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The effect of progressive resistance training on aerobic fitness and strength in adults with coronary heart disease: A systematic review and meta-analysis of randomised controlled trials

Hollings, Matthew, Mavros, Yorgi, Freeston, Jonathan, Fiatarone Singh, Maria·2017·European Journal of Preventive Cardiology

DOI 10.1177/2047487317713329

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Abstract

Design We aimed to evaluate the effect of progressive resistance training on cardiorespiratory fitness and muscular strength in coronary heart disease, when compared to control or aerobic training, and when combined with aerobic training. Secondary aims were to evaluate the safety and efficacy of progressive resistance training on other physiological and clinical outcomes. Methods and results Electronic databases were searched from inception until July 2016. Designs included progressive resistance training vs control, progressive resistance training vs aerobic training, and combined training vs aerobic training. From 268,778 titles, 34 studies were included (1940 participants; 71.9% male; age 60 ± 7 years). Progressive resistance training was more effective than control for lower (standardized mean difference 0.57, 95% confidence interval (0.17-0.96)) and upper (1.43 (0.73-2.13)) body strength. Aerobic fitness improved similarly after progressive resistance training (16.9%) or aerobic training (21.0%); (standardized mean difference -0.13, 95% confidence interval (-0.35-0.08)). Combined training was more effective than aerobic training for aerobic fitness (0.21 (0.09-0.34), lower (0.62 (0.32-0.92)) and upper (0.51 (0.27-0.74)) body strength. Twenty studies reported adverse event information, with five reporting 64 cardiovascular complications, 63 during aerobic training. Conclusion Isolated progressive resistance training resulted in an increase in lower and upper body strength, and improved aerobic fitness to a similar degree as aerobic training in coronary heart disease cohorts. Importantly, when progressive resistance training was added to aerobic training, effects on both fitness and strength were enhanced compared to aerobic training alone. Reporting of adverse events was poor, and clinical gaps were identified for women, older adults, high intensity progressive resistance training and long-term outcomes, warranting future trials to confirm safety and effectiveness.

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Authors: Hollings, M., Mavros, Y., Freeston, J., & Fiatarone Singh, M.
Affiliations: The University of Sydney (AU)
Exercise, Health and Performance Faculty Research Group, The University of Sydney, Australia
Corresponding author: Hollings, Matthew
ORCID: Hollings, Matthew
Mavros, Yorgi
Freeston, Jonathan
Venue: European Journal of Preventive Cardiology
Publisher: Oxford University Press (OUP)
Published: 2017-06-05
Volume: 24
Issue: 12
Pages: 1242-1259
ISSN: 2047-4873 (ISSN-L)
2047-4881
DOI: 10.1177/2047487317713329
OpenAlex: W2623403944
Cited by: 148
References: 95
Citations by year: 2026: 9 · 2025: 22 · 2024: 23 · 2023: 14 · 2022: 18 · 2021: 22 · 2020: 11 · 2019: 18 · 2018: 8 · 2017: 3
FWCI: 2.33
Type: journal article
Language: en
Open access: closed
Licence: journals.sagepub.com/page/policies/text-and-data-mining-license (tdm)
Locations: European Journal of Preventive Cardiology (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: progressive resistance training, coronary artery disease, cardiorespiratory fitness, muscle strength, combined resistance and aerobic training, cardiovascular complications, exercise safety, older adults, women
MeSH terms: Cardiorespiratory Fitness, Coronary Disease, Exercise Therapy, Humans, Randomized Controlled Trials as Topic, Treatment Outcome, Exercise Tolerance, Muscle Strength, Resistance Training

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The effect of progressive resistance training on aerobic fitness and strength in adults with coronary heart disease: A systematic review and meta-analysis of randomised controlled trials

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