IJPR.2017.126

Type of Article:  Original Research

Volume 5; Issue 3 (May 2017)

Page No.: 2013-2018

DOI: https://dx.doi.org/10.16965/ijpr.2017.126

COMPARISON OF HIGH INTENSITY INTERVAL TO MODERATE INTENSITY CONTINUOUS AEROBIC EXERCISE ON VENTILATORY MARKERS IN CORONARY HEART DISEASE PATIENTS: A RANDOMIZED CONTROLLED STUDY

Walid Kamal M. Abdelbasset *1,2, Shereen H. Elsayed 3, Tamer I. Abo Elyazed 4.

*1 Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam Bin Abdul Aziz University, Alkharj, Saudi Arabia.

2 Department of Physical Therapy, Kasr Al-Aini Hospital, Cairo University, Egypt.

3 Department of Physical Therapy for Cardiovascular/Respiratory Disorder and Geriatrics, Faculty of Physical Therapy, Cairo University, Egypt.

4 Department of Physical Therapy for Internal Medicine, Faculty of Physical Therapy, Beni-Suef University, Egypt.

 Corresponding Author: Walid Kamal Mohammed Abdelbasset, Assistant Professor, Department of Physical Therapy and Health Rehabilitation, College of Applied Medical Sciences, Prince Sattam bin Abdul-Aziz University (Formerly Salman bin Abdul-Aziz University), Alkharj, Saudi Arabia. Mobile: 00966561014872 E-Mail: walidkamal.wr@gmail.com

 ABSTRACT

Objectives: This study aim was to compare the impacts of high intensity interval (HII) to moderate intensity continuous exercise (MIC) on ventilatory markers in patients with coronary heart disease (CHD).

Design: Twenty eight patients with mild to moderate CHD aged 50-60 years were selected for this study. They randomized to two groups, each group comprised of 14 patients, group I received a program of high intensity interval exercise (HII 3 times/week for 12 weeks) and group II received a program of moderate intensity continuous aerobic exercise (MIC 3 times/week for 12 weeks). The ventilatory marker changes (O2P, slope of VE/VCO2 and OUES) have been measured at the beginning and the end of the study.

Result: After 12 weeks of enrollment, HII group showed statistically significant improvement in O2P but no significant changes in MIC group (21% with p<0.05 versus 1% with p>0.05). No significant differences appeared in VE/VCO2 and OUES (pre- and post- program) in the two groups p>0.05.

Conclusions: It was concluded that HII had greater improvements than MIC on ventilatory markers in patients with CHD in a short term (up to twelve weeks).

Key words: Coronary Heart Disease, High Intensity Interval Exercise, Moderate Intensity Continuous Exercise, Ventilatory Markers.

