High-Intensity Interval Training in Adults With Congenital Heart Disease: A Systematic Review.

IF 2.2 4区医学 Q2 CARDIAC & CARDIOVASCULAR SYSTEMS

Heart, Lung and Circulation Pub Date : 2025-01-01 Epub Date: 2024-12-13 DOI:10.1016/j.hlc.2024.09.008

Lino Sérgio Rocha Conceição, Naomi Gauthier, Alana Lalucha Andrade Guimarães, Caroline Oliveira Gois, Ianne Karollayne Oliveira, Diego Santos Souza, Vitor Oliveira Carvalho

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引用次数: 0

Abstract

Background & aim: Individuals with congenital heart disease (CHD) have reduced cardiorespiratory fitness which is associated with poor prognosis and quality of life. Evidence shows that exercise is effective in the management of adults with CHD. However, uncertainties remain about the safety and efficacy of high-intensity interval training (HIIT) in these patients. We performed a systematic review to assess the effects of HIIT on aerobic capacity and quality of life in adults with CHD.

Methods: This systematic review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement and the Cochrane Collaboration Handbook.

Results: As only three studies fitting the inclusion criteria could be included, with a total of 87 adults with CHD, we identified a major need for more studies assessing the effect of HIIT. Although HIIT appeared to improve peak oxygen uptake, other measures were inconclusive due to limited studies.

Conclusion: Available evidence to date suggests that HIIT improves aerobic capacity in adults with CHD with no serious adverse events. However, these data are too limited and are to be viewed with caution, identifying an important need for future studies to determine the direct impact of HIIT and to compare HIIT with other exercise intensity modalities.

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成人先天性心脏病患者的高强度间歇训练：一项系统综述。

背景与目的：先天性心脏病（CHD）患者心肺功能低下，预后差，生活质量差。有证据表明，运动对成人冠心病患者的治疗是有效的。然而，在这些患者中，高强度间歇训练（HIIT）的安全性和有效性仍然存在不确定性。我们进行了一项系统综述，以评估HIIT对冠心病成人有氧能力和生活质量的影响。方法：本系统评价遵循系统评价和荟萃分析的首选报告项目声明和Cochrane协作手册。结果：由于只有3项研究符合纳入标准，总共87名成人冠心病患者，我们认为需要更多的研究来评估HIIT的效果。尽管HIIT似乎可以提高峰值摄氧量，但由于研究有限，其他措施尚无定论。结论：迄今为止已有证据表明，HIIT可改善成人冠心病患者的有氧能力，且无严重不良事件。然而，这些数据过于有限，需要谨慎看待，确定未来研究的重要需求是确定HIIT的直接影响，并将HIIT与其他运动强度模式进行比较。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Heart, Lung and Circulation CARDIAC & CARDIOVASCULAR SYSTEMS-

CiteScore

4.50

自引率

3.80%

发文量

912

审稿时长

11.9 weeks

期刊介绍： Heart, Lung and Circulation publishes articles integrating clinical and research activities in the fields of basic cardiovascular science, clinical cardiology and cardiac surgery, with a focus on emerging issues in cardiovascular disease. The journal promotes multidisciplinary dialogue between cardiologists, cardiothoracic surgeons, cardio-pulmonary physicians and cardiovascular scientists.