Exercise Prescription in Patients with Different Combinations of Cardiovascular Disease Risk Factors: A Consensus Statement from the EXPERT Working Group

被引：124

作者：

Hansen, Dominique ^{[1
,2
]}

Niebauer, Josef ^{[3
]}

Cornelissen, Veronique ^{[4
]}

Barna, Olga ^{[5
]}

Neunhaeuserer, Daniel ^{[6
,7
]}

Stettler, Christoph ^{[8
]}

Tonoli, Cajsa ^{[9
]}

Greco, Eugenio

Fagard, Robert ^{[10
]}

Coninx, Karin ^{[11
]}

Vanhees, Luc ^{[4
]}

Piepoli, Massimo F. ^{[12
]}

Pedretti, Roberto ^{[13
]}

Ruiz, Gustavo Rovelo ^{[11
]}

Corra, Ugo ^{[14
]}

Schmid, Jean-Paul ^{[15
]}

Davos, Constantinos H. ^{[16
]}

Edelmann, Frank ^{[17
,18
,19
]}

Abreu, Ana ^{[20
]}

Rauch, Bernhard ^{[21
]}

Ambrosetti, Marco ^{[22
]}

Braga, Simona Sarzi ^{[13
]}

Beckers, Paul ^{[23
,24
]}

Bussotti, Maurizio ^{[25
]}

Faggiano, Pompilio ^{[26
]}

Garcia-Porrero, Esteban ^{[27
]}

Kouidi, Evangelia ^{[28
]}

Lamotte, Michel ^{[29
]}

Reibis, Rona ^{[30
]}

Spruit, Martijn A. ^{[2
,31
,32
]}

Takken, Tim ^{[33
]}

Vigorito, Carlo ^{[34
]}

Voeller, Heinz ^{[35
,36
]}

Doherty, Patrick ^{[37
]}

Dendale, Paul ^{[1
,2
]}

机构：

[1] Jessa Hosp, Heart Ctr Hasselt, Hasselt, Belgium

[2] Hasselt Univ, BIOMED REVAL Rehabil Res Ctr, Fac Med & Life Sci, UHasselt, Agoralaan,Bldg A, B-3590 Diepenbeek, Belgium

[3] Paracelsus Med Univ Salzburg, Inst Sports Med Prevent & Rehabil, Res Inst Mol Sports Med & Rehabil, Sports Med Olymp Ctr Salzburg Rif, Salzburg, Austria

[4] Katholieke Univ Leuven, Fac Kinesiol & Rehabil Sci, Dept Rehabil Sci, Res Grp Cardiovasc Rehabil, Louvain, Belgium

[5] Natl OO Bogomolets Med Univ, Dept Family Med, Kiev, Ukraine

[6] Univ Padua, Sport & Exercise Med Div, Dept Med, Padua, Italy

[7] Paracelsus Med Univ Salzburg, Univ Inst Sports Med Prevent & Rehabil, Salzburg, Austria

[8] Univ Hosp, Inselspital, Div Endocrinol Diabet & Clin Nutr, Bern, Switzerland

[9] Univ Ghent, Dept Rehabil Sci & Physiotherapy, Ghent, Belgium

[10] KU Leuven Univ, Hypertens & Cardiovasc Rehabil Unit, Louvain, Belgium

[11] Hasselt Univ, Expertise Ctr Digital Media, UHasselt, Fac Sci, Hasselt, Belgium

[12] AUSL Piacenza, Guglielmo da Saliceto Hosp, Dept Cardiac, Heart Failure Unit, Piacenza, Italy

[13] IRCCS Tradate, Ist Clin Sci Maugeri, Dept Med & Cardioresp Rehabil, Tradate, Varese, Italy

[14] IRCCS, Cardiol Rehabil Dept, Ist Clin Sci Salvatore Maugeri, SPA,SB,Sci Inst Veruno, Veruno, NO, Italy

[15] Clin Barmelweid, Dept Cardiol, Barmelweid, Switzerland

[16] Acad Athens, Biomed Res Fdn, Cardiovasc Res Lab, Athens, Greece

[17] Charite Univ Med Berlin, Dept Internal Med Cardiol, Campus Virchow Klinikum, Berlin, Germany

