Rocha Conceição Lino Sérgio, Gauthier Naomi, Andrade Guimarães Alana Lalucha, Gois Caroline Oliveira, Oliveira Ianne Karollayne, Souza Diego Santos, Carvalho Vitor Oliveira
Postgraduate Program in Health Sciences (The GrEAt Group - Grupo de Estudos em Atividade física), Sao Cristóvão, Sergipe, Brazil; Department of Physical Therapy, Federal University of Sergipe (UFS), Sao Cristóvão, Sergipe, Brazil.
Department of Pediatrics, Harvard Medical School, Boston, MA, USA.
Heart Lung Circ. 2025 Jan;34(1):16-24. doi: 10.1016/j.hlc.2024.09.008. Epub 2024 Dec 13.
BACKGROUND & AIM: Individuals with congenital heart disease (CHD) have reduced cardiorespiratory fitness which is associated with poor prognosis and quality of life. Evidence shows that exercise is effective in the management of adults with CHD. However, uncertainties remain about the safety and efficacy of high-intensity interval training (HIIT) in these patients. We performed a systematic review to assess the effects of HIIT on aerobic capacity and quality of life in adults with CHD.
This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and the Cochrane Collaboration Handbook.
As only three studies fitting the inclusion criteria could be included, with a total of 87 adults with CHD, we identified a major need for more studies assessing the effect of HIIT. Although HIIT appeared to improve peak oxygen uptake, other measures were inconclusive due to limited studies.
Available evidence to date suggests that HIIT improves aerobic capacity in adults with CHD with no serious adverse events. However, these data are too limited and are to be viewed with caution, identifying an important need for future studies to determine the direct impact of HIIT and to compare HIIT with other exercise intensity modalities.
先天性心脏病（CHD）患者的心肺适能降低，这与预后不良和生活质量不佳相关。有证据表明，运动对成年CHD患者的治疗有效。然而，高强度间歇训练（HIIT）在这些患者中的安全性和有效性仍存在不确定性。我们进行了一项系统评价，以评估HIIT对成年CHD患者有氧能力和生活质量的影响。
本系统评价遵循系统评价与Meta分析的首选报告项目声明和Cochrane协作网手册。
由于仅能纳入三项符合纳入标准的研究，共87例成年CHD患者，我们发现非常需要更多研究来评估HIIT的效果。尽管HIIT似乎能改善峰值摄氧量，但由于研究有限，其他指标尚无定论。
目前可得的证据表明，HIIT可改善成年CHD患者的有氧能力，且无严重不良事件。然而，这些数据非常有限，应谨慎看待，这表明未来研究非常有必要确定HIIT的直接影响，并将HIIT与其他运动强度模式进行比较。
