Graduate Program in Physical Activity Sciences, Salgado de Oliveira University, Bloco A, Rua Marechal Deodoro, 217, bloco A, Centro, Niterói, RJ, CEP 24030-060, Brazil.
Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rua São Francisco Xavier, 524, sala 8121F, Maracanã, Rio de Janeiro, RJ, CEP 20550-900, Brazil.
Sports Med. 2019 Mar;49(3):463-475. doi: 10.1007/s40279-019-01059-z.
Institutional position stands are useful for practitioners when designing exercise routines for specific populations. Resistance training has been included in programs for patients with cardiovascular disease.
The objective of this systematic review was to analyze institutional guidelines providing recommendations for resistance training applied to cardiovascular disease.
PubMed, Web of Science, and Scopus databases were searched from inception until 30 April, 2018.
Of 994 articles initially found, 13 position stands were retained. Consensual indications occurred only for number of sets (one to three sets) and training frequency (two to three sessions/week). Recommendations concerning other major training variables were discordant regarding workload (none or loads ranging from < 30% up to 80% 1 repetition maximum) and exercise order (none or vaguely indicating alternation of muscle groups or circuit format), or insufficient regarding intervals between sets and exercises or number and type of exercises. Overall, guidelines lack recommendations of specific procedures for each type of disease at different severity levels, cardiovascular risk during exercise, or criteria for training progression.
Recommendations provided by institutional guidelines appear to be insufficient to support adequate resistance training prescription in the context of cardiovascular disease.
机构立场声明对于从业者在为特定人群设计运动方案时非常有用。抗阻训练已被纳入心血管疾病患者的治疗方案中。
本系统评价旨在分析针对心血管疾病的抗阻训练推荐的机构指南。
从建库至 2018 年 4 月 30 日，我们在 PubMed、Web of Science 和 Scopus 数据库中进行了检索。
在最初检索到的 994 篇文章中，保留了 13 篇立场声明。仅在训练组数（1 至 3 组）和训练频率（2 至 3 次/周）方面达成共识。对于其他主要训练变量的推荐存在不一致，涉及到训练负荷（无或<30%至 80%1 次重复最大负荷）和运动顺序（无或模糊指示肌肉群交替或循环格式），或在组间和组内间隔、练习次数和类型方面的推荐不足。总的来说，这些指南缺乏针对不同严重程度的特定疾病类型、运动时的心血管风险或训练进展标准的具体推荐。
机构指南提供的建议似乎不足以支持心血管疾病背景下的充分抗阻训练处方。
