High-Intensity Interval Training in Cardiac Rehabilitation
Open accessAbstract
Recently, high-intensity interval training (HIIT) has been recognized as a safe and effective alternative to moderate-intensity continuous training for older patients with cardiovascular disease (CVD) in cardiac rehabilitation settings in an effort to improve health outcomes. This brief review considers general principles and suggestions for prescription of HIIT for older patients with CVD, specific challenges pertaining to older adults, the physiologic mechanisms by which HIIT contributes to improvements in peak Vo 2, and the effects of HIIT on cardiovascular health in older patients with coronary artery disease and heart failure.
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HIIT can be safely implemented in carefully selected older adults in supervised settings, including those at low-moderate risk of CV events and with pre-existing cardiovascular diseases, without significantly raising the risk of adverse events over MICT.
“Studies have shown that HIIT can be safely implemented in carefully selected older adults in supervised settings, including those at low-moderate risk of CV events and with pre-existing cardiovascular diseases, without significantly raising the risk of adverse events over moderate-intensity continuous training (MICT) [[164], [165], [166], [167], [168]].”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [166]
HIIT can be safely implemented in carefully selected older adults in supervised settings, including those at low-moderate risk of CV events and with pre-existing cardiovascular diseases, without significantly raising the risk of adverse events over moderate-intensity continuous training (MICT).
“Studies have shown that HIIT can be safely implemented in carefully selected older adults in supervised settings, including those at low-moderate risk of CV events and with pre-existing cardiovascular diseases, without significantly raising the risk of adverse events over moderate-intensity continuous training (MICT) [[164], [165], [166], [167], [168]].”
From Global consensus on optimal exercise recommendations for enhancing healthy longevity in older adults (ICFSR) (2025) · cites this paper as [166]
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References 71 · Cited by 118
Research works printed but not linked: 1
- [23]Ellingsen O, Halle M, Conraads V, High-Intensity Interval Training in Patients With Heart Failure With Reduced Ejection Fraction. Circulation 2017; 135(9): 839– 849. 28082387 PMC5325251
- Authors
- Dun, Y., Smith, J. R., Liu, S., & Olson, T. P.
- Affiliations
- Mayo Clinic (US)
- Xiangya Hospital Central South University (CN)
- Corresponding author
- Liu, Suixin
- Olson, Thomas P.
- Venue
- Clinics in Geriatric Medicine
- Publisher
- Elsevier BV
- Published
- 2019-11
- Volume
- 35
- Issue
- 4
- Pages
- 469-487
- ISSN
- 0749-0690 (ISSN-L)
- PMC
- PMC6760312
- OpenAlex
- W2959375221
- Cited by
- 118
- References
- 71
- Citations by year
- 2026: 13 · 2025: 22 · 2024: 28 · 2023: 10 · 2022: 22 · 2021: 14 · 2020: 6 · 2019: 1 · 2015: 1 · 2013: 1
- FWCI
- 2.21
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Clinics in Geriatric Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Development and Reform Commission of Hunan Province
- National Institutes of Health
- Topics
- Health Sciences › Medicine › Complementary and alternative medicine › Cardiovascular and exercise physiology
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- high-intensity interval training, cardiac rehabilitation, older adults, cardiovascular disease, exercise prescription, peak oxygen uptake, coronary artery disease, heart failure, cardiovascular health, exercise physiology
- MeSH terms
- Cardiac Rehabilitation, High-Intensity Interval Training, Aged, Aged, 80 and over, Cardiovascular Diseases, Coronary Artery Disease, Female, Humans, Male, Physical Fitness, Quality of Life, Geriatric Assessment, Treatment Outcome, Risk Assessment, Recovery of Function, Patient Safety
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