Programas de ejercicio físico en personas con enfermedad de las arterias coronarias

  • Bruno Bizzozero Peroni Instituto Superior de Educación Física, Universidad de la República, Uruguay
  • Valentina Díaz Goñi Instituto Superior de Educación Física, Universidad de la República, Uruguay
Palabras clave: Enfermedad de las arterias coronarias, Ejercicio, Rehabilitación cardíaca

Resumen

El objetivo de este estudio fue conocer la influencia de programas de ejercicio físico (PEF) y sus características de prescripción sobre variables de la rehabilitación cardíaca en personas con enfermedad de las arterias coronaria (EAC). Realizamos una revisión de revisiones sistemáticas y meta-análisis, con
artículos publicados hasta el 1 de setiembre de 2019. Se identificaron un total de 3902 artículos, de los cuales se seleccionaron 4. Los estudios presentaron una calidad moderada y alta. Se encontró evidencia sobre los mejores rangos de la duración del entrenamiento por intervalos de alta intensidad, y de la frecuencia, duración, intensidad y tiempo de sesión del entrenamiento continuo de moderada intensidad. Son necesarios más estudios que permitan llegar a conclusiones consistentes sobre las características de estos y otros PEF.

Citas

Adsett, J. A., Mudge, A. M., Morris, N., Kuys, S. & Paratz, J. D. (2015). Aquatic exercise training and stable heart failure: A systematic review and meta-analysis. International Journal of Cardiology, 186, 22–28. https://doi.org/10.1016/j.ijcard.2015.03.095

Anderson, L., Oldridge, N., Thompson, D. R., Zwisler, A.-D., Rees, K., Martin, N. & Taylor, R. S. (2016). Exercise-Based Cardiac

Rehabilitation for Coronary Heart Disease: Cochrane Systematic Review and MetaAnalysis. Journal of the American College of

Cardiology, 67(1), 1–12. https://doi.org/10.1016/j.jacc.2015.10.044

Ballesta García, I., Rubio Arias, J. Á., Ramos Campo, D. J., Martínez González-Moro, I. & Carrasco Poyatos, M. (2019). High-intensity Interval Training Dosage for Heart Failure and Coronary Artery Disease Cardiac Rehabilitation. A Systematic Review and Meta-analysis. Revista Espanola de Cardiologia (English Ed.), 72(3), 233–243. https://doi.org/10.1016/j.rec.2018.02.015

Becker, L. & Oxman, A. (2011). Chapter 22: Overviews of reviews. En J. Higgins & S. Green (Eds.), Cochrane Handbook for Systematic Reviews of Interventions. Version 5.1.0 [updated March 2011] (p. 639). The Cochrane Collaboration. www.cochranehandbook.org

Billinger, S. A., Boyne, P., Coughenour, E., Dunning, K. & Mattlage, A. (2015). Does aerobic exercise and the FITT principle fit into stroke recovery? Current Neurology and Neuroscience Reports, 15(2), 519. https://doi.org/10.1007/s11910-014-0519-8

Clark, A. M., Hartling, L., Vandermeer, B. & McAlister, F. A. (2005). Meta-analysis: secondary prevention programs for patients

with coronary artery disease. Annals of Internal Medicine, 143(9), 659–672. https://doi.org/10.7326/0003-4819-143-9-

-00010

Cugusi, L., Manca, A., Yeo, T. J., Bassareo, P. P., Mercuro, G. & Kaski, J. C. (2017). Nordic walking for individuals with cardiovascular disease: A systematic review and metaanalysis of randomized controlled trials. European Journal of Preventive Cardiology, 24(18), 1938–1955. https://doi.org/10.1177/2047487317738592.

