Usefulness of the 6-minute walk test and the 200-metre fast walk test to individualize high intensity interval and continuous exercise training in coronary artery disease patients after acute coronary syndrome: a pilot controlled clinical study

Details

Serval ID
serval:BIB_EA8883A0DC24
Type
Article: article from journal or magazin.
Collection
Publications
Title
Usefulness of the 6-minute walk test and the 200-metre fast walk test to individualize high intensity interval and continuous exercise training in coronary artery disease patients after acute coronary syndrome: a pilot controlled clinical study
Journal
Clin Rehabil
Author(s)
Gremeaux M., Hannequin A., Laurent Y., Laroche D., Casillas J. M., Gremeaux V.
ISSN
1477-0873 (Electronic)
ISSN-L
0269-2155
Publication state
Published
Issued date
09/2011
Volume
25
Number
9
Pages
844-55
Language
english
Notes
Gremeaux, M
Hannequin, A
Laurent, Y
Laroche, D
Casillas, J M
Gremeaux, V
eng
Controlled Clinical Trial
England
Clin Rehabil. 2011 Sep;25(9):844-55. doi: 10.1177/0269215511403942. Epub 2011 Jul 4.
Abstract
OBJECTIVE: To study the effects of three individualized exercise training prescriptions using either a percentage of maximal heart rate (HR), maximal 6-minute walk test (6MWT) HR, or maximal 200-metre fast walk test (200-mFWT) HR, on walking performance and exercise capacity in coronary artery disease (CAD) patients. DESIGN: Controlled clinical study. PARTICIPANTS: Twenty-seven outpatients enrolled in a rehabilitation programme after an acute coronary syndrome. SETTING: Cardiac rehabilitation unit. INTERVENTIONS: Three groups: (A): moderate intensity continuous exercise (MICE) at 70% of the maximal HR of the graded maximal exercise test (n = 10); (B): MICE at the maximal 6MWT HR (n = 8); (C): high intensity interval training (HIIT) based on the 6MWT and the 200-mFWT maximal HR (n = 9). Group B and C performed walk tests every 2 weeks, to readjust training HR (THR) if needed. MEASURES: 6MWT and 200-mFWT performances, peak VO(2) and peak power (Pmax). RESULTS: 6MWT and 200-mFWT performances improved significantly and similarly in all groups (P < 0.05). Peak VO(2) improved significantly in all groups (P < 0.05), this improvement being higher in group C (HIIT) versus A (P < 0.05). Group B was closer to the recommended THR during exercise sessions compared to group A. CONCLUSION: This pilot study showed that using the 6MWT and 200-mFWT HR to individualize MICE or HIIT prescription is feasible in CAD patients, and could lead them closer to THR objective, to similar improvements in walking performance, and greater peak VO(2) increase for HIIT. Future randomised studies should investigate long-term effects of programmes prescribed from walk tests HR, especially for HIIT modality.
Keywords
Acute Coronary Syndrome/*rehabilitation, Aged, Exercise Test/*methods, Exercise Therapy/*methods, Female, Heart Rate/physiology, Humans, Male, Middle Aged, Outcome and Process Assessment (Health Care), Pilot Projects, Walking/*physiology
Pubmed
Create date
26/11/2019 11:35
Last modification date
06/05/2020 5:26
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