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Cited by 18Cardiovascular and exercise physiologyCardiac Health and Mental HealthPhysical Activity and Health

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High level physical activity in cardiac rehabilitation: Implications for exercise training and leisure-time pursuits

Franklin, Barry A., Quindry, John·2022·Progress in Cardiovascular Diseases
DOI 10.1016/j.pcad.2021.12.005
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Abstract

Importance Regular moderate-to-vigorous physical activity and increased levels of cardiorespiratory fitness (CRF) are widely promoted as cardioprotective measures in secondary prevention interventions. Observations A low level of CRF increases the risk of cardiovascular disease (CVD) to a greater extent than merely being physically inactive. An exercise capacity 3 METs, to empower patients to vacate this "high risk" group. Moreover, a "good" exercise capacity, expressed as peak METs, identifies individuals with a favorable long-term prognosis, regardless of the underlying extent of coronary disease. On the other hand, vigorous-to-high intensity physical activity, particularly when unaccustomed, and some competitive sports are associated with a greater incidence of acute cardiovascular events. Marathon and triathlon training/competition also have limited applicability and value in CR, are associated with acute cardiac events each year, and do not necessarily provide immunity to the development of or the progression of CVD. Furthermore, extreme endurance exercise regimens are associated with an increased incidence of atrial fibrillation and accelerated coronary artery calcification. Conclusions and relevance High-intensity training offers a time-saving alternative to moderate intensity continuous training, as well as other potential advantages. Additional long-term studies assessing safety, adherence, and morbidity and mortality are required before high-intensity CR training ca…

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Metadata

Authors
Franklin, B. A., & Quindry, J.
Affiliations
  • Oakland University (US)
  • St. Patrick Hospital (US)
Corresponding author
Franklin, Barry A.
ORCID
Venue
Progress in Cardiovascular Diseases
Publisher
Elsevier BV
Published
2022-01
Volume
70
Pages
22-32
ISSN
0033-0620 (ISSN-L)
DOI
10.1016/j.pcad.2021.12.005
OpenAlex
W4200610393
Cited by
18
References
93
Citations by year
2026: 3 · 2025: 5 · 2024: 3 · 2023: 4 · 2022: 3
FWCI
0.57
Type
journal article
Language
en
Open access
closed
Licence
Locations
  • Progress in Cardiovascular Diseases (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Physiology (medical) › Cardiovascular and exercise physiology
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac Health and Mental Health
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
Keywords
cardiac rehabilitation, high-intensity training, cardiorespiratory fitness, exercise capacity, cardiovascular disease, secondary prevention, marathon training, triathlon, endurance exercise, atrial fibrillation, coronary artery calcification, leisure-time physical activity, exercise safety, sedentary patients
MeSH terms
Cardiac Rehabilitation, Cardiorespiratory Fitness, Cardiovascular Diseases, Coronary Artery Disease, Exercise Therapy, Humans, Exercise

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