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Effect of home-based high-intensity interval training using telerehabilitation among coronary heart disease patients
INTRODUCTION: Cardiovascular diseases are the world's most common causes of morbidity and mortality in the population, including Central Europe. Cardiac rehabilitation (CR) is an effective preventive approach that includes several core components. Physical training is identified as an integral...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Lippincott Williams & Wilkins
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676562/ https://www.ncbi.nlm.nih.gov/pubmed/33217814 http://dx.doi.org/10.1097/MD.0000000000023126 |
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author | Dosbaba, Filip Hartman, Martin Hnatiak, Jakub Batalik, Ladislav Ludka, Ondrej |
author_facet | Dosbaba, Filip Hartman, Martin Hnatiak, Jakub Batalik, Ladislav Ludka, Ondrej |
author_sort | Dosbaba, Filip |
collection | PubMed |
description | INTRODUCTION: Cardiovascular diseases are the world's most common causes of morbidity and mortality in the population, including Central Europe. Cardiac rehabilitation (CR) is an effective preventive approach that includes several core components. Physical training is identified as an integral and essential part of CR. Training can positively influence several cardiovascular risk factors in people diagnosed with coronary heart disease and prevent them from clinical events. Our study aims to research the method of high-intensity interval training (HIIT) in a home environment using telerehabilitation. We assume that the HIIT form of telerehabilitation, using a heart rate monitor as a tool for backing up training data, can improve cardiorespiratory fitness and lead to higher peak oxygen uptake than the traditional moderate-intensity continuous training (MICT). METHODS: This study is designed as a monocentral randomized controlled trial at University Hospital Brno in the Czech Republic. After the coronary heart event, the suitable patients will be randomized (1:1 ratio) and separated into 2 groups: the experimental HIIT group and the control MICT group. Both groups undergo a 12-week telerehabilitation with a 1-year follow-up period. Study participants will be telemonitored during physical training in their home environment via a heart rate monitor and a web platform. Once a week, the patients will give their feedback and motivation by a telephone call. The primary outcome observed will be the effect of intervention expressed by changes in cardiorespiratory fitness. Secondary outcomes will be the health-related quality of life, anxiety, training adherence, body composition, safety, and satisfaction. DISCUSSION: The HIIT is widely researched predominantly in a center-based supervised form. Our study differs from others by the use of telemedicine and smart technologies in home-based settings. Previous home-based cardiac telerehabilitation studies have focused primarily on MICT, which has demonstrated feasibility, and results have shown similar improvements as center-based CR. There is a presumption that HIIT may be superior to MICT. However, it can be complicated to self-dose the method in the home environment. Investigators expect that HIIT research will provide insight into the possibilities of telemedicine feasibility, effect, and limitations of coronary heart disease patients’ use at low to moderate cardiovascular risk. |
format | Online Article Text |
id | pubmed-7676562 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Lippincott Williams & Wilkins |
record_format | MEDLINE/PubMed |
spelling | pubmed-76765622020-11-24 Effect of home-based high-intensity interval training using telerehabilitation among coronary heart disease patients Dosbaba, Filip Hartman, Martin Hnatiak, Jakub Batalik, Ladislav Ludka, Ondrej Medicine (Baltimore) 6300 INTRODUCTION: Cardiovascular diseases are the world's most common causes of morbidity and mortality in the population, including Central Europe. Cardiac rehabilitation (CR) is an effective preventive approach that includes several core components. Physical training is identified as an integral and essential part of CR. Training can positively influence several cardiovascular risk factors in people diagnosed with coronary heart disease and prevent them from clinical events. Our study aims to research the method of high-intensity interval training (HIIT) in a home environment using telerehabilitation. We assume that the HIIT form of telerehabilitation, using a heart rate monitor as a tool for backing up training data, can improve cardiorespiratory fitness and lead to higher peak oxygen uptake than the traditional moderate-intensity continuous training (MICT). METHODS: This study is designed as a monocentral randomized controlled trial at University Hospital Brno in the Czech Republic. After the coronary heart event, the suitable patients will be randomized (1:1 ratio) and separated into 2 groups: the experimental HIIT group and the control MICT group. Both groups undergo a 12-week telerehabilitation with a 1-year follow-up period. Study participants will be telemonitored during physical training in their home environment via a heart rate monitor and a web platform. Once a week, the patients will give their feedback and motivation by a telephone call. The primary outcome observed will be the effect of intervention expressed by changes in cardiorespiratory fitness. Secondary outcomes will be the health-related quality of life, anxiety, training adherence, body composition, safety, and satisfaction. DISCUSSION: The HIIT is widely researched predominantly in a center-based supervised form. Our study differs from others by the use of telemedicine and smart technologies in home-based settings. Previous home-based cardiac telerehabilitation studies have focused primarily on MICT, which has demonstrated feasibility, and results have shown similar improvements as center-based CR. There is a presumption that HIIT may be superior to MICT. However, it can be complicated to self-dose the method in the home environment. Investigators expect that HIIT research will provide insight into the possibilities of telemedicine feasibility, effect, and limitations of coronary heart disease patients’ use at low to moderate cardiovascular risk. Lippincott Williams & Wilkins 2020-11-20 /pmc/articles/PMC7676562/ /pubmed/33217814 http://dx.doi.org/10.1097/MD.0000000000023126 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0 |
spellingShingle | 6300 Dosbaba, Filip Hartman, Martin Hnatiak, Jakub Batalik, Ladislav Ludka, Ondrej Effect of home-based high-intensity interval training using telerehabilitation among coronary heart disease patients |
title | Effect of home-based high-intensity interval training using telerehabilitation among coronary heart disease patients |
title_full | Effect of home-based high-intensity interval training using telerehabilitation among coronary heart disease patients |
title_fullStr | Effect of home-based high-intensity interval training using telerehabilitation among coronary heart disease patients |
title_full_unstemmed | Effect of home-based high-intensity interval training using telerehabilitation among coronary heart disease patients |
title_short | Effect of home-based high-intensity interval training using telerehabilitation among coronary heart disease patients |
title_sort | effect of home-based high-intensity interval training using telerehabilitation among coronary heart disease patients |
topic | 6300 |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7676562/ https://www.ncbi.nlm.nih.gov/pubmed/33217814 http://dx.doi.org/10.1097/MD.0000000000023126 |
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