高强度间歇训练对冠状动脉疾病中心肺功能的影响:系统性审查的概述
Yingtian Yang1, Qianyu Lv1, Xirui Zhang2
1Department of Cardiovascular Internal Medicine, Guang 'anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, PR China.
Annals of physical and rehabilitation medicine
|December 10, 2024
概括
高强度间歇训练 (HIIT) 在冠状动脉疾病 (CAD) 患者中比中等强度持续训练 (MICT) 更能改善心肺健康. 然而,与MICT相比,HIIT的安全性仍然不清楚,因为证据质量有限.
科学领域:
- 心脏病学 心脏病学
- 运动生理学 运动生理学
- 康复科学 康复科学 康复科学
背景情况:
- 基于运动的心脏康复对于降低冠状动脉疾病 (CAD) 的死亡率至关重要.
- 对CAD患者的最佳运动处方仍未确定.
- 高强度间歇训练 (HIIT) 是适度强度持续训练 (MICT) 的潜在替代方案.
研究的目的:
- 系统地评估和综合来自系统审查/元分析 (SRs/MAs) 的证据.
- 为了比较HIIT与MICT对CAD患者心肺健康和安全的影响.
主要方法:
- 搜索了5个数据库,搜索到到2023年3月22日的SR/MA.
- 使用AMSTAR-2评估方法质量,使用ROBIS评估偏差风险,使用PRISMA 2020报告,使用GRADE评估证据质量.
- 在分析中包括9个SR/MA.
主要成果:
- 大多数被纳入的SRs/MAs的方法质量低或非常低.
- 中等到高质量的证据表明,HIIT在改善CAD患者的VO2峰值方面优于MICT.
- 关于HIIT与MICT在CAD中的安全性的证据是不确定的.
结论:
- 对于改善心肺呼吸能力,HIIT是有效的和时间效率高的,在CAD中作为MICT的辅助或替代品.
- 与CAD中的MICT相比,HIIT的安全性需要进一步调查.
- 未来的研究应该优先考虑高质量的随机对照试验,以加强SRs/MAs的证据.
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