Darnley, G. M., Gray, A. C., McClure, S. J.,Neary, P., Petrie, M., McMurray, J. J. V. & MacFarlane, N. G. (1999). Effects of resistive breathing on exercise capacity and diaphragm function in patients with ischemic heart disease. European Journal of Heart

Failure, 1(3), 297–300. https://doi.org/10.1016/S1388- 9842(99)00027-6

de Gregorio, C. (2018). Physical Training and Cardiac Rehabilitation in Heart Failure Patients. Advances in Experimental Medicine and Biology, 1067, 161–181. https://doi.org/10.1007/5584

Fletcher, G. F., Ades, P. A., Kligfield, P., Arena, R., Balady, G. J., Bittner, V. A., Coke, L. A., Fleg, J. L., Forman, D. E., Gerber, T. C., Gulati, M., Madan, K., Rhodes, J., Thompson, P. D. & Williams, M. A. (2013). Exercise standards for testing and training: A scientific statement from the American heart association. Circulation, 128(8), 873–934.

https://doi.org/10.1161/CIR.0b013e31829b5b44

Garza, M. A., Wason, E. A. & Zhang, J. Q.(2015). Cardiac remodeling and physical training post myocardial infarction. World

Journal of Cardiology, 7(2), 52–64. https://doi.org/10.4330/wjc.v7.i2.52

Gayda, M., Ribeiro, P. A. B., Juneau, M. & Nigam, A. (2016). Comparison of Different Forms of Exercise Training in Patients With Cardiac Disease: Where Does High-Intensity Interval Training Fit? Canadian Journal of Cardiology, 32(4), 485–494. https://doi.org/10.1016/j.cjca.2016.01.017

Gomes Neto, M., Durães, A. R., Conceição, L. S. R., Saquetto, M. B., Ellingsen, Ø. & Car-valho, V. O. (2018). High intensity interval training versus moderate intensity continuous training on exercise capacity and qual-ity of life in patients with heart failure with reduced ejection fraction: A systematic review and meta-analysis. International Jour-nal of Cardiology, 261, 134–141. https://doi.org/10.1016/j.ijcard.2018.02.076

Hannan, A. L., Hing, W., Simas, V., Climstein, M., Coombes, J. S., Jayasinghe, R., Byrnes, J. & Furness, J. (2018). High-intensity inter-val training versus moderateintensity contin-uous training within cardiac rehabilitation: a systematic review and meta-analysis. Open Access Journal of Sports Medicine, 9, 1–17. https://doi.org/10.2147/OAJSM.S150596

Haykowsky, M., Scott, J., Esch, B., Schopflocher, D., Myers, J., Paterson, I., Warburton, D., Jones, L. & Clark, A. M. (2011). A meta-analysis of the effects of exercise training on left ventricular remodeling following myo-cardial infarction: start early and go longer for greatest exercise benefits on remodel-ing. Trials, 12(1), 92. https://doi.org/10.1186/1745-6215-12-92

Hollings, M., Mavros, Y., Freeston, J. & Fiatarone Singh, M. (2017). The effect of progressive resistance training on aerobic fitness and strength in adults with coronary heart dis-ease: A systematic review and meta-analysis of randomised controlled trials. European Journal of Preventive Cardiology, 24(12), 1242–1259. https://doi.org/10.1177/2047487317713329

Höllriegel, R., Winzer, E. B., Linke, A., Adams, V., Mangner, N., Sandri, M., Bowen, T. S., Hambrecht, R., Schuler, G. & Erbs, S. (2016). Long-Term Exercise Training in Pa-tients With Advanced Chronic Heart Fail-ure: sustained benefits on left ventricular performance and exercise capacity. Journal of Cardiopulmonary Rehabilitation and Pre-vention, 36(2), 117–124. https://doi.org/10.1097/HCR.0000000000000165

Ito, S., Mizoguchi, T. & Saeki, T. (2016). Review of high-intensity interval training in cardiac rehabilitation. Internal Medicine, 55(17) 2329–2336). https://doi.org/10.2169/inter-nalmedicine.55.6068

Kraal, J. J., Vromen, T., Spee, R., Kemps, H. M. C. & Peek, N. (2017). The influence of training characteristics on the effect of exer-cise training in patients with coronary artery disease: Systematic review and meta-regres-sion analysis. International Journal of Cardiology, 245. https://doi.org/10.1016/j.ijcard.2017.07.051

Lau, H. L. C., Kwong, J. S., Yeung, F., Chau, P. H. & Woo, J. (2012). Yoga for secondary prevention of coronary heart disease. En H. L. C. Lau (Ed.), Cochrane Database of Sys-tematic Reviews. John Wiley & Sons, Ltd. https://doi.org/10.1002/14651858.CD009506.pub2

