Kuvvet Antrenmanları ve Kardiyovasküler Sistem
Özet
Dinamik kuvvet antrenmanının, dayanıklılık antrenmanına entegre edildiğinde, kardiyovasküler hastalığı olan hastalarda periferik kas kuvvetini ve güç çıkışını önemli ölçüde iyileştirdiği gösterilmiştir. çeşitli kardiyovasküler durumlar için rehabilitasyon tedavisinde önemli bir bileşen olarak tavsiye edilir. Ancak bu hastalar için optimal kuvvet antrenmanı yoğunluğuna ilişkin tartışmalar devam etmektedir. Son kanıtlar, yüksek yoğunluklu kuvvet antrenmanının, düşük yoğunluklu antrenmanla karşılaştırıldığında akut miyofibriler protein sentezini teşvik etmede, nöral adaptasyonları tetiklemede ve uzun vadeli kas gücünü artırmada daha etkili olabileceğini düşündürmektedir. Ayrıca, çeşitli çalışmalar, yüksek yoğunluklu kuvvet antrenmanının (intra) arteriyel kan basıncı ve kalp debisi üzerinde daha düşük bir etkiye sahip olduğunu ve bunun da kardiyovasküler sorunları olan kişiler için potansiyel olarak daha güvenli bir seçenek haline geldiğini bulmuştur.
Referanslar
Borde, R., Hortoba´gyi, T., and Granacher, U. (2015). Dose– response relationships of resistance training in healthy old adults: a systematic review and meta-analysis. Sports Med, 45, 1693–1720.
Brooks, G.A. (2012). Bioenergetics of exercising humans. Compr Physiol, 2, 537–562.
Dempster, M. & Donnelly, M. (2000). Measuring the health related quality of life of people with ischaemic heart disease. Heart, 83, 641–644.
Egan, B., Zierath, J.R. (2013). Exercise metabolism and the molecular regulation of skeletal muscle adaptation. Cell Metab, 17, 162–184.
Fry, AçC. (2004). The role of resistance exercise intensity on muscle fibre adaptations. Sports Med, 34, 663–679.
Hansen, D., Abreu, A., Doherty, P., Völler ,H. (2019). Dynamic strength training intensity in cardiovascular rehabilitation: is it time to reconsider clinical practice? A systematic review. Eur J Prev Cardiol. 26(14),1483-1492.
Hollings, M., Mavros, Y., Freeston, J., et al. (2017). The effect of progressive resistance training on aerobic fitness and strength in adults with coronary heart disease: a systematic review and meta-analysis of randomised controlled trials. Eur J Prev Cardiol, 24, 1242–1259.
Holm, L., van Hall, G., Rose, A.J., et al. (2010). Contraction intensity and feeding affect collagen and myofibrillar protein synthesis rates differently in human skeletal muscle. Am J Physiol Endocrinol Metab, 298, E257–E269
Jenkins, N.D.M., Miramonti, A.A., Hill, E.C., et al. (2017). Greater neural adaptations following high- vs. low-load resistance training. Front Physiol, 8, 331.
Joyner, M.J., Coyle, E.F. (2008). Endurance exercise performance: The physiology of champions. J Physiol, 586, 35–44.
Lewinter, C., Doherty, P., Gale, C.P., et al. (2015). Exercise-based cardiac rehabilitation in patients with heart failure: a meta-analysis of randomised controlled trials between 1999 and 2013. Eur J Prev Cardiol, 22, 1504–1512.
Marzolini, S., Oh PI and Brooks, D. (2012). Effect of combined aerobic and resistance training versus aerobic training alone in individuals with coronary artery disease: a meta-analysis. Eur J Prev Cardiol, 19, 81–94.
Myers, J., Arena, R., Franklin, B., et al. (2009). American Heart Association Committee on Exercise, Cardiac Rehabilitation and Prevention of the Council on Clinical Cardiology, the Council on Nutrition, Physical Activity and Metabolism, and the Council on Cardiovascular Nursing. Recommendations for clinical exercise laboratories: a scientific statement from theAmerican Heart Association. Circulation, 119, 3144–3161.
Niewiadomski, W., Pilis, W., Laskowska, D., et al. (2012). Effects of a brief Valsalva manoeuvre on hemodynamic response to strength exercises. Clin Physiol Funct Imaging, 32, 145–157.
Piepoli, M..F, Conraads, V., Corra,` U., et al. (2011). Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail, 13, 347–357.
Piepoli, M.F., Hoes, A.W., Agewall, S., et al. (2016). European Guidelines on cardiovascular disease prevention in clinical practice: the Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts). Developed with the special contribution of the European Association for Cardiovascular Prevention and Rehabilitation (EACPR). Eur J Prev Cardiol, 23, NP1–NP96.
Rauch, B., Davos, C.H., Doherty, P., et al. (2016). The prognostic effect of cardiac rehabilitation in the era of acute revascularisation and statin therapy: a systematic review and meta-analysis of randomized and non-randomized studies – the Cardiac Rehabilitation Outcome Study (CROS). Eur J Prev Cardiol, 23, 1914–1939.
Raymond, M.J., Bramley-Tzerefos, R.E., Jeffs, K.J., et al. (2013). Systematic review of high-intensity progressive resistance strength training of the lower limb compared with other intensities of strength training in older adults. Arch Phys Med Rehabil, 94, 1458–1472.
Richardson, C. R., Franklin, B., Moy, M. L. & Jackson, E. A. (2019).Advances in rehabilitation for chronic diseases: improving health outcomes and function. BMJ, 365, l2191 (2019).
