Aerobic interval training increases peak oxygen uptake more than usual care exercise training in myocardial infarction patients: a randomized controlled study
Objective: Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of thes...
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| Published in | Clinical rehabilitation Vol. 26; no. 1; pp. 33 - 44 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
London, England
SAGE Publications
01.01.2012
Sage Publications Ltd |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0269-2155 1477-0873 1477-0873 |
| DOI | 10.1177/0269215511405229 |
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| Abstract | Objective: Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation programmes are unknown.
Design: Randomized controlled trial.
Setting: Hospital cardiac rehabilitation.
Subjects: One hundred and seven patients, recruited two to 12 weeks after MI, were randomized to usual care rehabilitation or treadmill AIT.
Interventions: Usual care aerobic group exercise training or treadmill AIT as 4 × 4 minutes intervals at 85–95% of peak heart rate. Twice weekly exercise training for 12 weeks.
Main measures: The primary outcome measure was peak oxygen uptake. Secondary outcome measures were endothelial function, blood markers of cardiovascular disease, quality of life, resting heart rate, and heart rate recovery.
Results: Eighty-nine patients (74 men, 15 women, 57.4 ± 9.5 years) completed the programme. Peak oxygen uptake increased more (P = 0.002) after AIT (from 31.6 ± 5.8 to 36.2 ± 8.6 mL·kg−1·min−1, P < 0.001) than after usual care rehabilitation (from 32.2 ± 6.7 to 34.7 ± 7.9 mL·kg−1·min−1, P < 0.001). The AIT group exercised with significantly higher intensity in the intervals compared to the highest intensity in the usual care group (87.3 ± 3.9% versus 78.7 ± 7.2% of peak heart rate, respectively, P < 0.001). Both programmes increased endothelial function, serum adiponectin, and quality of life, and reduced serum ferritin and resting heart rate. High-density lipoprotein cholesterol increased only after AIT.
Conclusions: AIT increased peak oxygen uptake more than the usual care rehabilitation provided to MI patients by Norwegian hospitals. |
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| AbstractList | Objective: Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation programmes are unknown.Design: Randomized controlled trial.Setting: Hospital cardiac rehabilitation.Subjects: One hundred and seven patients, recruited two to 12 weeks after MI, were randomized to usual care rehabilitation or treadmill AIT.Interventions: Usual care aerobic group exercise training or treadmill AIT as 44 minutes intervals at 85-95% of peak heart rate. Twice weekly exercise training for 12 weeks.Main measures: The primary outcome measure was peak oxygen uptake. Secondary outcome measures were endothelial function, blood markers of cardiovascular disease, quality of life, resting heart rate, and heart rate recovery.Results: Eighty-nine patients (74 men, 15 women, 57.4+/-9.5 years) completed the programme. Peak oxygen uptake increased more (P=0.002) after AIT (from 31.6+/-5.8 to 36.2+/-8.6mL.kg-1.min-1, P<0.001) than after usual care rehabilitation (from 32.2+/-6.7 to 34.7+/-7.9mL.kg-1.min-1, P<0.001). The AIT group exercised with significantly higher intensity in the intervals compared to the highest intensity in the usual care group (87.3+/-3.9% versus 78.7+/-7.2% of peak heart rate, respectively, P<0.001). Both programmes increased endothelial function, serum adiponectin, and quality of life, and reduced serum ferritin and resting heart rate. High-density lipoprotein cholesterol increased only after AIT.Conclusions: AIT increased peak oxygen uptake more than the usual care rehabilitation provided to MI patients by Norwegian hospitals. Objective: Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation programmes are unknown. Design: Randomized controlled trial. Setting: Hospital cardiac rehabilitation. Subjects: One hundred and seven patients, recruited two to 12 weeks after MI, were randomized to usual care rehabilitation or treadmill AIT. Interventions: Usual care aerobic group exercise training or treadmill AIT as 4×4 minutes intervals at 85-95% of peak heart rate. Twice weekly exercise training for 12 weeks. Main measures: The primary outcome measure was peak oxygen uptake. Secondary outcome measures were endothelial function, blood markers of cardiovascular disease, quality of life, resting heart rate, and heart rate recovery. Results: Eighty-nine patients (74 men, 15 women, 