Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis
Abstract Introduction: Heart transplantation (HTx) is the gold standard procedure for selected individuals with refractory heart failure. High-intensity interval training (HIIT) is safe and allows patients to exercise in high intensity for longer time when compared to moderate-intensity continuous...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Cirurgia Cardiovascular
2020-09-01
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| Series: | Brazilian Journal of Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382021000100086&tlng=en |
| _version_ | 1811246458606714880 |
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| author | Lino Sergio Rocha Conceição Caroline Oliveira Gois Raiane Eunice Santos Fernandes Paulo Ricardo Saquete Martins-Filho Mansueto Gomes Neto Victor Ribeiro Neves Vitor Oliveira Carvalho |
| author_facet | Lino Sergio Rocha Conceição Caroline Oliveira Gois Raiane Eunice Santos Fernandes Paulo Ricardo Saquete Martins-Filho Mansueto Gomes Neto Victor Ribeiro Neves Vitor Oliveira Carvalho |
| author_sort | Lino Sergio Rocha Conceição |
| collection | DOAJ |
| description | Abstract Introduction: Heart transplantation (HTx) is the gold standard procedure for selected individuals with refractory heart failure. High-intensity interval training (HIIT) is safe and allows patients to exercise in high intensity for longer time when compared to moderate-intensity continuous training (MICT). The primary aim of this study was to perform a systematic review and meta-analysis about the effect of HIIT compared to MICT on exercise capacity, peak heart rate, and heart rate reserve in HTx recipients. Secondarily, we pooled data comparing MICT and no exercise training in these patients. Methods: This systematic review followed the standardization of the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement and the Cochrane Collaboration Handbook. We presented the treatment effects of HIIT on the outcomes of interest as mean difference (MD) and 95% confidence interval (CI). Meta-analysis was performed using the random-effects, generic inverse variance method. Results: HIIT improved peak oxygen consumption (peakVO2) (MD = 2.1; 95% CI 1.1, 3.1; P<0.0001), peak heart rate (MD = 3.4; 95% CI 0.8, 5.9; P=0.009), and heart rate reserve (MD = 4.8; 95% CI -0.05, 9.6; P=0.05) compared to MICT. Improvements on peakVO2 (MD = 3.5; 95% CI 2.3, 4.7; P<0.00001) and peak heart rate (MD = 5.6; 95% CI 1.6, 9.6; P=0.006) were found comparing HIIT and no exercise training. Conclusion: Current available evidence suggests that HIIT leads to improvements on peakVO2, peak heart rate, and heart rate reserve compared to MICT in HTx recipients. However, the superiority of HIIT should be tested in isocaloric protocols. |
| first_indexed | 2024-04-12T14:53:49Z |
| format | Article |
| id | doaj.art-df4a0126ce1d401da5ff2371e8ddfa97 |
| institution | Directory Open Access Journal |
| issn | 1678-9741 |
| language | English |
| last_indexed | 2024-04-12T14:53:49Z |
| publishDate | 2020-09-01 |
| publisher | Sociedade Brasileira de Cirurgia Cardiovascular |
| record_format | Article |
| series | Brazilian Journal of Cardiovascular Surgery |
| spelling | doaj.art-df4a0126ce1d401da5ff2371e8ddfa972022-12-22T03:28:19ZengSociedade Brasileira de Cirurgia CardiovascularBrazilian Journal of Cardiovascular Surgery1678-97412020-09-01361869310.21470/1678-9741-2019-0420Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-AnalysisLino Sergio Rocha Conceiçãohttps://orcid.org/0000-0002-9738-7613Caroline Oliveira GoisRaiane Eunice Santos FernandesPaulo Ricardo Saquete Martins-FilhoMansueto Gomes NetoVictor Ribeiro NevesVitor Oliveira CarvalhoAbstract Introduction: Heart transplantation (HTx) is the gold standard procedure for selected individuals with refractory heart failure. High-intensity interval training (HIIT) is safe and allows patients to exercise in high intensity for longer time when compared to moderate-intensity continuous training (MICT). The primary aim of this study was to perform a systematic review and meta-analysis about the effect of HIIT compared to MICT on exercise capacity, peak heart rate, and heart rate reserve in HTx recipients. Secondarily, we pooled data comparing MICT and no exercise training in these patients. Methods: This systematic review followed the standardization of the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement and the Cochrane Collaboration Handbook. We presented the treatment effects of HIIT on the outcomes of interest as mean difference (MD) and 95% confidence interval (CI). Meta-analysis was performed using the random-effects, generic inverse variance method. Results: HIIT improved peak oxygen consumption (peakVO2) (MD = 2.1; 95% CI 1.1, 3.1; P<0.0001), peak heart rate (MD = 3.4; 95% CI 0.8, 5.9; P=0.009), and heart rate reserve (MD = 4.8; 95% CI -0.05, 9.6; P=0.05) compared to MICT. Improvements on peakVO2 (MD = 3.5; 95% CI 2.3, 4.7; P<0.00001) and peak heart rate (MD = 5.6; 95% CI 1.6, 9.6; P=0.006) were found comparing HIIT and no exercise training. Conclusion: Current available evidence suggests that HIIT leads to improvements on peakVO2, peak heart rate, and heart rate reserve compared to MICT in HTx recipients. However, the superiority of HIIT should be tested in isocaloric protocols.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382021000100086&tlng=enHeart TransplantationHigh-Intensity Interval TrainingExercise ToleranceHeart Failure |
| spellingShingle | Lino Sergio Rocha Conceição Caroline Oliveira Gois Raiane Eunice Santos Fernandes Paulo Ricardo Saquete Martins-Filho Mansueto Gomes Neto Victor Ribeiro Neves Vitor Oliveira Carvalho Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis Brazilian Journal of Cardiovascular Surgery Heart Transplantation High-Intensity Interval Training Exercise Tolerance Heart Failure |
| title | Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis |
| title_full | Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis |
| title_fullStr | Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis |
| title_full_unstemmed | Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis |
| title_short | Effect of High-Intensity Interval Training on Aerobic Capacity and Heart Rate Control of Heart Transplant Recipients: a Systematic Review with Meta-Analysis |
| title_sort | effect of high intensity interval training on aerobic capacity and heart rate control of heart transplant recipients a systematic review with meta analysis |
| topic | Heart Transplantation High-Intensity Interval Training Exercise Tolerance Heart Failure |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382021000100086&tlng=en |
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