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低容量高强度间歇有氧运动是改善心肌梗死后心肺功能的有效方法:INTERFARCT 项目的初步研究。

Low-Volume High-Intensity Aerobic Interval Training Is an Efficient Method to Improve Cardiorespiratory Fitness After Myocardial Infarction: PILOT STUDY FROM THE INTERFARCT PROJECT.

机构信息

Department of Physical Education and Sport, Physical Activity and Sport Sciences Section, Faculty of Education and Sport, University of the Basque Country (UPV/EHU), Vitoria-Gasteiz, Araba/Álava, Basque Country, Spain (Ms Jayo-Montoya and Drs Gorostegi-Anduaga and Maldonado-Martín); Primary Care Administration of Burgos, Health Service of the Castilla & León Community (Sacyl), Spain (Dr Aispuru and Ms Villar-Zabala); Department of Physiology, Faculty of Medicine, University of the Basque Country (UPV/EHU), Leioa, Bizkaia, Basque Country, Spain (Dr Aispuru); and Cardiology Department (Drs Gallardo-Lobo and Matajira-Chia) and Internal Medicine Department (Dr Blanco-Guzmán), Santiago Apóstol Hospital, Miranda de Ebro, Burgos, Spain.

出版信息

J Cardiopulm Rehabil Prev. 2020 Jan;40(1):48-54. doi: 10.1097/HCR.0000000000000453.

Abstract

PURPOSE

To analyze the changes in cardiorespiratory fitness (CRF) and body composition following 2 different (low-volume vs high-volume) high-intensity aerobic interval training (HIIT) programs with Mediterranean diet (Mediet) recommendations in individuals after myocardial infarction (MI) and compared with an attention control group (AC).

METHODS

Body composition and CRF were assessed before and after a 16-wk intervention in 70 participants (58.4 ± 8.5 yr) diagnosed with MI. All participants received Mediet recommendations and were randomly assigned to the AC group (physical activity recommendations, n = 14) or one of the 2 supervised aerobic exercise groups (2 d/wk training): high-volume (40 min) HIIT (n = 28) and low-volume (20 min) HIIT (n = 28).

RESULTS

Following the intervention, no significant changes were seen in the AC group and no differences between HIIT groups were found in any of the studied variables. Only HIIT groups showed reductions in waist circumference (low-volume HIIT, Δ = -4%, P < .05; high-volume HIIT, Δ = -2%, P < .001) and improvements in CRF (low-volume HIIT, Δ = 15%, P < .01; high-volume HIIT, Δ = 22%; P < .001) with significant between-group differences (attention control vs HIIT groups).

CONCLUSIONS

Results suggest that a 16-wk intervention (2 d/wk) of different HIIT volumes with Mediet recommendations could equally improve CRF and waist circumference after MI. Low-volume HIIT may be a potent and time-efficient exercise training strategy to improve functional capacity.

摘要

目的

分析两种不同(低容量与高容量)高强度间歇训练(HIIT)方案与地中海饮食(Mediet)建议对心肌梗死后个体心肺功能适应性(CRF)和身体成分的影响,并与对照组(AC)进行比较。

方法

70 名心肌梗死后患者(58.4 ± 8.5 岁)接受 16 周干预前后,评估身体成分和 CRF。所有患者均接受 Mediet 建议,并随机分为 AC 组(体育活动建议,n = 14)或 2 个监督有氧运动组(每周 2 天训练):高容量(40 分钟)HIIT(n = 28)和低容量(20 分钟)HIIT(n = 28)。

结果

干预后,AC 组无明显变化,HIIT 组各研究变量之间无差异。仅 HIIT 组腰围减少(低容量 HIIT,Δ=-4%,P<.05;高容量 HIIT,Δ=-2%,P<.001)和 CRF 改善(低容量 HIIT,Δ=15%,P<.01;高容量 HIIT,Δ=22%;P<.001),且组间差异有统计学意义(AC 组与 HIIT 组)。

结论

结果表明,16 周的不同 HIIT 方案(每周 2 天)与 Mediet 建议的干预可同样改善 MI 后 CRF 和腰围。低容量 HIIT 可能是一种有效且高效的运动训练策略,可提高功能能力。

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