Superior Effects of High-Intensity Interval Training Compared to Conventional Therapy on Cardiovascular and Psychological Aspects in Myocardial Infarction

ObjectiveTo evaluate the effect of high-intensity interval training (HIIT) on psychological symptoms, activity states, and cardiovascular functions in patients with myocardial infarction (MI) of low and moderate risk stratification.MethodsThis prospective study randomly allocated 44 patients with MI...

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Main Authors: Ha-Yoon Choi, Hee-Jun Han, Ji-won Choi, Han-Young Jung, Kyung-Lim Joa
Format: Article
Language:English
Published: Korean Academy of Rehabilitation Medicine 2018-02-01
Series:Annals of Rehabilitation Medicine
Subjects:
Online Access:http://www.e-arm.org/upload/pdf/arm-42-145.pdf
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author Ha-Yoon Choi
Hee-Jun Han
Ji-won Choi
Han-Young Jung
Kyung-Lim Joa
author_facet Ha-Yoon Choi
Hee-Jun Han
Ji-won Choi
Han-Young Jung
Kyung-Lim Joa
author_sort Ha-Yoon Choi
collection DOAJ
description ObjectiveTo evaluate the effect of high-intensity interval training (HIIT) on psychological symptoms, activity states, and cardiovascular functions in patients with myocardial infarction (MI) of low and moderate risk stratification.MethodsThis prospective study randomly allocated 44 patients with MI to 18 sessions of HIIT or conventional moderate-intensity continuous training (MICT). Outcome measures were assessed at baseline and after 18 sessions.ResultsPost-exercise cardiovascular and functional states, maximal oxygen uptake (VO2max), metabolic equivalents (METs), 6-Minute Walking Test (6MWT), and Korean Activity Scale/Index (KASI) scores were significantly improved in the HIIT group compared to those in the MICT group after 18 exercise sessions. In particular, VO2max was significantly (p<0.005) improved in the HIIT group (7.58 mL/kg/min) compared to that in the MICT group (2.42 mL/kg/min). In addition, post-exercise psychological states (i.e., scores of Fatigue Severity Scale [FSS] and depression items of the Hospital Anxiety and Depression Scale [HADS_D]) were significantly improved in the HIIT group compared to those in the MICT group after 18 exercise sessions. HADS-D was improved by 1.89 in the HIIT group compared to decrement of 0.47 in the MICT group. FSS was improved by 6.38 in the HIIT group compared to decrement of 0.77 in the MICT group (p<0.005).ConclusionThis study demonstrates that HIIT can improve cardiac function, psychological, and activity states in low and moderate risk MI patients. Compared to conventional MICT, HIIT can improve cardiovascular functions, activity states, depression, and fatigue more effectively.
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spelling doaj.art-17a182e4475642b980a1969423f1a7352023-09-03T02:37:05ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06452234-06532018-02-0142114515310.5535/arm.2018.42.1.145934Superior Effects of High-Intensity Interval Training Compared to Conventional Therapy on Cardiovascular and Psychological Aspects in Myocardial InfarctionHa-Yoon Choi0Hee-Jun Han1Ji-won Choi2Han-Young Jung3Kyung-Lim Joa4Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.Department of Physical and Rehabilitation Medicine, Inha University School of Medicine, Incheon, Korea.ObjectiveTo evaluate the effect of high-intensity interval training (HIIT) on psychological symptoms, activity states, and cardiovascular functions in patients with myocardial infarction (MI) of low and moderate risk stratification.MethodsThis prospective study randomly allocated 44 patients with MI to 18 sessions of HIIT or conventional moderate-intensity continuous training (MICT). Outcome measures were assessed at baseline and after 18 sessions.ResultsPost-exercise cardiovascular and functional states, maximal oxygen uptake (VO2max), metabolic equivalents (METs), 6-Minute Walking Test (6MWT), and Korean Activity Scale/Index (KASI) scores were significantly improved in the HIIT group compared to those in the MICT group after 18 exercise sessions. In particular, VO2max was significantly (p<0.005) improved in the HIIT group (7.58 mL/kg/min) compared to that in the MICT group (2.42 mL/kg/min). In addition, post-exercise psychological states (i.e., scores of Fatigue Severity Scale [FSS] and depression items of the Hospital Anxiety and Depression Scale [HADS_D]) were significantly improved in the HIIT group compared to those in the MICT group after 18 exercise sessions. HADS-D was improved by 1.89 in the HIIT group compared to decrement of 0.47 in the MICT group. FSS was improved by 6.38 in the HIIT group compared to decrement of 0.77 in the MICT group (p<0.005).ConclusionThis study demonstrates that HIIT can improve cardiac function, psychological, and activity states in low and moderate risk MI patients. Compared to conventional MICT, HIIT can improve cardiovascular functions, activity states, depression, and fatigue more effectively.http://www.e-arm.org/upload/pdf/arm-42-145.pdfMyocardial infarctionCardiac rehabilitationHigh-intensity interval trainingMaximal oxygen consumptionDepression
spellingShingle Ha-Yoon Choi
Hee-Jun Han
Ji-won Choi
Han-Young Jung
Kyung-Lim Joa
Superior Effects of High-Intensity Interval Training Compared to Conventional Therapy on Cardiovascular and Psychological Aspects in Myocardial Infarction
Annals of Rehabilitation Medicine
Myocardial infarction
Cardiac rehabilitation
High-intensity interval training
Maximal oxygen consumption
Depression
title Superior Effects of High-Intensity Interval Training Compared to Conventional Therapy on Cardiovascular and Psychological Aspects in Myocardial Infarction
title_full Superior Effects of High-Intensity Interval Training Compared to Conventional Therapy on Cardiovascular and Psychological Aspects in Myocardial Infarction
title_fullStr Superior Effects of High-Intensity Interval Training Compared to Conventional Therapy on Cardiovascular and Psychological Aspects in Myocardial Infarction
title_full_unstemmed Superior Effects of High-Intensity Interval Training Compared to Conventional Therapy on Cardiovascular and Psychological Aspects in Myocardial Infarction
title_short Superior Effects of High-Intensity Interval Training Compared to Conventional Therapy on Cardiovascular and Psychological Aspects in Myocardial Infarction
title_sort superior effects of high intensity interval training compared to conventional therapy on cardiovascular and psychological aspects in myocardial infarction
topic Myocardial infarction
Cardiac rehabilitation
High-intensity interval training
Maximal oxygen consumption
Depression
url http://www.e-arm.org/upload/pdf/arm-42-145.pdf
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