Abstract:
OBJECTIVE:Exercise capacity strongly predicts survival and aerobic interval training (AIT) increases peak oxygen uptake effectively in cardiac patients. Usual care in Norway provides exercise training at the hospitals following myocardial infarction (MI), but the effect and actual intensity of these rehabilitation programmes are unknown. DESIGN:Randomized controlled trial. SETTING:Hospital cardiac rehabilitation. SUBJECTS:One hundred and seven patients, recruited two to 12 weeks after MI, were randomized to usual care rehabilitation or treadmill AIT. INTERVENTIONS:Usual care aerobic group exercise training or treadmill AIT as 4 × 4 minutes intervals at 85-95% of peak heart rate. Twice weekly exercise training for 12 weeks. MAIN MEASURES:The primary outcome measure was peak oxygen uptake. Secondary outcome measures were endothelial function, blood markers of cardiovascular disease, quality of life, resting heart rate, and heart rate recovery. RESULTS:Eighty-nine patients (74 men, 15 women, 57.4 ± 9.5 years) completed the programme. Peak oxygen uptake increased more (P = 0.002) after AIT (from 31.6 ± 5.8 to 36.2 ± 8.6 mL·kg(-1)·min(-1), P < 0.001) than after usual care rehabilitation (from 32.2 ± 6.7 to 34.7 ± 7.9 mL·kg(-1)·min(-1), P < 0.001). The AIT group exercised with significantly higher intensity in the intervals compared to the highest intensity in the usual care group (87.3 ± 3.9% versus 78.7 ± 7.2% of peak heart rate, respectively, P < 0.001). Both programmes increased endothelial function, serum adiponectin, and quality of life, and reduced serum ferritin and resting heart rate. High-density lipoprotein cholesterol increased only after AIT. CONCLUSIONS:AIT increased peak oxygen uptake more than the usual care rehabilitation provided to MI patients by Norwegian hospitals.
journal_name
Clin Rehabiljournal_title
Clinical rehabilitationauthors
Moholdt T,Aamot IL,Granøien I,Gjerde L,Myklebust G,Walderhaug L,Brattbakk L,Hole T,Graven T,Stølen TO,Amundsen BH,Mølmen-Hansen HE,Støylen A,Wisløff U,Slørdahl SAdoi
10.1177/0269215511405229subject
Has Abstractpub_date
2012-01-01 00:00:00pages
33-44issue
1eissn
0269-2155issn
1477-0873pii
0269215511405229journal_volume
26pub_type
杂志文章,随机对照试验abstract:OBJECTIVE:To describe the experience of physical activity maintenance in patients with rheumatoid arthritis. DESIGN:A qualitative salutogenic-oriented interview study. SETTING:A rheumatology outpatient clinic. SUBJECTS:A purposive sample of 16 physically active patients (mean age 50, range 37-67) diagnosed with rheu...
journal_title:Clinical rehabilitation
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更新日期:2014-03-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to evaluate the feasibility and efficacy of robot-assisted hand rehabilitation in improving arm function abilities in sub-acute hemiplegic patients. DESIGN:Randomized controlled pilot study. SETTING:Inpatient rehabilitation centers. PARTICIPANTS:Thirty hemiplegic stroke patient...
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更新日期:2017-03-01 00:00:00
abstract:OBJECTIVES:To explore the feasibility of using a stroke-specific toolkit for six-month post-stroke reviews in care homes to identify unmet needs and actions. DESIGN:An observational study including qualitative interviews to explore the process and outcome of reviews. SETTING:UK care homes. PARTICIPANTS:Stroke surviv...
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更新日期:2020-05-01 00:00:00
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更新日期:2009-01-01 00:00:00
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更新日期:1998-08-01 00:00:00
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更新日期:2005-05-01 00:00:00
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更新日期:1998-02-01 00:00:00
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更新日期:2018-10-01 00:00:00
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更新日期:2015-02-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2017-07-01 00:00:00
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更新日期:2013-08-01 00:00:00
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更新日期:2001-10-01 00:00:00
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更新日期:2008-12-01 00:00:00
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更新日期:2014-08-01 00:00:00
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更新日期:2019-07-01 00:00:00
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更新日期:2008-10-01 00:00:00
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更新日期:2020-03-01 00:00:00
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更新日期:2019-06-01 00:00:00