The Effect Of An Expanded Long Term Periodization Exercise Training In Patients With Cardiovascular Disease
Cardiovascular Diseases, Coronary Artery Disease
About this trial
This is an interventional prevention trial for Cardiovascular Diseases focused on measuring Cardiovascular Disease, Coronary Artery Disease, Cardiopulmonary Exercise Testing, Oxygen Uptake Kinetics, Skeletal Muscle Oxygenation, Exercise Training, Periodized Exercise
Eligibility Criteria
Inclusion Criteria:
- angiographically documented coronary artery disease in at least one major epicardial vessel
- myocardial infarction,
- coronary revascularization (coronary artery bypass grafting, percutaneous transluminal coronary angioplasty, or coronary artery stent),
Exclusion Criteria:
- heart failure
- unstable angina pectoris
- heart transplants with either cardiac resynchronization therapy or implantable defibrillators
- inability to comply with guidelines for participation in exercise testing and training
- significant limiting and/or unstable comorbidities that would prevent full participation
Sites / Locations
- Faculty of Human Kinetics - University of Lisbon
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Periodized Exercise Training Regime
Non Periodized Exercise Training Regime
The ET program will be carried out 3 times a week (60 minutes per session) on non-consecutive days for 48 weeks and supervised for both groups. Exercise prescription will be gradually progressed through various combinations of duration, frequency and/or intensity of training. Over the 1st-15th exercise sessions: MCT and anatomical resistance training; from the 16th-30th session: combined ET with HIIT and hypertrophy; from the 31st-45th exercise session, after the adjustments of the respectively time point assessments: MCT and maximal strength; from the 46th-60th exercise sessions: HIIT with hypertrophy; at the end of the 60th session until the end (6 months has passed): the same exercise prescription will repeat all over again at the same order.
participants will do a combined ET regime (aerobic and RT). Aerobic component: combine moderate to vigorous exercises 3 d.wk-1 on nonconsecutive days, for 20 min per session, involving major muscle groups using the available ergometers to perform continuous and rhythmic activities in nature. Resistance component: RT should be performed after the aerobic component of the exercise session to allow for adequate warm-up. Initial load should be trained initially with one set of 10-15 repetitions that can be lifted without straining (~30%-40% 1RM for the upper body; ~50%-60% 1 RM for the lower body). Each major muscle group should be trained initially with one set; multiple set regimens may be introduced later as tolerated. It will be performed 8-10 exercises of the major muscle groups.