高强度间歇训练计划与中等强度持续训练对于心力衰竭患者:系统性审查和元分析
Xiankun Chen1, Tong Zhang2, Xiaoyue Hu3
1State Key Laboratory of Dampness Syndrome of Chinese Medicine, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou; Key Unit of Methodology in Clinical Research, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, Guangdong Province.
高强度间歇训练 (HIIT) 在心力衰竭 (HF) 患者中通常比中等强度持续训练 (MICT) 更能改善心肺健康. 长间隔,高体积的HIIT显示了HF的最大好处,减少了射出分数.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 康复 康复 康复 康复
背景情况:
- 心力衰竭 (HF) 是一种复杂的疾病,影响心肺健康.
- 中等强度持续培训 (MICT) 是一种标准的康复方法.
- 高强度间歇训练 (HIIT) 是一种潜在的替代或辅助疗法.
研究的目的:
- 为了比较各种高强度间歇训练 (HIIT) 协议与中等强度持续训练 (MICT) 的效果大小.
- 分析不同类型心力衰竭 (HF) 的这些影响.
- 评估对心肺呼吸系统参数的影响,主要是氧气消耗峰值 (Vo2峰值).
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 搜索到到2023年1月的电子数据库,用于在HF患者中比较HIIT和MICT的RCT.
- 包括15项涉及553名患者的RCT;评估方法质量和提取数据.
主要成果:
- 高强度间歇训练 (HIIT) 在心力衰竭 (HF) 患者中,与中等强度持续训练 (MICT) 相比,在峰值氧气消耗 (Vo2peak) 中表现出更好的改善 (MD: 1.49 mL/kg/min).
- 对于减少射出分数 (HFrEF) 的HF,长间隔 (≥4分钟) 和高体积 (≥15分钟) 的HIIT产生了最显著的益处 (MD:2.11mL/kg/min).
- 短间隔HIIT协议显示的效果不那么明显,尽管仍然具有潜在的益处,HF亚型的结果各不相同.
结论:
- 对于患有HFrEF的患者来说,长间隔,高体积的HIIT协议可能比MICT提供更好的心肺益处.
- 最佳的HIIT协议需要对各种HF亚型进行进一步的研究.
- 最终的临床实践建议需要进一步的研究.
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