Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: a joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation
Aerobic exercise intensity assessment and prescription in cardiac rehabilitation: a joint position statement of the European Association for Cardiovascular Prevention and Rehabilitation, the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation
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DOI：
10.1177/2047487312460484
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发表时间：
2013-06-01
影响因子：
8.3
通讯作者：
Williams, Mark A.
中科院分区：
文献类型：
--
作者：
Mezzani, Alessandro;Hamm, Larry F.;Williams, Mark A.
有氧运动强度处方是心脏康复的关键问题，直接关系到运动能力的改善程度和运动期间不良事件的风险。这份联合立场声明旨在为专业人士提供最新数据，包括不同运动强度范畴的识别、直接及间接厘定持续及间歇有氧训练运动强度的方法、使用不同运动程序对运动强度处方的影响，以及特定心脏病患者组别的运动训练处方适应症。强调了在开始有氧训练计划之前通过运动测试进行功能评估的重要性，并且提出了在可用时，递增心肺运动测试作为生理学综合运动强度评估和处方的金标准。这可能允许从“基于范围”的有氧运动强度处方转变为“基于阈值”的有氧运动强度处方，结合全面的临床评估和运动相关风险评估，可以最大限度地提高心脏康复中使用有氧运动训练可获得的益处。
Aerobic exercise intensity prescription is a key issue in cardiac rehabilitation, being directly linked to both the amount of improvement in exercise capacity and the risk of adverse events during exercise. This joint position statement aims to provide professionals with up-to-date information regarding the identification of different exercise intensity domains, the methods of direct and indirect determination of exercise intensity for both continuous and interval aerobic training, the effects of the use of different exercise protocols on exercise intensity prescription and the indications for recommended exercise training prescription in specific cardiac patients' groups. The importance of functional evaluation through exercise testing prior to starting an aerobic training program is strongly emphasized, and ramp incremental cardiopulmonary exercise test, when available, is proposed as the gold standard for a physiologically comprehensive exercise intensity assessment and prescription. This may allow a shift from a 'range-based' to a 'threshold-based' aerobic exercise intensity prescription, which, combined with thorough clinical evaluation and exercise-related risk assessment, could maximize the benefits obtainable by the use of aerobic exercise training in cardiac rehabilitation.