高强度间歇训练与中等强度持续训练对心力衰竭患者的有氧能力和功能能力:系统性审查和元分析
Changran Yang1, Lizhuang Zhang1, Yu Cheng1
1Department of Rehabilitation, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Frontiers in cardiovascular medicine
|March 7, 2024
概括
高强度间歇训练 (HIIT) 与中等强度持续训练 (MICT) 相比,在心力衰竭患者中显著改善运动能力和心脏功能. HIIT增强了氧气吸收和生活质量的峰值,为心力衰竭管理提供了卓越的运动方法.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 康复医学 康复医学 康复医学
背景情况:
- 运动训练是控制心力衰竭的基石,减少排气分数 (HFrEF).
- 最佳的运动方式,特别是高强度间歇训练 (HIIT) 与中等强度持续训练 (MICT),仍然是正在进行的研究和临床辩论的主题.
- 了解HIIT和MICT的比较疗效对于定制有效的HFrEF治疗策略至关重要.
研究的目的:
- 系统地审查和比较HIIT和MICT对HFrEF患者关键临床结果的影响.
- 评估这些训练模式对运动能力,心脏功能,生活质量和心率参数的影响.
- 提供基于证据的见解,用于选择HFrEF管理的练习方案.
主要方法:
- 在八个主要数据库中进行了全面的系统文献搜索,截至2023年7月5日.
- 13个随机对照试验 (RCT) 被纳入了元分析.
- 使用平均差异 (MD) 分析结果,并使用95%的置信区间 (CI) 分析结果,并使用Cochrane风险偏差工具和GRADE标准评估研究质量.
主要成果:
- 与MICT相比,HIIT在峰值氧气吸收方面表现出显著的改善 (MD = 1.78,95%CI: 0.80-2.76)
- 左心室喷射率 (MD = 3.13,95% CI: 1.25-5.02) 和六分钟步行测试距离 (MD = 28.13,95% CI: 14.56-41.70) 也被HIIT显著增强.
- 根据明尼苏达州生活心力衰竭问卷 (MD = -4.45,95% CI: -6.25至 -2.64) 测量的生活质量,HIIT显示出更大的改善,而休息和高峰心率没有显著差异.
结论:
- 高强度间歇训练 (HIIT) 在改善HFrEF患者的运动能力和心脏功能方面比中等强度持续训练 (MICT) 更有效.
- 在这个患者群体中,HIIT显著提高了氧气吸收峰值,左心室喷射率和生活质量.
- 在体质指数较低的患者中,HIIT对氧气吸收峰值的益处似乎更为明显,这表明个性化的运动处方.
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