在高强度间隔训练计划中添加力量训练是否更有利于患有慢性心力衰竭的患者?
Manal Alshamari1,2, Christos Kourek1,3, Despina Sanoudou4
1Clinical Ergospirometry, Exercise & Rehabilitation Laboratory, 1st Critical Care Medicine Department, Evangelismos Hospital, School of Medicine National and Kapodistrian University of Athens, 10676 Athens, Greece.
Reviews in cardiovascular medicine
|July 30, 2024
概括
在心脏康复计划中,将力量训练添加到高强度间歇训练 (HIIT) 中,进一步提高慢性心力衰竭 (CHF) 患者的胸肌力量和耐力,提高功能能力和生活质量.
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:
- 有氧运动,包括持续训练和高强度间歇训练 (HIIT),为慢性心力衰竭 (CHF) 患者提供了显著的好处.
- 抵抗训练也在心血管疾病患者中表现出积极的影响.
- 关于有氧运动和肌肉力量训练在这个人群中的综合作用的数据有限.
研究的目的:
- 评估在心脏康复 (CR) 计划中的HIIT协议中添加力量训练的累积效应.
- 评估对CHF患者功能能力 (FC) 和生活质量 (QoL) 的影响.
主要方法:
- 44名CHF患者被随机分为两个组:单独HIIT或与力量训练 (COM) 结合的HIIT.
- 这两个小组都参加了长达36个会议的CR计划.
- 结果措施包括心肺运动测试 (CPET),1次重复最大 (1RM) 测试,肌肉耐力,心声和生活质量问卷.
主要成果:
- 两个运动组都在CPET指数,射出率 (EF),1RM强度,肌肉耐力和QOL (p <0.05) 中出现了改善.
- 与HIIT组相比,COM组在胸部肌肉力量和耐力方面表现出更好的改善.
- 此外,COM组在无氧值 (AT) 的工作负载增加更大.
结论:
- 基于运动的CR计划,无论是HIIT还是联合HIIT和力量训练,在CHF患者中增强FC和QoL.
- 将力量训练添加到HIIT中,为胸部肌肉力量和耐力提供了额外的好处.
- 综合训练对无氧值的工作负荷产生了积极的影响,这表明运动耐受性得到了提高.
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