Exercise intensity prescription in cardiovascular rehabilitation: bridging the gap between best evidence and clinical practice

Frontiers in Cardiovascular Medicine, Journal Year: 2024, Volume and Issue: 11

Published: Aug. 27, 2024

Optimizing endurance exercise intensity prescription is crucial to maximize the clinical benefits and minimize complications for individuals at risk or with cardiovascular disease (CVD). However, standardization remains incomplete due variations in guidelines. This review provides a practical updated guide health professionals on how prescribe rehabilitation (CR) populations, addressing international guidelines, applicability across diverse settings resource availabilities. In context of CR, cardiopulmonary test (CPET) considered gold standard assessment, based ventilatory thresholds (VTs) preferable methodology. where this approach isn't accessible, which frequently case low-resource environments, approximating VTs involves combining objective assessments—ideally, tests without gas exchange analyses, but least alternative functional like 6-minute walk test—with subjective methods adjusting prescriptions, such as Borg's ratings perceived exertion Talk Test. Therefore, enhancing offering personalized physical activity guidance patients CVD rely aligning workouts individual physiological changes. A tailored promotes consistent impactful routine outcomes, considering patient preferences motivations. Consequently, selection implementation best possible should consider available resources, an ongoing emphasis strategies improve delivery quality training FITT-VP model (frequency, intensity, time, type, volume, progression).

Language: Английский

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Diretriz Brasileira de Ergometria em Crianças e Adolescentes – 2024

Arquivos Brasileiros de Cardiologia, Journal Year: 2024, Volume and Issue: 121(8)

Published: Aug. 1, 2024

Classes de Recomendação Classe I: Condições para as quais há evidências conclusivas e, na sua falta, consenso geral que o procedimento é seguro e útil/eficaz. II: conflitantes e/ou divergência opinião sobre a segurança utilidade/eficácia do procedimento. IIa: Peso ou evidência/opinião favor A maioria aprova. IIb: Segurança menos estabelecidas, havendo opiniões divergentes. III: não útil/eficaz em alguns casos, pode ser prejudicial. Níveis Evidência Nível A: Dados obtidos partir múltiplos estudos randomizados bom porte, concordantes metanálise robusta randomizados. B: robusta, um único estudo randomizado observacionais. C: consensuais especialistas.

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Brazilian Guideline for Exercise Testing in Children and Adolescents – 2024

Arquivos Brasileiros de Cardiologia, Journal Year: 2024, Volume and Issue: 121(8)

Published: Aug. 1, 2024

Classes of Recommendation Class I: Conditions for which there is conclusive evidence and, failing that, general agreement that a given procedure safe and useful/effective. II: conflicting and/or divergence opinion about the safety usefulness/efficacy procedure. IIa: Weight or evidence/opinion in favor Most approve. IIb: Safety less well established, with opinions. III: not useful/effective some cases, may be harmful. Levels Evidence Level A: Data derived from multiple large, concordant randomized trials robust meta-analyses trials. B: meta-analyses, single trial observational studies. C: consensus experts.

Language: Английский

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Glittre-ADL test to assess functional capacity in patients with heart failure and reduced ejection fraction: Reproducibility, minimal detectable change, and cutoff point

Brazilian Journal of Physical Therapy, Journal Year: 2024, Volume and Issue: 28(6), P. 101144 - 101144

Published: Nov. 1, 2024

Language: Английский

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