Effect of a new resistance training method on the metaboreflex in cardiac rehabilitation patients: a randomized controlled trial.

3/7 resistance training method Ergoreflex Exercise pressor reflex Postexercise circulatory occlusion Strength training

Journal

European journal of applied physiology
ISSN: 1439-6327
Titre abrégé: Eur J Appl Physiol
Pays: Germany
ID NLM: 100954790

Informations de publication

Date de publication:
05 Aug 2024
Historique:
received: 26 05 2024
accepted: 26 07 2024
medline: 5 8 2024
pubmed: 5 8 2024
entrez: 5 8 2024
Statut: aheadofprint

Résumé

Patients with cardiac disease exhibit exaggerated sympathoexcitation, pressor, and ventilatory responses to muscle metaboreflex activation (MMA). However, the effects of cardiac rehabilitation (CR) and especially resistance training (RT) modalities on MMA are not well known. This study investigated how CR impacts MMA in such patients, specifically examining the effects of two different resistance training (RT) protocols following 12 weeks of CR. In addition to endurance exercises, 32 patients were randomized into either a 3/7 RT modality (comprising 5 sets of 3-7 repetitions) or a control (CTRL) modality (involving 3 sets of 9 repetitions), with distinct inter-set rest intervals (15 s for 3/7 and 60 s for CTRL). MMA, gauged by blood pressure (BP) and ventilatory (Ve) responses during a handgrip exercise at 40% effort and subsequent post-exercise circulatory occlusion, demonstrated CR's significant impact. Systolic BP, initially at + 28 ± 23% pre-CR, improved to + 11 ± 15% post-CR (P = .011 time effect; P = .131 group effect). Diastolic BP showed a similar trend, from + 27 ± 23% to + 13 ± 15% (P = .099 time effect; P = .087 group effect). Ve, initially at + 60 ± 39%, reduced to + 14 ± 19% post-CR (P < .001 time effect; P = .142 group effect). Critical parameters-maximal oxygen consumption, lean mass, hand grip, and quadriceps strength-exhibited parallel increases in both 3/7 and CTRL groups (P < .05 time effect; P > .3 group effect). Ultimately, CR demonstrated comparable improvements in MMA across both RT modalities, indicating its positive influence on cardiovascular responses and physical performance in individuals with cardiac conditions.

Identifiants

pubmed: 39102020
doi: 10.1007/s00421-024-05570-8
pii: 10.1007/s00421-024-05570-8
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

© 2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.

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Auteurs

Alexis Gillet (A)

Department of Cardiology, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, route de Lennik 808,1070, Brussels, Belgium. alexis.gillet@ulb.be.
Department of Physiotherapy, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, Brussels, Belgium. alexis.gillet@ulb.be.
Research Unit in Rehabilitation, Faculty of Human Movement Sciences, Université Libre de Bruxelles (ULB), Brussels, Belgium. alexis.gillet@ulb.be.

Thomas Grolaux (T)

Department of Cardiology, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, route de Lennik 808,1070, Brussels, Belgium.

Kevin Forton (K)

Department of Cardiology, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, route de Lennik 808,1070, Brussels, Belgium.
Department of Physiotherapy, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, Brussels, Belgium.

Malko Ibrahim (M)

Research Unit in Rehabilitation, Faculty of Human Movement Sciences, Université Libre de Bruxelles (ULB), Brussels, Belgium.

Michel Lamotte (M)

Department of Cardiology, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, route de Lennik 808,1070, Brussels, Belgium.
Department of Physiotherapy, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, Brussels, Belgium.

Ana Roussoulieres (A)

Department of Cardiology, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, route de Lennik 808,1070, Brussels, Belgium.

Céline Dewachter (C)

Department of Cardiology, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, route de Lennik 808,1070, Brussels, Belgium.
Laboratory of Physiology and Pharmacology, Faculty of Medicine, Université Libre de Bruxelles (ULB), Brussels, Belgium.

Vitalie Faoro (V)

Laboratory of Physiology, Faculty of Human Movement Sciences, Université Libre de Bruxelles (ULB), Brussels, Belgium.

Martin Chaumont (M)

Department of Cardiology, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, route de Lennik 808,1070, Brussels, Belgium.

Gaël Deboeck (G)

Research Unit in Rehabilitation, Faculty of Human Movement Sciences, Université Libre de Bruxelles (ULB), Brussels, Belgium.

Philippe van de Borne (P)

Department of Cardiology, Université Libre de Bruxelles (ULB), Hôpital Universitaire de Bruxelles (H.U.B), CUB Hôpital Erasme, route de Lennik 808,1070, Brussels, Belgium.

Classifications MeSH