Browse > Article
http://dx.doi.org/10.5762/KAIS.2019.20.2.267

The Effects of High-Intensity Aerobic Interval Training In The Elderly With Myocardial Infarction  

Kim, Ji Hee (Department of Physical Medicine and Rehabilitation, Wonkwang University Hospital)
Publication Information
Journal of the Korea Academia-Industrial cooperation Society / v.20, no.2, 2019 , pp. 267-274 More about this Journal
Abstract
To investigate the effect of high-intensity interval training (HIIT) on the outcomes of cardiac rehabilitation(CR) in elderly and younger patients with myocardial infarction(MI). Of the MI patients who received hospital-based CR from 2015 to 2017, we retrospectively reviewed the medical records of the patients who continued follow-up through the outpatient clinic. A total of 39 patients (20 elderly patients (${\geq}60year$($64.1{\pm}3.6$)) and 19 younger patients (< 60 year($55.6{\pm}2.3$)) was included in this study. The HIIT program was composed of 10 minutes of warm-up, 30 minutes of interval aerobic exercise, and 10 minutes of cool down. The aerobic exercise based on their initial exercise tolerance test outcome consisted of 3-minute usual intensity phase (60-70% of heart rate/VO2 reserve) and 4-minute of high-intensity phase (70-90% of heart rate/VO2 reserve). Exercise capacity was measured by exercise tests before and after hospital- based CR. Before CR, elderly group had a significantly lower exercise capacity in Exercise time, peak VO2, METs, Anaerobic threshold, VEmax, 02pulse than younger group. Both group showed similar improvement of cardiopulmonary exercise capacity after CR. And HIIT is safe and effective in elderly patients. It is considered necessary to further expansion for the participation of high intensity interval training in elderly patients.
Keywords
Elderly; Exercise capacity; Cardiac Rehabilitation; Interval training; myocardial infarction;
Citations & Related Records
연도 인용수 순위
  • Reference
1 Korean Statistical Office, "Statistics of Cause of Death in 2017", 2017. http://www.kostat.go.kr/
2 World Health Organization, "The top 10 causes of death (Fact Sheet No. 310)", World Health Organization, Geneva, 2017.
3 G.J. Balady, P.A. Ades, V.A. Bittner, B.A. Franklin, N.F. Gordon, R.J. Thomas, G.F. Tomaselli, C.W. Yancy, "Referral, enrollment, and delivery of cardiac rehabilitation/secondary prevention programs at clinical centers and beyond: a presidential advisory from the American Heart Association", Circulation, vol. 124, no. 25, pp. 2951-2960, 2011. DOI: https://dx.doi.org/10.1161/CIR.0b013e31823b21e2   DOI
4 H. Zheng, M. Luo, Y. Shen, Y. Ma, W. Kang, "Effects of 6 months exercise training on ventricular remodelling and autonomic tone in patients with acute myocardial infarction and percutaneous coronary intervention", J Rehabil Med, vol. 40, no. 9, pp. 776-779, 2008. DOI: https://dx.doi.org/10.2340/16501977-0254   DOI
5 K.D. Currie, J.B. Dubberley, R.S. McKelvie, M.J. MacDonald, "Low-volume, high-intensity interval training in patients with CAD", Med Sci Sports Exerc, vol. 45, no. 8, pp. 1436-1442, 2013. DOI: https://dx.doi.org/10.1249/MSS.0b013e31828bbbd4   DOI
6 E.A. Rocco, D.M. Prado, A.G. Silva, J.M. Lazzari, P.C. Bortz, D.F. Rocco, C.G. Rosa, V. Furlan, "Effect of continuous and interval exercise training on the PETCO2 response during a graded exercise test in patients with coronary artery disease", Clinics (Sao Paulo), vol. 67, no. 6, pp. 623-628, 2012.   DOI
7 A.D. Elliott, K. Rajopadhyaya, D.J. Bentley, J.F. Beltrame, E.C. Aromataris, "Interval training versus continuous exercise in patients with coronary artery disease: a meta-analysis", Heart Lung Circ, vol. 24, no. 2, pp. 149-157, 2015. DOI: https://dx.doi.org/10.1016/j.hlc.2014.09.001   DOI
