TY  - JOUR
A1  - Hansen, Dominique
A1  - Kraenkel, Nicolle
A1  - Kemps, Hareld
A1  - Wilhelm, Matthias
A1  - Abreu, Ana
A1  - Pfeiffer, Andreas F. H.
A1  - Jordao, Alda
A1  - Cornelissen, Veronique
A1  - Völler, Heinz
T1  - Management of patients with type 2 diabetes in cardiovascular rehabilitation
JF  - European journal of preventive cardiology : the official ESC journal for primary & secondary cardiovascular prevention, rehabilitation and sports cardiology
N2  - The clinical benefits of rehabilitation in cardiovascular disease are well established. Among cardiovascular disease patients, however, patients with type 2 diabetes mellitus require a distinct approach. Specific challenges to clinicians and healthcare professionals in patients with type 2 diabetes include the prevalence of peripheral and autonomic neuropathy, retinopathy, nephropathy, but also the intake of glucose-lowering medication. In addition, the psychosocial wellbeing, driving ability and/or occupational status can be affected by type 2 diabetes. As a result, the target parameters of cardiovascular rehabilitation and the characteristics of the cardiovascular rehabilitation programme in patients with type 2 diabetes often require significant reconsideration and a multidisciplinary approach. This review explains how to deal with diabetes-associated comorbidities in the intake screening of patients with type 2 diabetes entering a cardiovascular rehabilitation programme. Furthermore, we discuss diabetes-specific target parameters and characteristics of cardiovascular rehabilitation programmes for patients with type 2 diabetes in a multidisciplinary context, including the implementation of guideline-directed medical therapy.
KW  - Diabetes
KW  - cardiovascular rehabilitation
KW  - intake screening
KW  - exercise
Y1  - 2019
U6  - https://doi.org/10.1177/2047487319882820
SN  - 2047-4873
SN  - 2047-4881
VL  - 26
IS  - 2_SUPPL
SP  - 133
EP  - 144
PB  - Sage Publ.
CY  - London
ER  - 
TY  - JOUR
A1  - Hansen, Dominique
A1  - Abreu, Ana
A1  - Doherty, Patrick
A1  - Völler, Heinz
T1  - Dynamic strength training intensity in cardiovascular rehabilitation: is it time to reconsider clinical practice? A systematic review
JF  - European journal of preventive cardiology : the official ESC journal for primary & secondary cardiovascular prevention, rehabilitation and sports cardiology
N2  - When added to endurance training, dynamic strength training leads to significantly greater improvements in peripheral muscle strength and power output in patients with cardiovascular disease, which may be relevant to enhance the patient’s prognosis. As a result, dynamic strength training is recommended in the rehabilitative treatment of many different cardiovascular diseases. However, what strength training intensity should be selected remains under intense debate. Evidence is nonetheless emerging that high-intensity strength training (≥70% of one-repetition maximum) is more effective to increase acutely myofibrillar protein synthesis, cause neural adaptations and, in the long term, increase muscle strength, when compared to low-intensity strength training. Moreover, multiple studies report that high-intensity strength training causes fewer increments in (intra-)arterial blood pressure and cardiac output, as opposed to low-intensity strength training, thus potentially pointing towards sufficient medical safety for the cardiovascular system. The aim of this systematic review is therefore to discuss this line of evidence, which is in contrast to current clinical practice, and to re-open the debate as to what dynamic strength training intensities should actually be applied.
KW  - Cardiovascular rehabilitation
KW  - strength training
KW  - guidelines
Y1  - 2019
U6  - https://doi.org/10.1177/2047487319847003
SN  - 2047-4873
SN  - 2047-4881
VL  - 26
IS  - 14
SP  - 1483
EP  - 1492
PB  - Sage Publ.
CY  - London
ER  -