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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
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A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program

Published on: April 19, 2019

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Effect of Different Endurance Training Protocols During Cardiac Rehabilitation on Quality of Life

Martin Schönfelder1, Hubert Oberreiter2, Andreas Egger2

  • 1University Institute of Sports Medicine, Prevention and Rehabilitation and Research Institute of Molecular Sports Medicine and Rehabilitation, Paracelsus Medical University Salzburg, Austria; Exercise Biology Group, Department of Sport and Health Sciences, Technical University of Munich, Munich, Germany.

The American Journal of Medicine
|December 28, 2020
PubMed

Insights

Cardiac rehabilitation improves health-related quality of life (HRQL) through various endurance training types. All methods significantly boosted physical capacity and well-being, suggesting personalized exercise plans enhance long-term adherence.

Area of Science:

  • Cardiology
  • Rehabilitation Medicine
  • Exercise Physiology

Background:

  • Cardiac rehabilitation is crucial for improving patient outcomes.
  • Health-related quality of life (HRQL) is a key metric in cardiac recovery.
  • Different endurance training modalities may impact HRQL differently.

Purpose of the Study:

  • To evaluate the impact of diverse endurance training programs on HRQL in cardiac rehabilitation patients.
  • To compare the effectiveness of continuous, high-intensity interval, and pyramid training on patient well-being.

Main Methods:

  • 66 cardiac rehabilitation patients were randomized into three supervised endurance training groups.
  • The MacNew Heart Disease HRQL questionnaire and Hospital Anxiety and Depression Scale were administered pre- and post-intervention.
  • Statistical analysis included repeated measures ANOVA and chi-square tests.

Main Results:

  • High attendance (99.2%) and significant improvements in physical work capacity (22.9% increase) were observed across all groups.
  • Patients reported significant improvements in all HRQL domains (emotion, physical, social, global) and reduced anxiety and depression symptoms.
  • No significant differences in outcomes were found between the continuous, high-intensity interval, and pyramid training protocols.

Conclusions:

  • Supervised endurance training, irrespective of type, significantly enhances physical capacity and HRQL in cardiac patients.
  • These findings support individualized training approaches to potentially improve long-term adherence to home-based exercise.
  • Consistent improvements in well-being suggest that tailored exercise regimens are beneficial for cardiac recovery.
Abstract

Keywords:
Anxietycardiac rehabilitationcontinuous exercise trainingdepressionhigh-intensity interval trainingpyramid training

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