8 J.D. Bartlett, G.L. Close, D.P. MacLaren, W. Gregson, B. Drust, J.P. Morton, "High-intensity interval running is perceived to be more enjoyable than moderate-intensity continuous exercise: implications for exercise adherence", J Sports Sci, vol. 29, no. 6, pp. 547-553, 2011. DOI: https://dx.doi.org/10.1080/02640414.2010.545427   DOI
9 J.B. Coquart, C. Lemaire, A.E. Dubart, D.P. Luttembacher, C. Douillard, M. Garcin, "Intermittent versus continuous exercise: effects of perceptually lower exercise in obese women", Med Sci Sports Exerc, vol. 40, no. 8, pp. 1546-1553, 2008. DOI: https://dx.doi.org/10.1249/MSS.0b013e31816fc30c   DOI
10 P. Older, "Anaerobic threshold, is it a magic number to determine fitness for surgery?", Perioper Med (Lond), vol. 2, no. 1, pp. 2, 2013. DOI: https://dx.doi.org/10.1186/2047-0525-2-2   DOI
11 R.Menezis, Carl JL, Daniel EF, Ross AA, Richard VM, Barry AF. Cardiac Rehabilitation in the elderly Progress of Cardiovascular Disease 2014;57:152-159 DOI: https://dx.doi.org/10.1016/j.pcad.2014.01.002   DOI
12 G.J. Balady, M.A. Williams, P.A. Ades, V. Bittner, P. Comoss, J.M. Foody, B. Franklin, B. Sanderson, D. Southard, "Core components of cardiac rehabilitation/secondary prevention programs: 2007 update: a scientific statement from the American Heart Association Exercise, Cardiac Rehabilitation, and Prevention Committee, the Council on Clinical Cardiology; the Councils on Cardiovascular Nursing, Epidemiology and Prevention, and Nutrition, Physical Activity, and Metabolism; and the American Association of Cardiovascular and Pulmonary Rehabilitation", Circulation, vol. 115, no. 20, pp. 2675-2682, 2007. DOI: https://dx.doi.org/10.1161/circulationaha.106.180945   DOI
13 R. Menezis, Carl JM, Richard VM, Ross AA, Timothy SC. Cardiac rehabilitation and exercise therapy in the elderly : Should we invest in the aged? J of Geriatric Cardiology 2012;9:68-75. DOI: https://dx.doi.org/10.3724/SP.J.1263.2012.00068   DOI
14 J. Myers, M. Prakash, V. Froelicher, D. Do, S. Partington, J.E. Atwood, "Exercise capacity and mortality among men referred for exercise testing", N Engl J Med, vol. 346, no. 11, pp. 793- 801, 2002. DOI: https://dx.doi.org/10.1056/NEJMoa011858   DOI
15 Suaya JA, Stason WB, Ades PA, Normand SL, Shepard DS. Cardiac rehabilitation and survival in older coronary patients. J Am Coll Cardiol 2009;54:25-33 DOI: https://dx.doi.org/10.1016/j.jacc.2009.01.078   DOI
16 Sugiura M, Hiraoka K, Ohkawa S. Severity of coronary sclerosis in the aged: a pathological study in 968 consecutive autopsy cases. Jpn Heart J 1976;17:471-478   DOI
17 K. Liou, S. Ho, J. Fildes, S.Y. Ooi, "High Intensity Interval versus Moderate Intensity Continuous Training in Patients with Coronary Artery Disease: A Meta-analysis of Physiological and Clinical Parameters", Heart Lung Cire, vol. 25, no. 2, pp. 166-174,2016 DOI: https://dx.doi.org/10.1016/j.hlc.2015.06.828   DOI
18 M. Noel, J. Jobin, A. Marcoux, P. Poirier, G.R. Dagenais, P. Bogaty, "Can prolonged exercise-induced myocardial ischaemia be innocuous?", Eur Heart J, vol. 28, no. 13, pp. 1559-1565, 2007. DOI: https://dx.doi.org/10.1093/eurheartj/ehm152   DOI
19 U. Wisloff, A. Stoylen, J.P. Loennechen, M. Bruvold, O. Rognmo, P.M. Haram, A.E. Tjonna, J. Helgerud, S.A. Slordahl, S.J. Lee, V. Videm, A. Bye, G.L. Smith, S.M. Najjar, O. Ellingsen, T. Skjaerpe, "Superior cardiovascular effect of aerobic interval training versus moderate continuous training in heart failure patients: a randomized study", Circulation, vol. 115, no. 24, pp. 3086-3094, 2007. DOI: https://dx.doi.org/10.1161/circulationaha.106.675041   DOI
20 M. Juneau, N. Roy, A. Nigam, J.C. Tardif, L. Larivee, "Exercise above the ischemic threshold and serum markers of myocardial injury", Can J Cardiol, vol. 25, no. 10, pp. e338-341, 2009. DOI: https://doi.org/10.1016/S0828-282X(09)70718-4   DOI