Liou, K., Ho, S., Fildes, J. & Ooi, S.-Y. (2016). High Intensity Interval versus Moderate In-tensity Continuous Training in Patients with Coronary Artery Disease: A Meta-analysis of Physiological and Clinical Parameters. Heart, Lung & Circulation, 25(2), 166–174. https://doi.org/10.1016/j.hlc.2015.06.828

Liu, C. J. & Latham, N. K. (2009). Progressive re-sistance strength training for improving physical function in older adults. Cochrane Database of Systematic Reviews, 3. https://doi.org/10.1002/14651858.CD002759.pub2

Moher, D., Liberati, A., Tetzlaff, J. & Altman, D. G. (2009). Preferred Reporting Items for Systematic Reviews and Meta-Analyses: The PRISMA Statement. PLoS Medicine, 6(7), e1000097. https://doi.org/10.1371/jour-nal.pmed.1000097

Moholdt, T., Madssen, E., Rognmo, Ø. & Aamot, I. L. (2014). The higher the better? Interval training intensity in coronary heart disease. Journal of Science and Medicine in Sport, 17(5), 506–510. https://doi.org/10.1016/j.jsams.2013.07.007

Montalescot, G., Sechtem, U., Achenbach, S., Andreotti, F., Arden, C., Budaj, A., Bugiardini, R., Crea, F., Cuisset, T., Di Mario, C., Ferreira, J. R., Gersh, B. J., Gitt, A. K., Hulot, J. S., Marx, N., Opie, L. H.,Pfisterer, M., Prescott, E., Ruschitzka, F., … Yildirir, A. (2013). 2013 ESC guidelines on the management of stable coronary artery disease. European Heart Journal, 34(38), 2949–3003. https://doi.org/10.1093/eurheartj/eht296

O’Gara, P. T., Kushner, F. G., Ascheim, D. D., Casey, D. E., Chung, M. K., De Lemos, J. A., Ettinger, S. M., Fang, J. C., Fesmire, F. M., Franklin, B. A., Granger, C. B., Krumholz, H. M., Linderbaum, J. A., Mor-row, D. A., Newby, L. K., Ornato, J. P., Ou, N., Radford, M. J., Tamis-Holland, J. E., … Zhao, D. X. (2013). 2013 ACCF/AHA guideline for the management of st-eleva-tion myocardial infarction: A report of the American college of cardiology founda-tion/American heart association task force on practice guidelines. Journal of the Amer-ican College of Cardiology, 61(4), 78–140. https://doi.org/10.1016/j.jacc.2012.11.019

Pattyn, N., Beulque, R. & Cornelissen, V. (2018). Aerobic Interval vs. Continuous Training in Patients with Coronary Artery Disease or Heart Failure: An Updated Systematic Re-view and Meta-Analysis with a Focus on Secondary Outcomes. Sports Medicine, 48(5), 1189–1205. https://doi.org/10.1007/s40279-018-0885-5

Piepoli, M. F., Corrà, U., Dendale, P., Frederix, I., Prescott, E., Schmid, J. P., Cupples, M., Deaton, C., Doherty, P., Giannuzzi, P., Graham, I., Hansen, T. B., Jennings, C., Landmesser, U., Marques-Vidal, P., Vrints, C., Walker, D., Bueno, H., Fitzsimons, D. & Pelliccia, A. (2017). Challenges in second-ary prevention after acute myocardial in-farction: A call for action. European Heart Journal: Acute Cardiovascular Care, 6(4), 299–310. https://doi.org/10.1177/2048872616689773

Ribeiro, P. A. B., Boidin, M., Juneau, M., Nigam, A. & Gayda, M. (2017). High-intensity in-terval training in patients with coronary heart disease: Prescription models and per-spectives. Annals of Physical and Rehabilita-tion Medicine, 60(1), 50–57. https://doi.org/10.1016/j.re-hab.2016.04.004

