Department of Cardiovascular Medicine, Mayo Clinic, Rochester, Minnesota (Drs Taylor and Bonikowske); Centre for Research on Exercise, Physical activity, and Health, School of Human Movement and Nutrition Sciences, The University of Queensland, Brisbane, Australia (Drs Taylor, Holland, Keating, and Coombes); and Department of Cardiology, Sunshine Coast University Hospital, Birtinya, Australia (Dr Holland).
J Cardiopulm Rehabil Prev. 2021 Mar 1;41(2):61-77. doi: 10.1097/HCR.0000000000000565.
High-intensity interval training (HIIT) is gaining popularity as a training approach for patients attending cardiac rehabilitation (CR). While the literature has focused on the efficacy of HIIT for improving cardiorespiratory fitness (CRF), particularly when compared with moderate intensity exercise, less emphasis has been placed on adherence to HIIT. The aim of this review was to summarize the current literature regarding adherence to HIIT in CR patients with coronary artery disease.
A review identified 36 studies investigating HIIT in CR patients with coronary artery disease. Methods and data were extracted for exercise or training adherence (to attendance, intensity, and duration), feasibility of protocols, and CRF. The review summarizes reporting of adherence; adherence to HIIT and comparator/s; the influence of adherence on changes in CRF; and feasibility of HIIT.
Adherence to the attendance of HIIT sessions was high and comparable with moderate-intensity exercise. However, adherence to the intensity and duration of HIIT was variable and underreported, which has implications for determining the treatment effect of the exercise interventions being compared. Furthermore, additional research is needed to investigate the utility of home-based HIIT and long-term adherence to HIIT following supervised programs. This review provides recommendations for researchers in the measurement and reporting of adherence to HIIT and other exercise interventions to facilitate a sufficient and consistent approach for future studies. This article also highlights strategies for clinicians to improve adherence, feasibility, and enjoyment of HIIT for their patients.
高强度间歇训练（HIIT）作为一种心脏康复（CR）患者的训练方法越来越受欢迎。虽然文献主要集中在 HIIT 对改善心肺适应性（CRF）的功效上，尤其是与中等强度运动相比，但对 HIIT 的依从性关注较少。本综述的目的是总结目前关于冠心病 CR 患者 HIIT 依从性的文献。
综述确定了 36 项研究 HIIT 对冠心病 CR 患者的影响。提取了关于运动或训练依从性（出勤率、强度和持续时间）、方案可行性和 CRF 的方法和数据。该综述总结了依从性报告、HIIT 与对照组的依从性、依从性对 CRF 变化的影响以及 HIIT 的可行性。
HIIT 课程出勤率高，与中等强度运动相当。然而，HIIT 的强度和持续时间的依从性是可变的且报告不足，这对确定正在比较的运动干预措施的治疗效果有影响。此外，还需要进一步研究，以调查家庭 HIIT 和监督方案后 HIIT 的长期依从性的效用。本综述为研究人员在 HIIT 和其他运动干预措施的依从性测量和报告方面提供了建议，以促进未来研究采用充分和一致的方法。本文还强调了临床医生提高 HIIT 依从性、可行性和患者满意度的策略。
