Key result
Adding resistance training to aerobic training in cardiac rehabilitation induces more positive cardiovascular and non-cardiovascular effects for stable coronary artery disease patients.
Why the study?
Although aerobic training is standard in cardiac rehabilitation and combined training with added resistance training is also used, consensus was needed regarding the cardiovascular and non-cardiovascular effects of resistance training in CAD patients.
Does resistance training added to aerobic training improve cardiovascular and non-cardiovascular outcomes in patients with stable coronary artery disease?
Systematic Review (n=3,877)
Does resistance training added to aerobic training improve cardiovascular and non-cardiovascular outcomes in patients with stable coronary artery disease?
The addition of resistance training to aerobic training in cardiac rehabilitation induces positive cardiovascular and non-cardiovascular effects for stable coronary artery disease patients.
Supports adding resistance training to aerobic programs in cardiac rehabilitation for stable CAD; extends evidence from 10 studies with 3877 participants.
Background Exercise-based cardiac rehabilitation program is a comprehensive intervention for the rehabilitation of coronary artery disease patients. Exercise therapy is a valuable, effective, and integral intervention of cardiac rehabilitation. Aerobic training is the gold standard exercise therapy in cardiac rehabilitation programs. In addition, combined training with added resistant training is also used. This systematic review aimed to provide the physical therapy clinicians with a consensus regarding the effect of resistant training by answering the question of what is the cardiovascular and non-cardiovascular effect (s) of resistant training in the cardiac rehabilitation program for patients with coronary artery disease? Main body The Physiotherapy evidence database (PEDro) was used as a search engine to select articles through study eligibility criteria. Adult or adult and old stable coronary artery disease patients engaged in a site-based (Phase II) exercise-based cardiac rehabilitation program that includes aerobic and resistant training. Selected articles applied cardiovascular and non-cardiovascular outcome measures to measure the effectiveness of resistant training. The author reviewed the selected articles and applied quantitative non-statistical analysis and appraisal for these articles. The systematic selection process resulted in 10 studies with a total participants number of 3877. Analyzing the articles revealed that adding resistant training to aerobic training resulted in a favorable improvement in outcome measures for coronary artery disease patients. Resistant training produced improvement in the exercise capacity (VO 2 peak), blood pressure, skeletal muscle strength, endurance, body composition, sleep quality, depression, and health-related quality of life. Short conclusions The addition of resistant training to aerobic training in cardiac rehabilitation induces more positive cardiovascular and non-cardiovascular effects for stable coronary artery disease patients.
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Salwa B. El-Sobkey (2022) conducted a systematic review in Coronary artery disease (n=3,877). Resistance training combined with aerobic training vs. Aerobic training alone or usual care was evaluated on Cardiovascular and non-cardiovascular effects (exercise capacity, blood pressure, skeletal muscle strength, endurance, body composition, etc.). Adding resistance training to aerobic training in cardiac rehabilitation induces more positive cardiovascular and non-cardiovascular effects for stable coronary artery disease patients.
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