High-Intensity Interval Training vs. Medium-Intensity Continuous Training in Cardiac Rehabilitation Programs: A Narrative Review

Exercise-based cardiac rehabilitation (ExCR) programs are essential for patients diagnosed with cardiac diseases. Studies have shown that they aid in the rehabilitation process and may even facilitate a return to previous cardiorespiratory fitness. Also, patients who enroll and follow such programs...

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Main Authors: Alexandru Dan Costache, Alexandra Maștaleru, Maria Magdalena Leon, Mihai Roca, Radu Sebastian Gavril, Diana Elena Cosău, Andreea Rotundu, Alice Ioana Amagdalinei, Ovidiu Mitu, Irina Iuliana Costache Enache, Florin Mitu
Format: Article
Language:English
Published: MDPI AG 2024-11-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/11/1875
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author Alexandru Dan Costache
Alexandra Maștaleru
Maria Magdalena Leon
Mihai Roca
Radu Sebastian Gavril
Diana Elena Cosău
Andreea Rotundu
Alice Ioana Amagdalinei
Ovidiu Mitu
Irina Iuliana Costache Enache
Florin Mitu
author_facet Alexandru Dan Costache
Alexandra Maștaleru
Maria Magdalena Leon
Mihai Roca
Radu Sebastian Gavril
Diana Elena Cosău
Andreea Rotundu
Alice Ioana Amagdalinei
Ovidiu Mitu
Irina Iuliana Costache Enache
Florin Mitu
author_sort Alexandru Dan Costache
collection DOAJ
description Exercise-based cardiac rehabilitation (ExCR) programs are essential for patients diagnosed with cardiac diseases. Studies have shown that they aid in the rehabilitation process and may even facilitate a return to previous cardiorespiratory fitness. Also, patients who enroll and follow such programs have shown a lower rate of complications and mortality in the long run. The results vary depending on the type of program followed and the degree of debilitation the disease has caused. Therefore, in order to obtain optimal results, it is ideal to tailor each ExCR program to the individual profile of each patient. At the moment, the two most studied and employed training types are medium-intensity continuous training (MICT) and high-intensity interval training (HIIT). For most of the time, MICT was the first-choice program for patients with cardiovascular disease. In recent years, however, more and more studies have pointed towards the benefits of HIIT and how it better aids patients in recovering their cardiovascular fitness. Generally, MICT is more suited for patients with a severe degradation in functional capacity and who require a higher degree of safety (e.g., elderly, with a high number of comorbidities). On the other hand, while HIIT is more demanding, it appears to offer better outcomes. Therefore, this review aimed to summarize information from different publications on both types of training regimens in ExCR and assess their utility in current clinical practice.
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spelling doaj-art-8b8a49b0600d4abaa3315dc9cbc0b82e2024-11-26T18:12:46ZengMDPI AGMedicina1010-660X1648-91442024-11-016011187510.3390/medicina60111875High-Intensity Interval Training vs. Medium-Intensity Continuous Training in Cardiac Rehabilitation Programs: A Narrative ReviewAlexandru Dan Costache0Alexandra Maștaleru1Maria Magdalena Leon2Mihai Roca3Radu Sebastian Gavril4Diana Elena Cosău5Andreea Rotundu6Alice Ioana Amagdalinei7Ovidiu Mitu8Irina Iuliana Costache Enache9Florin Mitu10Clinical Rehabilitation Hospital, 700661 Iasi, RomaniaClinical Rehabilitation Hospital, 700661 Iasi, RomaniaClinical Rehabilitation Hospital, 700661 Iasi, RomaniaClinical Rehabilitation Hospital, 700661 Iasi, RomaniaClinical Rehabilitation Hospital, 700661 Iasi, RomaniaClinical Rehabilitation Hospital, 700661 Iasi, RomaniaClinical Rehabilitation Hospital, 700661 Iasi, RomaniaClinical Rehabilitation Hospital, 700661 Iasi, RomaniaFaculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaFaculty of Medicine, “Grigore T. Popa” University of Medicine and Pharmacy, 700115 Iasi, RomaniaClinical Rehabilitation Hospital, 700661 Iasi, RomaniaExercise-based cardiac rehabilitation (ExCR) programs are essential for patients diagnosed with cardiac diseases. Studies have shown that they aid in the rehabilitation process and may even facilitate a return to previous cardiorespiratory fitness. Also, patients who enroll and follow such programs have shown a lower rate of complications and mortality in the long run. The results vary depending on the type of program followed and the degree of debilitation the disease has caused. Therefore, in order to obtain optimal results, it is ideal to tailor each ExCR program to the individual profile of each patient. At the moment, the two most studied and employed training types are medium-intensity continuous training (MICT) and high-intensity interval training (HIIT). For most of the time, MICT was the first-choice program for patients with cardiovascular disease. In recent years, however, more and more studies have pointed towards the benefits of HIIT and how it better aids patients in recovering their cardiovascular fitness. Generally, MICT is more suited for patients with a severe degradation in functional capacity and who require a higher degree of safety (e.g., elderly, with a high number of comorbidities). On the other hand, while HIIT is more demanding, it appears to offer better outcomes. Therefore, this review aimed to summarize information from different publications on both types of training regimens in ExCR and assess their utility in current clinical practice.https://www.mdpi.com/1648-9144/60/11/1875cardiac rehabilitationphysical activityhigh-intensity interval trainingmedium-intensity continuous trainingcardiorespiratory fitnessadherence to exercise
spellingShingle Alexandru Dan Costache
Alexandra Maștaleru
Maria Magdalena Leon
Mihai Roca
Radu Sebastian Gavril
Diana Elena Cosău
Andreea Rotundu
Alice Ioana Amagdalinei
Ovidiu Mitu
Irina Iuliana Costache Enache
Florin Mitu
High-Intensity Interval Training vs. Medium-Intensity Continuous Training in Cardiac Rehabilitation Programs: A Narrative Review
Medicina
cardiac rehabilitation
physical activity
high-intensity interval training
medium-intensity continuous training
cardiorespiratory fitness
adherence to exercise
title High-Intensity Interval Training vs. Medium-Intensity Continuous Training in Cardiac Rehabilitation Programs: A Narrative Review
title_full High-Intensity Interval Training vs. Medium-Intensity Continuous Training in Cardiac Rehabilitation Programs: A Narrative Review
title_fullStr High-Intensity Interval Training vs. Medium-Intensity Continuous Training in Cardiac Rehabilitation Programs: A Narrative Review
title_full_unstemmed High-Intensity Interval Training vs. Medium-Intensity Continuous Training in Cardiac Rehabilitation Programs: A Narrative Review
title_short High-Intensity Interval Training vs. Medium-Intensity Continuous Training in Cardiac Rehabilitation Programs: A Narrative Review
title_sort high intensity interval training vs medium intensity continuous training in cardiac rehabilitation programs a narrative review
topic cardiac rehabilitation
physical activity
high-intensity interval training
medium-intensity continuous training
cardiorespiratory fitness
adherence to exercise
url https://www.mdpi.com/1648-9144/60/11/1875
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