiques à l’Exercice et Réadaptation à l’Effort, EA-3300, UFR-STAPS, Université de Picardie Jules Verne, Amiens, France.

²Soins de Suite et de Réadaptation polyvalent, Centre Hospitalier de Saint Pons de Thomières, Saint Pons de Thomières, France

,

M. Bulvestre

³Centre de Réadaptation Cardiovasculaire, chateau d’Ollencourt fondation Léopold Bellan, Tracy-le-Mont, France

,

S. Ahmaidi

¹Laboratoire de Recherche Adaptations Physiologiques à l’Exercice et Réadaptation à l’Effort, EA-3300, UFR-STAPS, Université de Picardie Jules Verne, Amiens, France.

,

S. Delanaud

⁴Laboratoire PERITOX, Périnatalité & Risques Toxiques - UMI_01, Unité mixte INERIS, CHU Amiens-Picardie Hôpital Sud, Salouël, France.

⁵Institut d’Ingénierie de la Santé (2IS), UFR de médecine, Université de Picardie Jules Verne, Amiens, France.

,

T. Weissland

¹Laboratoire de Recherche Adaptations Physiologiques à l’Exercice et Réadaptation à l’Effort, EA-3300, UFR-STAPS, Université de Picardie Jules Verne, Amiens, France.

⁵Institut d’Ingénierie de la Santé (2IS), UFR de médecine, Université de Picardie Jules Verne, Amiens, France.

,

P. Lopes

⁶département STAPS, faculté des sciences fondamentales appliquées, UFR des Sciences, Université d’Evry-Val d’Essonne, Evry, France.

› Author Affiliations

Abstract

To compare the effects of 2 short programs with similar training load (TL), based on combined aerobic – resistance training (CT) or aerobic training (AT) on cardiorespiratory responses, 32 patients with coronary heart disease (CHD: 63.8±8.0y, 1.73±0.06 m, 84.8±15.9 kg, Left Ventricular Ejection Fraction: 0.53±0.8) performed 4 weeks of exercise rehabilitation based on CT (n=16) or AT (n=16). Maximal tolerated power (MTP), peak values of oxygen uptake (VO_2peak) and heart rate (HR_peak), anaerobic threshold (VT1) were determined during an incremental cycling exercise test before and after training periods. TL, quantified using the session rating of perceived exertion, did not differ between both modalities (CT: 4 438±572 vs. AT: 4 346±592 AU, p=0.300). Improvements in VO_2peak were larger after CT (+36.4±24.7% of pre-training VO_2peak, i. e., +4.4±2.3 mL.min⁻¹.kg⁻¹, n=14) than observed after AT (+20.1±9.1% of pre-training VO_2peak, i. e., +2.6±1.0 mL.min⁻¹.kg⁻¹, n=12) (p=0.014). Additionally, CT significantly improved power (54.6±23.8 vs. 75.1±21.2 watts, p=0.001) and VO₂ associated at VT1 (VO₂: 9.8±2.5 vs. 12.6±2.9 mL.min⁻¹.kg⁻¹, p=0.001). This might be taken into account when prescribing exercise rehabilitation for CHD patients with different initial clinical limitations.

Key words

rating exertion perception - training load - heart disease - VO_2peak - exercise capacity

Full Text

References

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