Riebe, D., Franklin, B. A., Thompson, P. D., Garber, C. E., Whitfield, G. P., Magal, M. & Pescatello, L. S. (2015). Updating ACSM’s recommendations for exercise preparticipa-tion health screening. Medicine and Sci-ence in Sports and Exercise, 47(11), 2473–2479. https://doi.org/10.1249/MSS.0000000000000664

Shea, B., Reeves, B. C., Wells, G., Thuku, M., Hamel, C., Moran, J., Moher, D., Tugwell, P., Welch, V., Kristjansson, E. & Henry, D. A. (2017). AMSTAR 2: a critical appraisal tool for systematic reviews that include ran-domised or non-randomised studies of healthcare interventions, or both. BMJ, j4008. https://doi.org/10.1136/bmj.j4008

Shea, B., Reeves, B., Wells, G., Thuku, M., Ha-mel, C., Moran, J., Moher, D., Tugwell, P., Welch, V., Kristjansson, E. & Henry, D. (2017b). AMSTAR Checklist. BMJ. https://amstar.ca/Amstar_Checklist.php

Uddin, J., Zwisler, A.-D., Lewinter, C., Moniruz-zaman, M., Lund, K., Tang, L. H. & Taylor, R. S. (2016). Predictors of exercise capacity following exercise-based rehabilitation in patients with coronary heart disease and heart failure: A meta-regression analysis. European Journal of Preventive Cardiology, 23(7), 683–693. https://doi.org/10.1177/2047487315604311activity and exercise in the management of cardiovascular health in individuals with cardiovascular disease (Part III). European Journal of Preventive Cardiology, 19(6), 1333–1356. https://doi.org/10.1177/2047487312437063

Vromen, T., Kraal, J. J., Kuiper, J., Spee, R. F., Peek, N. & Kemps, H. M. (2016). The influ-ence of training characteristics on the effect of aerobic exercise training in patients with chronic heart failure: A meta-regression analysis. International Journal of Cardiology, 208, 120–127. https://doi.org/10.1016/j.ijcard.2016.01.207

Vanhees, L., Rauch, B., Piepoli, M., van Buuren, F., Takken, T., Börjesson, M., Bjarnason-Wehrens, B., Doherty, P., Dugmore, D., Halle, M. & EACPR), (on behalf of the writ-ing group of the). (2012). Importance of characteristics and modalities of physical activity and exercise in the management of cardiovascular health in individuals with cardiovascular disease (Part III). European Journal of Preventive Cardiology, 19(6), 1333–1356. https://doi.org/10.1177/2047487312437063

Vromen, T., Kraal, J. J., Kuiper, J., Spee, R. F., Peek, N. & Kemps, H. M. (2016). The influ-ence of training characteristics on the effect of aerobic exercise training in patients with chronic heart failure: A meta-regression analysis. International Journal of Cardiology, 208, 120–127. https://doi.org/10.1016/j.ijcard.2016.01.207

Wisløff, U., Ellingsen, O., & Kemi, O. J. (2009). High-Intensity Interval Training to Maximize Cardiac Benefits of Exercise Training? Exer-cise and Sport Sciences, 37(3), 139–146. https://doi.org/10.1097/JES.0b013e3181aa65fc

Woodruffe, S., Neubeck, L., Clark, R. A., Gray, K., Ferry, C., Finan, J., Sanderson, S. & Briffa, T. G. (2015). Australian Cardiovascu-lar Health and Rehabilitation Association (ACRA) core components of cardiovascular disease secondary prevention and cardiac rehabilitation 2014. Heart, Lung & Circula-tion, 24(5), 430–441. https://doi.org/10.1016/j.hlc.2014.12.008

World Health Organization. (2016a). Cardiovas-cular diseases 2016. WHO. https://www.who.int/es/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)

World Health Organization. (2016b). WHO. Top 10 causes of death 2016. WHO. https://www.who.int/news-room/fact-sheets/detail/the-top-10-causes-of-death

Publicado
2021-03-17
Cómo citar
Bizzozero Peroni, B., & Díaz Goñi, V. (2021). Programas de ejercicio físico en personas con enfermedad de las arterias coronarias. Revista Universitaria De La Educación Física Y El Deporte, (14). Recuperado a partir de http://revistasiuacj.edu.uy/index.php/rev1/article/view/177
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