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Int J Sports Med 2016; 37(14): 1144-1149
DOI: 10.1055/s-0042-112591
Training & Testing
© Georg Thieme Verlag KG Stuttgart · New York

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

P.-M Leprêtre
1   Laboratoire 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
1   Laboratoire de Recherche Adaptations Physiologiques à l’Exercice et Réadaptation à l’Effort, EA-3300, UFR-STAPS, Université de Picardie Jules Verne, Amiens, France.
2   Soins de Suite et de Réadaptation polyvalent, Centre Hospitalier de Saint Pons de Thomières, Saint Pons de Thomières, France
,
M. Bulvestre
3   Centre de Réadaptation Cardiovasculaire, chateau d’Ollencourt fondation Léopold Bellan, Tracy-le-Mont, France
,
S. Ahmaidi
1   Laboratoire 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
4   Laboratoire PERITOX, Périnatalité & Risques Toxiques - UMI_01, Unité mixte INERIS, CHU Amiens-Picardie Hôpital Sud, Salouël, France.
5   Institut d’Ingénierie de la Santé (2IS), UFR de médecine, Université de Picardie Jules Verne, Amiens, France.
,
T. Weissland
1   Laboratoire de Recherche Adaptations Physiologiques à l’Exercice et Réadaptation à l’Effort, EA-3300, UFR-STAPS, Université de Picardie Jules Verne, Amiens, France.
5   Institut d’Ingénierie de la Santé (2IS), UFR de médecine, Université de Picardie Jules Verne, Amiens, France.
,
P. Lopes
6   département STAPS, faculté des sciences fondamentales appliquées, UFR des Sciences, Université d’Evry-Val d’Essonne, Evry, France.
› Author Affiliations
Further Information

Publication History



accepted after revision 06 July 2016

Publication Date:
10 November 2016 (online)

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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 (VO2peak) and heart rate (HRpeak), 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 VO2peak were larger after CT (+36.4±24.7% of pre-training VO2peak, i. e., +4.4±2.3 mL.min−1.kg−1, n=14) than observed after AT (+20.1±9.1% of pre-training VO2peak, 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 - VO2peak - exercise capacity
 

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