Effects of Nordic Walking training on exercise capacity and fitness in men participating in early, short-term inpatient cardiac rehabilitation after an acute coronary syndrome - a controlled trial
Effects of Nordic Walking training on exercise capacity and fitness in men participating in early, short-term inpatient cardiac rehabilitation after an acute coronary syndrome - a controlled trial
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DOI：
10.1177/0269215509337464
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发表时间：
2009-11-01
影响因子：
3
通讯作者：
Dylewicz, Piotr
中科院分区：
文献类型：
--
作者：
Kocur, Piotr;Deskur-Smielecka, Ewa;Dylewicz, Piotr
目的：研究急性冠脉综合征患者在标准的早期康复计划的基础上进行北欧式健走训练对运动能力和体能的影响。设计：一项对照试验。设定：研究对象：急性冠脉综合征患者80例，运动耐量良好，2-3周后进行心脏康复治疗（对照组），3周后进行北欧式健走（北欧式健走组）或传统步行训练（步行训练组）。主要措施有：运动能力被评估为峰值能量成本（代谢当量）在极限跑台运动试验，和体能与Fullerton功能健身test.Results：运动能力康复计划后，北欧式健走组高于对照组（10.8 +/-1.8与9.2 +/-2.2代谢当量，P = 0.025）。北欧式健走组运动能力的改善高于对照组（1.8 +/-1.5 vs 0.7 +/-1.4代谢当量，P = 0.002）。与对照组相比，北欧式步行和步行训练组的Fullerton测试的所有组成部分的结果都有所改善。训练结束后，与步行训练组和对照组相比，北欧式步行组的下半身耐力和动态平衡明显更好，北欧式步行和步行训练组的上半身耐力明显优于对照组。北欧式健走可以提高运动能力，急性冠脉综合征后参加早期短期康复的运动耐量良好的患者的身体耐力和运动协调性较低。
Objective: To investigate the effects of Nordic Walking training supplemental to a standard, early rehabilitation programme on exercise capacity and physical fitness in men after an acute coronary syndrome.Design: A controlled trial. Setting: Cardiac rehabilitation service of a provincial hospital.Subjects: Eighty men 2-3 weeks after an acute coronary syndrome, with good exercise tolerance.Interventions: Three-week, inpatient cardiac rehabilitation programme (control group) supplemented with Nordic Walking (Nordic Walking group), or with traditional walking training (walking training group). Main measures: Exercise capacity was assessed as peak energy cost (in metabolic equivalents) in symptom-limited treadmill exercise test, and physical fitness with the Fullerton Functional Fitness Test.Results: Exercise capacity after the rehabilitation programme was higher in the Nordic Walking group than in the control group (10.8 +/- 1.8 versus 9.2 +/- 2.2 metabolic equivalents, P = 0.025). The improvement in exercise capacity in the Nordic Walking group was higher than in the control group (1.8 +/- 1.5 versus 0.7 +/- 1.4 metabolic equivalents, P = 0.002). In contrast to the control group, the results of all components of the Fullerton test improved in the Nordic Walking and walking training groups. After the programme, lower body endurance, and dynamic balance were significantly better in the Nordic Walking group in comparison with the walking training and control groups, and upper body endurance was significantly better in the Nordic Walking and walking training groups than in the control group.Conclusions: Nordic Walking may improve exercise capacity, lower body endurance and coordination of movements in patients with good exercise tolerance participating in early, short-term rehabilitation after an acute coronary syndrome.