57.4±9.5 years) completed the programme. Peak oxygen uptake increased more (P=0.002) after AIT (from 31.6±5.8 to 36.2±8.6mL·kg-1·min-1, P<0.001) than after usual care rehabilitation (from 32.2±6.7 to 34.7±7.9mL·kg-1·min-1, P<0.001). The AIT group exercised with significantly higher intensity in the intervals compared to the highest intensity in the usual care group (87.3±3.9% versus 78.7±7.2% of peak heart rate, respectively, P<0.001). Both programmes increased endothelial function, serum adiponectin, and quality of life, and reduced serum ferritin and resting heart rate. High-density lipoprotein cholesterol increased only after AIT. Conclusions: AIT increased peak oxygen uptake more than the usual care rehabilitation provided to MI patients by Norwegian hospitals. [PUBLICATION ABSTRACT] Objective: Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation programmes are unknown. Design: Randomized controlled trial. Setting: Hospital cardiac rehabilitation. Subjects: One hundred and seven patients, recruited two to 12 weeks after MI, were randomized to usual care rehabilitation or treadmill AIT. Interventions: Usual care aerobic group exercise training or treadmill AIT as 4 × 4 minutes intervals at 85–95% of peak heart rate. Twice weekly exercise training for 12 weeks. Main measures: The primary outcome measure was peak oxygen uptake. Secondary outcome measures were endothelial function, blood markers of cardiovascular disease, quality of life, resting heart rate, and heart rate recovery. Results: Eighty-nine patients (74 men, 15 women, 57.4 ± 9.5 years) completed the programme. Peak oxygen uptake increased more (P = 0.002) after AIT (from 31.6 ± 5.8 to 36.2 ± 8.6 mL·kg−1·min−1, P < 0.001) than after usual care rehabilitation (from 32.2 ± 6.7 to 34.7 ± 7.9 mL·kg−1·min−1, P < 0.001). The AIT group exercised with significantly higher intensity in the intervals compared to the highest intensity in the usual care group (87.3 ± 3.9% versus 78.7 ± 7.2% of peak heart rate, respectively, P < 0.001). Both programmes increased endothelial function, serum adiponectin, and quality of life, and reduced serum ferritin and resting heart rate. High-density lipoprotein cholesterol increased only after AIT. Conclusions: AIT increased peak oxygen uptake more than the usual care rehabilitation provided to MI patients by Norwegian hospitals. Objective: Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation programmes are unknown. Design: Randomized controlled trial. Setting: Hospital cardiac rehabilitation. Subjects: One hundred and seven patients, recruited two to 12 weeks after MI, were randomized to usual care rehabilitation or treadmill AIT. Interventions: Usual care aerobic group exercise training or treadmill AIT as 4 × 4 minutes intervals at 85–95% of peak heart rate. Twice weekly exercise training for 12 weeks. Main measures: The primary outcome measure was peak oxygen uptake. Secondary outcome measures were endothelial function, blood markers of cardiovascular disease, quality of life, resting heart rate, and heart rate recovery. Results: Eighty-nine patients (74 men, 15 women, 57.4 ± 9.5 years) completed the programme. Peak oxygen uptake increased more ( P = 0.002) after AIT (from 31.6 ± 5.8 to 36.2 ± 8.6 mL·kg −1 ·min −1 , P < 0.001) than after usual care rehabilitation (from 32.2 ± 6.7 to 34.7 ± 7.9 mL·kg −1 ·min −1 , P < 0.001). The AIT group exercised with significantly higher intensity in the intervals compared to the highest intensity in the usual care group (87.3 ± 3.9% versus 78.7 ± 7.2% of peak heart rate, respectively, P < 0.001). Both programmes increased endothelial function, serum adiponectin, and quality of life, and reduced serum ferritin and resting heart rate. High-density lipoprotein cholesterol increased only after AIT. Conclusions: AIT increased peak oxygen uptake more than the usual care rehabilitation provided to MI patients by Norwegian hospitals. Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation programmes are unknown. Randomized controlled trial. Hospital cardiac rehabilitation. One hundred and seven patients, recruited two to 12 weeks after MI, were randomized to usual care rehabilitation or treadmill AIT. Usual care aerobic group exercise training or treadmill AIT as 4 × 4 minutes intervals at 85-95% of peak heart rate. Twice weekly exercise training for 12 weeks. The primary outcome measure was peak oxygen uptake. Secondary outcome measures were endothelial function, blood markers of cardiovascular disease, quality of life, resting heart rate, and heart rate recovery. Eighty-nine patients (74 men, 15 women, 57.4 ± 9.5 years) completed the programme. Peak oxygen uptake increased more (P = 0.002) after AIT (from 31.6 ± 5.8 to 36.2 ± 8.6 mL·kg(-1)·min(-1), P < 0.001) than after usual care rehabilitation (from 32.2 ± 6.7 to 34.7 ± 7.9 mL·kg(-1)·min(-1), P < 0.001). The AIT group exercised with significantly higher intensity in the intervals compared to the highest intensity in the usual care group (87.3 ± 3.9% versus 78.7 ± 7.2% of peak heart rate, respectively, P < 0.001). Both programmes increased endothelial function, serum adiponectin, and quality of life, and reduced serum ferritin and resting heart rate. High-density lipoprotein cholesterol increased only after AIT. AIT increased peak oxygen uptake more than the usual care rehabilitation provided to MI patients by Norwegian hospitals. Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation programmes are unknown.OBJECTIVEExercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation programmes are unknown.Randomized controlled trial.DESIGNRandomized controlled trial.Hospital cardiac rehabilitation.SETTINGHospital cardiac rehabilitation.One hundred and seven patients, recruited two to 12 weeks after MI, were randomized to usual care rehabilitation or treadmill AIT.SUBJECTSOne hundred and seven patients, recruited two to 12 weeks after MI, were randomized to usual care rehabilitation or treadmill AIT.Usual care aerobic group exercise training or treadmill AIT as 4 × 4 minutes intervals at 85-95% of peak heart rate. Twice weekly exercise training for 12 weeks.INTERVENTIONSUsual care aerobic group exercise training or treadmill AIT as 4 × 4 minutes intervals at 85-95% of peak heart rate. Twice weekly exercise training for 12 weeks.The primary outcome measure was peak oxygen uptake. Secondary outcome measures were endothelial function, blood markers of cardiovascular disease, quality of life, resting heart rate, and heart rate recovery.MAIN MEASURESThe primary outcome measure was peak oxygen uptake. Secondary outcome measures were endothelial function, blood markers of cardiovascular disease, quality of life, resting heart rate, and heart rate recovery.Eighty-nine patients (74 men, 15 women, 57.4 ± 9.5 years) completed the programme. Peak oxygen uptake increased more (P = 0.002) after AIT (from 31.6 ± 5.8 to 36.2 ± 8.6 mL·kg(-1)·min(-1), P < 0.001) than after usual care rehabilitation (from 32.2 ± 6.7 to 34.7 ± 7.9 mL·kg(-1)·min(-1), P < 0.001). The AIT group exercised with significantly higher intensity in the intervals compared to the highest intensity in the usual care group (87.3 ± 3.9% versus 78.7 ± 7.2% of peak heart rate, respectively, P < 0.001). Both programmes increased endothelial function, serum adiponectin, and quality of life, and reduced serum ferritin and resting heart rate. High-density lipoprotein cholesterol increased only after AIT.RESULTSEighty-nine patients (74 men, 15 women, 57.4 ± 9.5 years) completed the programme. Peak oxygen uptake increased more (P = 0.002) after AIT (from 31.6 ± 5.8 to 36.2 ± 8.6 mL·kg(-1)·min(-1), P < 0.001) than after usual care rehabilitation (from 32.2 ± 6.7 to 34.7 ± 7.9 mL·kg(-1)·min(-1), P < 0.001). The AIT group exercised with significantly higher intensity in the intervals compared to the highest intensity in the usual care group (87.3 ± 3.9% versus 78.7 ± 7.2% of peak heart rate, respectively, P < 0.001). Both programmes increased endothelial function, serum adiponectin, and quality of life, and reduced serum ferritin and resting heart rate. High-density lipoprotein cholesterol increased only after AIT.AIT increased peak oxygen uptake more than the usual care rehabilitation provided to MI patients by Norwegian hospitals.CONCLUSIONSAIT increased peak oxygen uptake more than the usual care rehabilitation provided to MI patients by Norwegian hospitals. Objective: Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation programmes are unknown. Design: Randomized controlled trial. Setting: Hospital cardiac rehabilitation. Subjects: One hundred and seven patients, recruited two to 12 weeks after MI, were randomized to usual care rehabilitation or treadmill AIT. Interventions: Usual care aerobic group exercise training or treadmill AIT as 4*4 minutes intervals at 85-95% of peak heart rate. Twice weekly exercise training for 12 weeks. Main measures: The primary outcome measure was peak oxygen uptake. Secondary outcome measures were endothelial function, blood markers of cardiovascular disease, quality of life, resting heart rate, and heart rate recovery. Results: Eighty-nine patients (74 men, 15 women, 