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

医学 康复 有氧运动 物理疗法 运动处方 药方 运动强度 有氧能力 物理医学与康复 肺康复 心率 内科学 血压 护理部
作者
Alessandro Mezzani,Larry F. Hamm,Andrew M. Jones,Patrick E. McBride,Trine Moholdt,James A. Stone,Axel Urhausen,Mark A. Williams
出处
期刊:European Journal of Preventive Cardiology [Oxford University Press]
卷期号:20 (3): 442-467 被引量:447
标识
DOI:10.1177/2047487312460484
摘要

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.
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