在心力衰竭患者中进行高强度间隔训练
Øyvind Ellingsen1, Martin Halle2, Viviane Conraads2
1From St. Olavs Hospital, Trondheim University Hospital, Norway (Ø.E., A.S., H.D., V.V., T.K.); K.G. Jebsen Center for Exercise in Medicine, Department of Circulation and Medical Imaging, Norwegian University of Science and Technology, Trondheim, Norway (Ø.E., H.D., T.K.); Department of Prevention, Rehabilitation and Sports Medicine, Technische Universität München, Klinikum rechts der Isar, Germany (M.H., J.W.C., A.P.); DZHK (German Center for Cardiovascular Research), Partner Site Munich Heart Alliance, Munich, Germany (M.H.); Else-Kröner-Fresenius Prevention Center, Klinikum rechts der Isar, Munich, Germany (M.H.); Antwerp University Hospital, Edegem, Belgium (V.C., E.M.V.C., P.B.); University of Antwerp, Belgium (V.C., E.M.V.C., P.B.); Department of Circulation and Medical Imaging (A.S., T.H.) and Department of Laboratory Medicine, Children's and Women's Health (V.V.), NTNU-Norwegian University of Science and Technology, Trondheim, Norway; Department of Medicine, Levanger Hospital, Nord-Trøndelag Hospital Trust, Norway (H.D.); Centre Hospitalier de Luxembourg, Luxembourg (C.D., P.F.); Department of Cardiology, Stavanger University Hospital, Norway (A.- I.L., T.V.); Department of Clinical Science, University of Bergen, Norway (A.-I.L., T.V.); Ålesund Hospital, Møre og Romsdal Health Trust, Norway (T.H.); Cardiac Rehabilitation Division, Salvatore Maugeri Foundation IRCCS, Scientific Institute of Veruno, Italy (A.M.); Division of Cardiovascular Medicine, Stanford Center for Inherited Cardiovascular Disease, CA (J.W.C.); Department of Cardiology, Herzzentrum, Universität Leipzig, Germany (E.W., N.M., F.W., R. Höllriegel, A.L.); Department of Cardiology, Bispebjerg Hospital, University of Copenhagen, Denmark (T.M.-H., M.S., E.P.); University of Oslo, Rikshospitalet University Hospital, Norway (J.K.); Department of Cardiology and Angiology, Klinikum Links der Weser, Bremen, Germany (R. Hambrecht); and Department of Cardiology, Angiology and Intensive Care, Klinikum Lippe, Detmold, Germany (S.G.). oyvind.ellingsen@ntnu.no.
高强度间歇训练 (HIIT) 和中等持续训练 (MCT) 在改善心力衰竭和减少射出率方面没有区别. 这两种运动都没有改善心脏重塑或有氧能力.
科学领域:
- 心脏病学
- 运动生理学
- 心脏衰竭的治疗方法
背景情况:
- 之前的小型研究表明,高强度间歇训练 (HIIT) 优于中等持续训练 (MCT) 治疗心力衰竭和减少喷射率 (HFrEF).
- 这项多中心试验旨在对HFrEF患者的HIIT,MCT和定期运动建议进行比较.
研究的目的:
- 在患有HFrEF的患者中,比较12周监督HIIT与MCT的疗效.
- 评估左心室重塑和有氧能力的影响.
主要方法:
- 261名HFrEF患者 (LVEF≤35%,NYHAII- III类) 被随机分配到HIIT,MCT或定期运动建议 (RRE) 中.
- 干预时间为12周,随访时间为52周. 主要终点是左心室终端透气直径的变化.
主要成果:
- 在HIIT和MCT之间,左心室末端透气直径没有显著的变化.
- 与RRE相比,HIIT和MCT都改善了峰值氧气吸收,但HIIT和MCT之间没有显著差异.
- 在52周的随访期内,观察到的益处没有持续. 患者的坚持程度各不相同,许多患者没有达到规定的强度目标.
结论:
- 在改善HFrEF患者的心脏重塑或有氧能力方面,HIIT并不优于MCT.
- 在这一群体中,HIIT的可行性和长期有效性需要进一步研究.
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