Zhou Jin, Liu Ying, Zhao Hua, Yan Wei, Chen Litao, Sun Xing, Feng Xiaoman, Wang Jing, Pei Yongbin, Li Shuya
Health Care Center, The First Hospital of Hebei Medical University, Shijiazhuang, Hebei, China.
Obstetrical Department VIII, The Fourth Hospital of Shijiazhuang, Shijiazhuang, Hebei, China.
Br J Hosp Med (Lond). 2025 Jan 24;86(1):1-12. doi: 10.12968/hmed.2024.0408.
A novel exercise protocol for cardiac rehabilitation aerobic (CRA) has been developed by Hebei Sport University, demonstrating efficacy in patients with coronary heart disease (CHD). The objective of this study was to evaluate the impact of CRA on precise cardiac rehabilitation (CR) for CHD patients presenting with stable angina pectoris. The study cohort comprised patients with stable angina who were categorized into three groups: the CRA group (n = 35), the power bicycles (PB) group (n = 34), and the control group (n = 43). In addition to standard treatment, the CRA group underwent a 12-week CRA-based CR intervention, while the PB group participated in a similar program centered on PB exercise, and the control group received only standard treatment. At the end of the 12-week intervention, significant differences were observed among the groups in several physiological parameters, including systolic blood pressure (SBP), fasting blood glucose (FBG), triglycerides (TG), total cholesterol (TC), low-density lipoprotein (LDL), Glycated Haemoglobin (Hb-A1c), peak oxygen uptake (Peak VO), anaerobic threshold (AT), and Peak VO/heart rate (HR) ( < 0.05). Both the CRA and PB groups showed significant reductions in SBP, FBG, TG, TC, LDL, and Hb-A1c compared to the control group ( < 0.05). Additionally, both groups exhibited significant improvements in Peak VO, AT, and Peak VO/HR ( < 0.05). Intra-group analysis revealed that the CRA group showed significant improvements from baseline to post-intervention in SBP, diastolic blood pressure (DBP), FBG, TG, TC, high-density lipoprotein (HDL), LDL, Hb-A1c, Peak VO, AT, and Peak VO/HR ( < 0.05). Similarly, the PB group demonstrated significant improvements across these parameters ( < 0.05). Both CRA and PB exercises are safe and effective for achieving precise CR in patients with CHD. A 12-week CRA intervention, conducted three times per week for 30 minutes per session, significantly improves cardiopulmonary function and biochemical makers in patients with stable angina. These improvements are comparable to those achieved through PB exercise in precise CR.
河北体育学院研发了一种用于心脏康复有氧运动（CRA）的新型运动方案，该方案已在冠心病（CHD）患者中显示出疗效。本研究的目的是评估CRA对患有稳定型心绞痛的冠心病患者进行精准心脏康复（CR）的影响。研究队列包括患有稳定型心绞痛的患者，这些患者被分为三组：CRA组（n = 35）、动力自行车（PB）组（n = 34）和对照组（n = 43）。除标准治疗外，CRA组接受了为期12周的基于CRA的CR干预，而PB组参加了以PB运动为中心的类似项目，对照组仅接受标准治疗。在为期12周的干预结束时，观察到各组在几个生理参数上存在显著差异，包括收缩压（SBP）、空腹血糖（FBG）、甘油三酯（TG）、总胆固醇（TC）、低密度脂蛋白（LDL）、糖化血红蛋白（Hb-A1c）、峰值摄氧量（Peak VO）、无氧阈（AT）和峰值VO/心率（HR）（P<0.05）。与对照组相比，CRA组和PB组的SBP、FBG、TG、TC、LDL和Hb-A1c均显著降低（P<0.05）。此外，两组的Peak VO、AT和峰值VO/HR均有显著改善（P<0.05）。组内分析显示，CRA组从基线到干预后在SBP、舒张压（DBP）、FBG、TG、TC、高密度脂蛋白（HDL）、LDL、Hb-A1c、Peak VO、AT和峰值VO/HR方面均有显著改善（P<0.05）。同样，PB组在这些参数上也有显著改善（P<0.05）。CRA和PB运动对于冠心病患者实现精准CR都是安全有效的。每周进行三次、每次30分钟的为期12周的CRA干预，可显著改善稳定型心绞痛患者的心肺功能和生化指标。这些改善与在精准CR中通过PB运动所取得的改善相当。
