Article

Aerobic exercise intensity prescription is a key issue in cardiac rehabilitation,
being directly linked to both the amount of improvement in exercise capacity and
the risk of adverse events during exercise. This joint position statement aims to
provide professionals with up-to-date information regarding the identification of
different exercise intensity domains, the methods of direct and indirect
determination of exercise intensity for both continuous and interval aerobic
training, the effects of the use of different exercise protocols on exercise
intensity prescription and the indications for recommended exercise training
prescription in specific cardiac patients' groups. The importance of functional
evaluation through exercise testing prior to starting an aerobic training program
is strongly emphasized, and ramp incremental cardiopulmonary exercise test, when
available, is proposed as the gold standard for a physiologically comprehensive
exercise intensity assessment and prescription.
This may allow a shift from a
'range-based' to a 'threshold-based' aerobic exercise intensity prescription,
which, combined with thorough clinical evaluation and exercise-related risk
assessment, could maximize the benefits obtainable by the use of aerobic exercise
training in cardiac rehabilitation.

Langue : ANGLAIS