Document Detail


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.
MedLine Citation:
PMID:  23103476     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
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.
Authors:
Alessandro Mezzani; Larry F Hamm; Andrew M Jones; Patrick E McBride; Trine Moholdt; James A Stone; Axel Urhausen; Mark A Williams
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-10-25
Journal Detail:
Title:  Journal of cardiopulmonary rehabilitation and prevention     Volume:  -     ISSN:  1932-751X     ISO Abbreviation:  J Cardiopulm Rehabil Prev     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101291247     Medline TA:  J Cardiopulm Rehabil Prev     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
1Salvatore Maugeri Foundation IRCCS, Scientific Institute of Veruno, Exercise Pathophysiology Laboratory, Cardiac Rehabilitation Division, Italy: 2George Washington University Medical Center, School of Public Health and Health Services, Department of Exercise Science, Washington, DC, USA 3University of Exeter, School of Sport and Health Sciences, UK 4University of Wisconsin, School of Medicine and Public Health, Department of Medicine, and Medicine and Family Medicine, USA 5Norwegian University of Science and Technology, KG Jebsen Center of Exercise in Medicine, Department of Circulation and Medical Imaging, Trondheim, Norway 6Cardiac Wellness Institute of Calgary, University of Calgary, Libin Cardiovascular Institute of Alberta, Canada 7Hospital Centre of Luxembourg, Centre of Locomotor System, Sports Medicine and Prevention, CRP-Santé, Luxembourg 8Creighton University School of Medicine, Division of Cardiology, Department of Medicine, Omaha, USA. *Co-Chair.
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