[18] Univ Gottingen, Dept Cardiol & Pneumol, Gottingen, Germany

[19] German Ctr Cardiovasc Res, Partner Site Berlin, Gottingen, Germany

[20] Hosp Santa Marta, Dept Cardiol, Lisbon, Portugal

[21] Inst Herzinfarktforsch Ludwigshafen, Ludwigshafen, Germany

[22] Le Terrazze Clin, Cardiovasc Rehabil Unit, Cunardo, Italy

[23] Antwerp Univ Hosp, Dept Cardiol, Edegem, Belgium

[24] Univ Antwerp, Translat Pathophysiol Res, Antwerp, Belgium

[25] IRCCS, Inst Milan, Inst Clin Maugeri, Unit Cardioresp Rehabil, Milan, Italy

[26] Spedali Civil Brescia, Dept Cardiol, Brescia, Italy

[27] Complejo Hosp Univ Leon, Serv Cardiol, Leon, Spain

[28] Aristotle Univ Thessaloniki, Lab Sports Med, Thessaloniki, Greece

[29] CUB Erasme Hosp, Brussels, Belgium

[30] Cardiol Outpatient Clin, Pk Sanssouci, Potsdam, Germany

[31] Ctr Expertise Chron Organ Failure, CIRO, Dept Res & Educ, Horn, Netherlands

[32] Maastricht Univ, Med Ctr, NUTRIM Sch Nutr & Translat Res Metab, Dept Resp Med, Maastricht, Netherlands

[33] UMC Utrecht, Wilhelmina Childrens Hosp, Div Pediat Child Dev & Exercise Ctr, Utrecht, Netherlands

[34] Univ Naples Federico II, Dept Translat Med Sci, Internal Med & Cardiac Rehabil, Naples, Italy

[35] Klin See, Dept Cardiol, Rudersdorf, Germany

[36] Univ Potsdam, Rehabil Res Ctr, Potsdam, Germany

[37] Univ York, Dept Hlth Sci, York, N Yorkshire, England

来源：

SPORTS MEDICINE | 2018年 / 48卷 / 08期

关键词：

RESTING BLOOD-PRESSURE; TYPE-2; DIABETES-MELLITUS; OUTPATIENT CARDIAC REHABILITATION; CONTINUOUS MODERATE EXERCISE; AEROBIC EXERCISE; PHYSICAL-ACTIVITY; GLYCEMIC CONTROL; ENDOTHELIAL FUNCTION; RESISTANCE EXERCISE; INTENSITY EXERCISE;

D O I：

10.1007/s40279-018-0930-4

中图分类号：

G8 [体育];

学科分类号：

04 ; 0403 ;

摘要：

Whereas exercise training is key in the management of patients with cardiovascular disease (CVD) risk (obesity, diabetes, dyslipidaemia, hypertension), clinicians experience difficulties in how to optimally prescribe exercise in patients with different CVD risk factors. Therefore, a consensus statement for state-of-the-art exercise prescription in patients with combinations of CVD risk factors as integrated into a digital training and decision support system (the EXercise Prescription in Everyday practice & Rehabilitative Training (EXPERT) tool) needed to be established. EXPERT working group members systematically reviewed the literature for meta-analyses, systematic reviews and/or clinical studies addressing exercise prescriptions in specific CVD risk factors and formulated exercise recommendations (exercise training intensity, frequency, volume and type, session and programme duration) and exercise safety precautions, for obesity, arterial hypertension, type 1 and 2 diabetes, and dyslipidaemia. The impact of physical fitness, CVD risk altering medications and adverse events during exercise testing was further taken into account to fine-tune this exercise prescription. An algorithm, supported by the interactive EXPERT tool, was developed by Hasselt University based on these data. Specific exercise recommendations were formulated with the aim to decrease adipose tissue mass, improve glycaemic control and blood lipid profile, and lower blood pressure. The impact of medications to improve CVD risk, adverse events during exercise testing and physical fitness was also taken into account. Simulations were made of how the EXPERT tool provides exercise prescriptions according to the variables provided. In this paper, state-of-the-art exercise prescription to patients with combinations of CVD risk factors is formulated, and it is shown how the EXPERT tool may assist clinicians. This contributes to an appropriately tailored exercise regimen for every CVD risk patient.

引用

页码：1781 / 1797

页数：17

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