REFERENCES

  1. Wong, ND. Epidemiological studies of CHD and the evolution of preventive cardiology. Nature reviews. Cardiology. 2014;11(5):276-89.
  2. Myers J, Arena R, and Dewey F. A cardiopulmonary exercise testing scores for predicting outcomes in patients with heart failure. Am H J. 2008;156(6):1177- 1183.
  3. McConnell TR, Mandak JS, Sykes JS, Fesniak H, and Dasgupta H. Exercise training for heart failure patients improves respiratory muscle endurance, exercise tolerance, breathlessness, and quality of life. J Cardio Reh. 2003;23(1):10-16.
  4. Van Laethem C, Van de Veire N, Backer GD. Response of the oxygen uptake efficiency slope to exercise training in patients with chronic heart failure. Eur J H Fail. 2007;9(6):625-629.
  5. Swain DB and Franklin BA. Comparison of cardioprotective benefits of vigorous versus moderate intensity aerobic exercise. American J Cardio. 2006;97(1):141-147.
  6. Astengo M, Dahl A, Karlsson T, Mattsson-Hult´en L, Wiklund O, and. Wennerblom B. Physical training after percutaneous coronary intervention in patients with stable angina: effects on working capacity, metabolism, and markers of inflammation. Eur J Cardio Prev and Reh. 2010;17(3):349-354.
  7. Kemi OJ and Wisløff U. High-intensity aerobic exercise training improves the heart in health and disease. J Cardio Reh and Prev. 2010;30(1):2-11.
  8. Oliveira RB, Myers J, and de Ara´ujo CG. Long-term stability of the oxygen pulse curve during maximal exercise. Clinics. 2011;66(2):203-209.
  9. Myers J, Gademan M, Brunner K, Kottman W, Boesch C, and Dubach P. Effects of high-intensity training on indices of ventilatory efficiency in chronic heart failure. J Cardio Reh and Prev. 2012;32(1):9-16.
  10. Gibbons RJ, Balady GJ, and Bricker JT. ACC/AHA 2002 guideline update for exercise testing: Summary article. A report of the American College of Cardiology/American Heart Association task force on practice guidelines. Circulation. 2002;106(14):1883-1892.
  11. Anderson ZU. Comparative effects of high intensity interval training versus moderate intensity continuous training on quality of life in patients with heart failure: Study protocol for a randomized controlled trial. Clin Trial and Regul Sci in Cardio. 2016;13(1):21-28.
  12. Gustavo GC, Ricardo BO, and Paulo TV. Effects of High Intensity Interval versus Moderate Continuous Training on Markers of Ventilatory and Cardiac Efficiency in Coronary Heart Disease Patients. Sci W J. 2015;1(1):1-8.
  13. Taylor RS, Brown A, and Ebrahim S. Exercise-based rehabilitation for patients with coronary heart disease: systematic review and meta-analysis of randomized controlled trials. The A American Journal of Medicine. 2004;116(10):682-692.
  14. Conrads VM, Pattyn N, and De Maeyer C. Aerobic interval training and continuous training equally improve aerobic exercise capacity in patients with coronary artery disease: the SAINTEX-CAD study. Int J of Cardio. 2015; (179):203-210.
  15. Chaudhry S, Arena R, and Wasserman K. Exercise-induced myocardial ischemia detected by cardiopulmonary exercise testing. Am J of Cardio. 2009;103(5): 615-619.
  16. Oliveira RB, Myers J, and Ara´ujo CG. Doespeak oxygen pulse complements peak oxygen uptake in risk stratifying patients with heart failure. Am J Cardio. 2009;104(4):554-558.
  17. Martino M, Gledhill N, and Jamnik V. High VO2max with no history of training is primarily due to high blood volume. Med and Sci in Sport and Exer. 2002;34(6):966-971.
  18. Belardinelli R, Lacalaprice F, and Carle F. Exercise-induced myocardial ischemia detected by cardiopulmonary exercise testing. Eur H J. 2003;24(14):1304-1313.
  19. Jengo JA, Oren V, and Conant R. Effects of maximal exercise stress on left ventricular function in patients with coronary artery disease using first pass radionuclide angiocardiography. A rapid, noninvasive technique for determining ejection fraction and segmental wall motion. Circulation. 1979;59(1):60-65.
  20. Ferguson S, Gledhill N, Jamnik VK, Wiebe C, and Payne N. Cardiac performance in endurance-trained and moderately active young women. Med and Sci in Sport and Exer. 2001;33(7):1114-1119.
  21. Krip B, Gledhill N, Jamnik V, Warburton D. Effect of alterations in blood volume on cardiac function during  maximal exercise. Med and Sci in Sport and Exer. 1997;29(11):1469-1476.
  22. Stein R, Chiappa GR, Güths H, Dall’Ago P, and Ribeiro JB. Inspiratory muscle training improves oxygen uptake efficiency slope in patients with chronic heart failure. J Cardio Reh and Prev. 2009;29(6):392-395.
  23. Myers J, Dziekan G, Goebbels U, and Dubach P. The influence of high-intensity exercise training on the ventilatory response to exercise in patients with reduced ventricular function. Med and Sci in Sport and Exer. 1999;31(7):929-937.
  24. Defoor J, Schepers D, Reybrouck T, Fagard R, and Vanhees L. Oxygen uptake efficiency slope in coronary artery disease: clinical use and response to training. Int J of Sport Med; 2006:27(9):730-737.
  25. Belardinelli R, Capestro F, Misiani A, Scipione P, and Georgiou D. Moderate exercise training improves functional capacity, quality of life, and endothelium dependent vasodilation in chronic heart failure patients with implantable cardioverter defibrillators and cardiac resynchronization therapy. Eur J of Cardio Prev and Reh. 2006;13(5):818-825.
  26. Kemps HM, De Vries WR, and Schmikli SL. Assessment of the effects of physical training in patients with chronic heart failure: the utility of effort independent exercise variables. Eur J of App Physio. 2010;108(3):469-476.

Cite this article: Walid Kamal M. Abdelbasset, Shereen H. Elsayed, Tamer I. Abo Elyazed. COMPARISON OF HIGH INTENSITY INTERVAL TO MODERATE INTENSITY CONTINUOUS AEROBIC EXERCISE ON VENTILATORY MARKERS IN CORONARY HEART DISEASE PATIENTS: A RANDOMIZED CONTROLLED STUDY. Int J Physiother Res 2017;5(3):2013-2018. DOI: 10.16965/ijpr.2017.126
Share this Research
Share on FacebookShare on Google+Tweet about this on TwitterShare on LinkedInEmail this to someonePrint this pagePin on Pinterest