Schoenfeld, B.J., Grgic, J., Ogborn, D., et al. (2017). Strength and hypertrophy adaptations between low- vs. high-load resistance training: a systematic review and meta-analysis. J Strength Cond Res, 31, 3508–3523.
Taylor, R.S., Dalal, H.M., McDonagh, S.T.J. (2022). The role of cardiac rehabilitation in improving cardiovascular outcomes. Nat Rev Cardiol. 19(3),180-194.
Referanslar
Borde, R., Hortoba´gyi, T., and Granacher, U. (2015). Dose– response relationships of resistance training in healthy old adults: a systematic review and meta-analysis. Sports Med, 45, 1693–1720.
Brooks, G.A. (2012). Bioenergetics of exercising humans. Compr Physiol, 2, 537–562.
Dempster, M. & Donnelly, M. (2000). Measuring the health related quality of life of people with ischaemic heart disease. Heart, 83, 641–644.
Egan, B., Zierath, J.R. (2013). Exercise metabolism and the molecular regulation of skeletal muscle adaptation. Cell Metab, 17, 162–184.
Fry, AçC. (2004). The role of resistance exercise intensity on muscle fibre adaptations. Sports Med, 34, 663–679.
Hansen, D., Abreu, A., Doherty, P., Völler ,H. (2019). Dynamic strength training intensity in cardiovascular rehabilitation: is it time to reconsider clinical practice? A systematic review. Eur J Prev Cardiol. 26(14),1483-1492.
Hollings, M., Mavros, Y., Freeston, J., et al. (2017). The effect of progressive resistance training on aerobic fitness and strength in adults with coronary heart disease: a systematic review and meta-analysis of randomised controlled trials. Eur J Prev Cardiol, 24, 1242–1259.
Holm, L., van Hall, G., Rose, A.J., et al. (2010). Contraction intensity and feeding affect collagen and myofibrillar protein synthesis rates differently in human skeletal muscle. Am J Physiol Endocrinol Metab, 298, E257–E269
Jenkins, N.D.M., Miramonti, A.A., Hill, E.C., et al. (2017). Greater neural adaptations following high- vs. low-load resistance training. Front Physiol, 8, 331.
Joyner, M.J., Coyle, E.F. (2008). Endurance exercise performance: The physiology of champions. J Physiol, 586, 35–44.
Lewinter, C., Doherty, P., Gale, C.P., et al. (2015). Exercise-based cardiac rehabilitation in patients with heart failure: a meta-analysis of randomised controlled trials between 1999 and 2013. Eur J Prev Cardiol, 22, 1504–1512.
Marzolini, S., Oh PI and Brooks, D. (2012). Effect of combined aerobic and resistance training versus aerobic training alone in individuals with coronary artery disease: a meta-analysis. Eur J Prev Cardiol, 19, 81–94.
Myers, J., Arena, R., Franklin, B., et al. (2009). American Heart Association Committee on Exercise, Cardiac Rehabilitation and Prevention of the Council on Clinical Cardiology, the Council on Nutrition, Physical Activity and Metabolism, and the Council on Cardiovascular Nursing. Recommendations for clinical exercise laboratories: a scientific statement from theAmerican Heart Association. Circulation, 119, 3144–3161.
Niewiadomski, W., Pilis, W., Laskowska, D., et al. (2012). Effects of a brief Valsalva manoeuvre on hemodynamic response to strength exercises. Clin Physiol Funct Imaging, 32, 145–157.
Piepoli, M..F, Conraads, V., Corra,` U., et al. (2011). Exercise training in heart failure: from theory to practice. A consensus document of the Heart Failure Association and the European Association for Cardiovascular Prevention and Rehabilitation. Eur J Heart Fail, 13, 347–357.
Piepoli, M.F., Hoes, A.W., Agewall, S., et al. (2016). European Guidelines on cardiovascular disease prevention in clinical practice: the Sixth Joint Task Force of the European Society of Cardiology and Other Societies on Cardiovascular Disease Prevention in Clinical Practice (constituted by representatives of 10 societies and by invited experts). Developed with the special contribution of the European Association for Cardiovascular Prevention and Rehabilitation (EACPR). Eur J Prev Cardiol, 23, NP1–NP96.
Rauch, B., Davos, C.H., Doherty, P., et al. (2016). The prognostic effect of cardiac rehabilitation in the era of acute revascularisation and statin therapy: a systematic review and meta-analysis of randomized and non-randomized studies – the Cardiac Rehabilitation Outcome Study (CROS). Eur J Prev Cardiol, 23, 1914–1939.
Raymond, M.J., Bramley-Tzerefos, R.E., Jeffs, K.J., et al. (2013). Systematic review of high-intensity progressive resistance strength training of the lower limb compared with other intensities of strength training in older adults. Arch Phys Med Rehabil, 94, 1458–1472.
Richardson, C. R., Franklin, B., Moy, M. L. & Jackson, E. A. (2019).Advances in rehabilitation for chronic diseases: improving health outcomes and function. BMJ, 365, l2191 (2019).
Schoenfeld, B.J., Grgic, J., Ogborn, D., et al. (2017). Strength and hypertrophy adaptations between low- vs. high-load resistance training: a systematic review and meta-analysis. J Strength Cond Res, 31, 3508–3523.
Taylor, R.S., Dalal, H.M., McDonagh, S.T.J. (2022). The role of cardiac rehabilitation in improving cardiovascular outcomes. Nat Rev Cardiol. 19(3),180-194.