57.4+/-9.5 years) completed the programme. Peak oxygen uptake increased more (P=0.002) after AIT (from 31.6 +/-5.8 to 36.2+/-8.6mL.kg-1 .min-1, P<0.001) than after usual care rehabilitation (from 32.2+/-6.7 to 34.7 +/-7.9mL.kg-1.min-1, P <0.001). The AIT group exercised with significantly higher intensity in the intervals compared to the highest intensity in the usual care group (87.3 +/-3.9% versus 78.7+/-7.2% of peak heart rate, respectively, P<0.001). Both programmes increased endothelial function, serum adiponectin, and quality of life, and reduced serum ferritin and resting heart rate. High-density lipoprotein cholesterol increased only after AIT. Conclusions: AIT increased peak oxygen uptake more than the usual care rehabilitation provided to MI patients by Norwegian hospitals. [Reprinted by permission of Sage Publications Ltd., copyright holder.] |
| Author | Moholdt, Trine Walderhaug, Liv Brattbakk, Line Granøien, Ingrid Wisløff, Ulrik Graven, Torbjørn Slørdahl, Stig A Myklebust, Gitte Amundsen, Brage H Hole, Torstein Gjerde, Lisbeth Stølen, Tomas O Aamot, Inger Lise Støylen, Asbjørn Mølmen-Hansen, Harald Edvard |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/21937520$$D View this record in MEDLINE/PubMed |
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| ContentType | Journal Article |
| Copyright | SAGE Publications 2011 SAGE Publications © Jan 2012 |
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| References | Borg 1982; 14 Wisloff, Stoylen, Loennechen, Bruvold, Rognmo, Haram 2007; 115 Hofer, Doering, Rumpold, Oldridge, Benzer 2006; 13 Tjonna, Stolen, Bye, Volden, Slordahl, Odegard 2008 Brownson, Baker, Housemann, Brennan, Bacak 2001; 91 Corretti, Anderson, Benjamin, Celermajer, Charbonneau, Creager 2002; 39 Vickers, Altman 2001; 323 Kolberg, Jorgensen, Gerwien, Hamren, McKenna, Moler 2009; 32 Nishime, Cole, Blackstone, Pashkow, Lauer 2000; 284 Taylor, Brown, Ebrahim, Jolliffe, Noorani, Rees 2004; 116 Keteyian, Brawner, Savage, Ehrman, Schairer, Divine 2008; 156 Fletcher, Balady, Amsterdam, Chaitman, Eckel, Fleg 2001; 104 Chaloupka, Elbl, Nehyba, Tomaskova, Jedlicka 2005; 25 Myers, Prakash, Froelicher, Do, Partington, Atwood 2002; 346 Pyke, Tschakovsky 2005; 568 Kumada, Kihara, Sumitsuji, Kawamoto, Matsumoto, Ouchi 2003; 23 Tjonna, Lee, Rognmo, Stolen, Bye, Haram 2008; 118 Cole, Blackstone, Pashkow, Snader, Lauer 1999; 341 Ouchi, Ohishi, Kihara, Funahashi, Nakamura, Nagaretani 2003; 42 Trapp, Chisholm, Freund, Boutcher 2008; 32 Marchionni, Fattirolli, Fumagalli, Oldridge, Del Lungo, Morosi 2003; 107 Lee, Chen, Hsu, Su, Wu, Chien 2008; 101 Moholdt, Amundsen, Rustad, Wahba, Lovo, Gullikstad 2009; 158 Rognmo, Hetland, Helgerud, Hoff, Slordahl 2004; 11 Hofer, Lim, Guyatt, Oldridge 2004; 2 Kondo, Kobayashi, Murakami 2006; 53 Froelicher VF (bibr8-0269215511405229) 2006 bibr20-0269215511405229 bibr25-0269215511405229 bibr3-0269215511405229 bibr12-0269215511405229 bibr7-0269215511405229 bibr16-0269215511405229 bibr4-0269215511405229 bibr21-0269215511405229 bibr26-0269215511405229 bibr13-0269215511405229 bibr17-0269215511405229 bibr27-0269215511405229 bibr14-0269215511405229 bibr5-0269215511405229 bibr22-0269215511405229 bibr18-0269215511405229 bibr9-0269215511405229 bibr15-0269215511405229 bibr10-0269215511405229 Tjonna AE (bibr24-0269215511405229) 2008 bibr2-0269215511405229 bibr23-0269215511405229 bibr1-0269215511405229 bibr6-0269215511405229 bibr11-0269215511405229 bibr19-0269215511405229 |
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| Snippet | Objective: Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual... Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in... |
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| SubjectTerms | Aerobic exercise Aerobics Analysis of Variance Cardiac surgery Cardiovascular disease Cardiovascular diseases Cholesterol Clinical trials Exercise Exercise - physiology Exercise Therapy - methods Female Ferritin Fitness equipment Fitness training programs Heart attacks Heart rate Hospitals Humans Interval training Male Maximum oxygen consumption Medical imaging Middle Aged Myocardial infarction Myocardial Infarction - rehabilitation Norway Outcome and Process Assessment (Health Care) Outpatient Clinics, Hospital Oxygen Oxygen Consumption - physiology Patients Physical fitness Quality of Life Rehabilitation Resting Serum Uptake |
| Title | Aerobic interval training increases peak oxygen uptake more than usual care exercise training in myocardial infarction patients: a randomized controlled study |
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