TY  - JOUR
A1  - Hansen, Dominique
A1  - Niebauer, Josef
A1  - Cornelissen, Veronique
A1  - Barna, Olga
A1  - Neunhaeuserer, Daniel
A1  - Stettler, Christoph
A1  - Tonoli, Cajsa
A1  - Greco, Eugenio
A1  - Fagard, Robert
A1  - Coninx, Karin
A1  - Vanhees, Luc
A1  - Piepoli, Massimo F.
A1  - Pedretti, Roberto
A1  - Ruiz, Gustavo Rovelo
A1  - Corra, Ugo
A1  - Schmid, Jean-Paul
A1  - Davos, Constantinos H.
A1  - Edelmann, Frank
A1  - Abreu, Ana
A1  - Rauch, Bernhard
A1  - Ambrosetti, Marco
A1  - Braga, Simona Sarzi
A1  - Beckers, Paul
A1  - Bussotti, Maurizio
A1  - Faggiano, Pompilio
A1  - Garcia-Porrero, Esteban
A1  - Kouidi, Evangelia
A1  - Lamotte, Michel
A1  - Reibis, Rona Katharina
A1  - Spruit, Martijn A.
A1  - Takken, Tim
A1  - Vigorito, Carlo
A1  - Völler, Heinz
A1  - Doherty, Patrick
A1  - Dendale, Paul
T1  - Exercise prescription in patients with different combinations of cardiovascular disease risk factors
BT  - a consensus statement from the EXPERT working group
JF  - Sports medicine
N2  - Whereas exercise training is key in the management of patients with cardiovascular disease (CVD) risk (obesity, diabetes, dyslipidaemia, hypertension), clinicians experience difficulties in how to optimally prescribe exercise in patients with different CVD risk factors. Therefore, a consensus statement for state-of-the-art exercise prescription in patients with combinations of CVD risk factors as integrated into a digital training and decision support system (the EXercise Prescription in Everyday practice & Rehabilitative Training (EXPERT) tool) needed to be established. EXPERT working group members systematically reviewed the literature for meta-analyses, systematic reviews and/or clinical studies addressing exercise prescriptions in specific CVD risk factors and formulated exercise recommendations (exercise training intensity, frequency, volume and type, session and programme duration) and exercise safety precautions, for obesity, arterial hypertension, type 1 and 2 diabetes, and dyslipidaemia. The impact of physical fitness, CVD risk altering medications and adverse events during exercise testing was further taken into account to fine-tune this exercise prescription. An algorithm, supported by the interactive EXPERT tool, was developed by Hasselt University based on these data. Specific exercise recommendations were formulated with the aim to decrease adipose tissue mass, improve glycaemic control and blood lipid profile, and lower blood pressure. The impact of medications to improve CVD risk, adverse events during exercise testing and physical fitness was also taken into account. Simulations were made of how the EXPERT tool provides exercise prescriptions according to the variables provided. In this paper, state-of-the-art exercise prescription to patients with combinations of CVD risk factors is formulated, and it is shown how the EXPERT tool may assist clinicians. This contributes to an appropriately tailored exercise regimen for every CVD risk patient.
Y1  - 2018
U6  - https://doi.org/10.1007/s40279-018-0930-4
SN  - 0112-1642
SN  - 1179-2035
VL  - 48
IS  - 8
SP  - 1781
EP  - 1797
PB  - Springer
CY  - Northcote
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  -