6533b852fe1ef96bd12aa4b2

RESEARCH PRODUCT

High-Intensity Interval and Resistance Training Improve Health Outcomes in Older Adults With Coronary Disease.

Leonie KlompstraDola PathakFelipe Querol-ginerNuria Sempere-rubioElena Marques-sulePallav Deka

subject

medicine.medical_specialtyWaistPopulationCoronary Artery DiseaseHigh-Intensity Interval TrainingBody fat percentageInterval training03 medical and health sciences0302 clinical medicineQuality of lifeOutcome Assessment Health CareMedicineHumans030212 general & internal medicineeducationGeneral NursingAgededucation.field_of_studybusiness.industryHealth PolicyResistance TrainingGeneral MedicineMiddle AgedPhysical therapyLean body massQuality of LifeGeriatrics and GerontologybusinessBody mass indexHigh-intensity interval training030217 neurology & neurosurgery

description

Both high-intensity interval training (HIIT) and resistance exercises (R) are used in cardiac rehabilitation in patients with coronary artery disease (CAD). However, the combined effect of an HIIT + R exercise program in older adults with CAD is not well investigated. The study's purpose was to assess the changes in anthropometric parameters, physical activity, functional capacity, physiological parameters, and quality of life (QoL) in this population following a combined HIIT + R program.The study was a 2-group (n = 45 each) randomized controlled single-blinded trial.The study was done at a treatment clinic of a tertiary hospital. The mean age of participants was 69.23 ± 4.9 years. The HIIT + R group performed 8 sessions (1/wk) of HIIT + R training. The 30 minutes of the active exercise phase consisted of ten 3-minute bouts. Each bout comprised of 1 minute of high-intensity treadmill walking at 85% to 90% maximum heart rate (MHR), followed by a low-intensity walking at 60%-70% MHR, followed by low-to moderate-intensity resistance training. The Usual Care group underwent conventional medical treatment.Anthropometric measurements [weight, body mass index (BMI), waist circumference, body fat percentage, lean body mass], physical activity (International Physical Activity Questionnaire), functional capacity (Incremental Shuttle Walking Test), physiologic measurements (blood pressure, heart rate), and QoL (36-Item Short Form Health Survey) were measured pre- and postintervention.Significant group and time interaction were found for the participants in the HIIT + R Group for BMI (P = .001), body fat percentage (P = .001), waist circumference (P.001), physical activity (P.001), functional capacity (P.001), and QoL (P = .001) compared with the UC Group. Significant improvement in systolic blood pressure (P = .001) was seen in the HIIT + R group.A combined HIIT + R training protocol in older adults with CAD can be useful in producing desired health outcomes. Further evaluation of longer duration exercise programs with more frequent dosing needs to be evaluated for their benefits and sustainability.

10.1016/j.jamda.2021.05.034https://pubmed.ncbi.nlm.nih.gov/34171293