What Doesn't Kill you Makes you Fitter: A Systematic Review of High-Intensity Interval Exercise for Patients with Cardiovascular and Metabolic Diseases

High-intensity interval exercise (HIIE) has gained popularity in recent years for patients with cardiovascular and metabolic diseases. Despite potential benefits, concerns remain about the safety of the acute response (during and/or within 24 hours postexercise) to a single session of HIIE for these...

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Main Authors: Itamar Levinger, Christopher S. Shaw, Nigel K. Stepto, Samantha Cassar, Andrew J. McAinch, Craig Cheetham, Andrew J. Maiorana
Format: Article
Language:English
Published: SAGE Publishing 2015-01-01
Series:Clinical Medicine Insights: Cardiology
Online Access:https://doi.org/10.4137/CMC.S26230
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author Itamar Levinger
Christopher S. Shaw
Nigel K. Stepto
Samantha Cassar
Andrew J. McAinch
Craig Cheetham
Andrew J. Maiorana
author_facet Itamar Levinger
Christopher S. Shaw
Nigel K. Stepto
Samantha Cassar
Andrew J. McAinch
Craig Cheetham
Andrew J. Maiorana
author_sort Itamar Levinger
collection DOAJ
description High-intensity interval exercise (HIIE) has gained popularity in recent years for patients with cardiovascular and metabolic diseases. Despite potential benefits, concerns remain about the safety of the acute response (during and/or within 24 hours postexercise) to a single session of HIIE for these cohorts. Therefore, the aim of this study was to perform a systematic review to evaluate the safety of acute HIIE for people with cardiometabolic diseases. Electronic databases were searched for studies published prior to January 2015, which reported the acute responses of patients with cardiometabolic diseases to HIIE (≥80% peak power output or ≥85% peak aerobic power, VO 2peak ). Eleven studies met the inclusion criteria (n = 156; clinically stable, aged 27-66 years), with 13 adverse responses reported (~8% of individuals). The rate of adverse responses is somewhat higher compared to the previously reported risk during moderate-intensity exercise. Caution must be taken when prescribing HIIE to patients with cardiometabolic disease. Patients who wish to perform HIIE should be clinically stable, have had recent exposure to at least regular moderate-intensity exercise, and have appropriate supervision and monitoring during and after the exercise session.
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spelling doaj.art-b8c606017f16496b87cf0f7ae80719cf2022-12-21T23:53:36ZengSAGE PublishingClinical Medicine Insights: Cardiology1179-54682015-01-01910.4137/CMC.S26230What Doesn't Kill you Makes you Fitter: A Systematic Review of High-Intensity Interval Exercise for Patients with Cardiovascular and Metabolic DiseasesItamar Levinger0Christopher S. Shaw1Nigel K. Stepto2Samantha Cassar3Andrew J. McAinch4Craig Cheetham5Andrew J. Maiorana6Department of Cardiology, Austin Health, Melbourne, Australia.School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia.College of Sport and Exercise Science, Victoria UniversityCollege of Sport and Exercise Science, Victoria UniversityCentre for Chronic Disease Prevention and Management, College of Health and Biomedicine, Victoria University, Melbourne, Australia.School of Sport Sciences, Exercise and Health, University of Western Australia, Nedlands, Western Australia, Australia.Allied Health Department, Fiona Stanley Hospital, Murdoch, Western Australia, Australia.High-intensity interval exercise (HIIE) has gained popularity in recent years for patients with cardiovascular and metabolic diseases. Despite potential benefits, concerns remain about the safety of the acute response (during and/or within 24 hours postexercise) to a single session of HIIE for these cohorts. Therefore, the aim of this study was to perform a systematic review to evaluate the safety of acute HIIE for people with cardiometabolic diseases. Electronic databases were searched for studies published prior to January 2015, which reported the acute responses of patients with cardiometabolic diseases to HIIE (≥80% peak power output or ≥85% peak aerobic power, VO 2peak ). Eleven studies met the inclusion criteria (n = 156; clinically stable, aged 27-66 years), with 13 adverse responses reported (~8% of individuals). The rate of adverse responses is somewhat higher compared to the previously reported risk during moderate-intensity exercise. Caution must be taken when prescribing HIIE to patients with cardiometabolic disease. Patients who wish to perform HIIE should be clinically stable, have had recent exposure to at least regular moderate-intensity exercise, and have appropriate supervision and monitoring during and after the exercise session.https://doi.org/10.4137/CMC.S26230
spellingShingle Itamar Levinger
Christopher S. Shaw
Nigel K. Stepto
Samantha Cassar
Andrew J. McAinch
Craig Cheetham
Andrew J. Maiorana
What Doesn't Kill you Makes you Fitter: A Systematic Review of High-Intensity Interval Exercise for Patients with Cardiovascular and Metabolic Diseases
Clinical Medicine Insights: Cardiology
title What Doesn't Kill you Makes you Fitter: A Systematic Review of High-Intensity Interval Exercise for Patients with Cardiovascular and Metabolic Diseases
title_full What Doesn't Kill you Makes you Fitter: A Systematic Review of High-Intensity Interval Exercise for Patients with Cardiovascular and Metabolic Diseases
title_fullStr What Doesn't Kill you Makes you Fitter: A Systematic Review of High-Intensity Interval Exercise for Patients with Cardiovascular and Metabolic Diseases
title_full_unstemmed What Doesn't Kill you Makes you Fitter: A Systematic Review of High-Intensity Interval Exercise for Patients with Cardiovascular and Metabolic Diseases
title_short What Doesn't Kill you Makes you Fitter: A Systematic Review of High-Intensity Interval Exercise for Patients with Cardiovascular and Metabolic Diseases
title_sort what doesn t kill you makes you fitter a systematic review of high intensity interval exercise for patients with cardiovascular and metabolic diseases
url https://doi.org/10.4137/CMC.S26230
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