21 Storen, O. Helgerud, J. Saebo, M. Stoa, E. M. "The Effect of Age on the V O2max Response to High-Intensity Interval Training" Med Sci Sports Exerc vol 49, 1, pp78-85, 2016 DOI: http://dx.doi.org/10.1249/mss.0000000000001070   DOI
22 Loe H, Steinshamn S, Wisloff U "Cardio-Respiratory Reference Data in 4631 Healthy Men and Women 20-90 YHears: The HUNT 3 Fitness Study "PLOS ONE 9(11): e113884 https://doi.org/10.1371/journal.pone.0113884 DOI: https://dx.doi.org/10.1371/journal.pone.0113884   DOI
23 Osteras H, Hoff J, Helgerud J. Effects of high-intensity endurance training on maximal oxygen consumption in healthy elderly people. J Appl Gerontol. Vol 24, pp377 -87, 2005. DOI: https://dx.doi.org/10.1007/s00421-002-0717-y   DOI
24 O. Rognmo, E. Hetland, J. Helgerud, J. Hoff, S.A. Slordahl, "High intensity aerobic interval exercise is superior to moderate intensity exercise for increasing aerobic capacity in patients with coronary artery disease", Eur J Cardiovasc Prev Rehabil, vol. 11, no. 3, pp. 216-222, 2004.   DOI
25 E. Warburton, D.C. McKenzie, M.J. Haykowsky, A. Taylor, P. Shoemaker, A.P. Ignaszewski, S.Y. Chan, "Effectiveness of high-intensity interval training for the rehabilitation of patients with coronary artery disease", Am J Cardiol, vol. 95, no. 9, pp. 1080-1084, 2005. DOI: https://dx.doi.org/10.1016/j.amjcard.2004.12.063   DOI
26 G.G. Cardozo, R.B. Oliveira, P.T. Farinatti, "Effects of high intensity interval versus moderate continuous training on markers of ventilatory and cardiac efficiency in coronary heart disease patients", ScientificWorldJournal, vol. 2015, pp. 192479, 2015. DOI: https://dx.doi.org/10.1155/2015/192479
27 American Association of Cardiovascular and Pulmonary Rehabilitation. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs. 4th edition. Champaign, Ill: Human Kinetics; 2004. Chapter 4, Cardiac Rehabilitation in the Inpatient and Transitional Settings;31-51.
28 ijssen DH, Cable NT, Green DJ. Impact of exercise training on arterial wall thickness in humans. Clin Sci. vol.122, no. 7, pp. 311-22 2012. DOI: https://dx.doi.org/10.1042/CS20110469   DOI
29 Keteyian SJ1, Hibner BA, Bronsteen K, Kerrigan D et al. "Greater improvement in cardiorespiratory fitness using higher-intensity interval training in the standard cardiac rehabilitation setting." J Cardiopulm Rehabil Prev. , vol. 34, no. 2, pp. 98-105, 2014. DOI: https://dx.doi.org/10.1097/HCR.0000000000000049   DOI
30 Schopfer, D. W. Forman, D. E. "Cardiac Rehabilitation in Older Adults" Can J Cardiol, vol. 32, no. 9, pp. 1088-96, 2016. DOI: https://dx.doi.org/10.1016/j.cjca.2016.03.003   DOI
31 Molmen-Hansen HE, Stolen T, Tjonna AE, Aamot IL, Ekeberg IS, Tyldum GA, Wisloff U, Ingul CB, Stoylen A. "Aerobic interval training reduces blood pressure and improves myocardial function in hypertensive patients." Eur J Prev Cardiol, vol. 19, pp.151-160, 2012. DOI: https://dx.doi.org/10.1177/1741826711400512   DOI
32 Haram PM, Kemi OJ, Wisloff U. "Adaptation of endothelium to exercise training: insights from experimental studies." Front Biosci. vol. 13, pp. 336-46, 2008. DOI: https://dx.doi.org/10.2741/2683   DOI
33 Myers J, Prakash M, Froelicher V, et al. "Exercise capacity and mortality among men referred for exercise testing" N Engl J Med. vol. 346, pp. 793-801, 2002. DOI: https://dx.doi.org/10.1056/NEJMoa011858   DOI
34 R. Hambrecht, A. Wolf, S. Gielen, A. Linke, J. Hofer, S. Erbs, N. Schoene, G. Schuler, "Effect of exercise on coronary endothelial function in patients with coronary artery disease", N Engl J Med, vol. 342, no. 7, pp. 454-460, 2000. DOI: https://dx.doi.org/10.1056/nejm200002173420702   DOI
35 Frengley, J. D. Sansone, G. R. Alba, A. et al. "Influence of age on rehabilitation outcomes and survival in post-acute inpatient cardiac rehabilitation" J Cardiopulm Rehabil Prev vol. 31, no. 4, pp. 230-8, 2011. DOI: https://dx.doi.org/10.1097/HCR.0b013e318207d314   DOI