| Literature DB >> 29729003 |
Dominique Hansen1,2, Josef Niebauer3, Veronique Cornelissen4, Olga Barna5, Daniel Neunhäuserer6,7, Christoph Stettler8, Cajsa Tonoli9, Eugenio Greco10, Robert Fagard11, Karin Coninx12, Luc Vanhees4, Massimo F Piepoli13, Roberto Pedretti14, Gustavo Rovelo Ruiz12, Ugo Corrà15, Jean-Paul Schmid16, Constantinos H Davos17, Frank Edelmann18,19,20, Ana Abreu21, Bernhard Rauch22, Marco Ambrosetti23, Simona Sarzi Braga14, Paul Beckers24,25, Maurizio Bussotti26, Pompilio Faggiano27, Esteban Garcia-Porrero28, Evangelia Kouidi29, Michel Lamotte30, Rona Reibis31, Martijn A Spruit32,33,34, Tim Takken35, Carlo Vigorito36, Heinz Völler37,38, Patrick Doherty39, Paul Dendale40,32.
Abstract
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.Entities:
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Year: 2018 PMID： 29729003 DOI： 10.1007/s40279-018-0930-4
Source DB: PubMed Journal: Sports Med ISSN： 0112-1642 Impact factor: 11.136