A COMPARISON OF CONCURRENT TRAINING AND MODERATE INTENSITY CONTINUOUS TRAINING IN PATIENTS WITH CORONARY ARTERY DISEASE

Author

Amanda Alfaro-Chaverri, University of Montana, MissoulaFollow
John Quindry, University of Montana, MissoulaFollow
Charles Dumke, University of Montana, MissoulaFollow
Brian Loyd, University of Montana, MissoulaFollow

Year of Award

2024

Document Type

Professional Paper

Degree Type

Master of Science (MS)

Degree Name

Integrative Physiology

Department or School/College

Integrative Physiology and Athletic Training

Committee Chair

John Quindry

Commitee Members

Charles Dumke, Brian Loyd

Keywords

Cardiac Rehabilitation, Cardiovascular Disease, Coronary Artery Disease, Therapy, Health Outcomes

Subject Categories

Cardiovascular Diseases | Interprofessional Education | Other Rehabilitation and Therapy | Sports Medicine | Sports Sciences

Abstract

Moderate intensity continuous training (MICT) is the most studied method in cardiac rehabilitation (CR) for patients with coronary artery disease (CAD). Traditionally, resistance training has been utilized as a secondary role in CR. Recent interest in the topic suggests that MICT and resistance training should be applied collectively, an approach termed concurrent training (CT). The collective understanding of the potential of CT in CR patients is currently lacking.

Purpose: The aim of this professional paper is to analyze scientific evidence regarding the efficacy and safety of CT versus MICT. The analysis will focus on five primary measurements: exercise capacity, cardiovascular performance, selected risk factors, disease recurrence, and psychosocial considerations.

Methodology: A search of publicly available research literature was performed on PubMed. The search employed 5 Boolean phrases. The criteria considered were a) adult patients of both sexes, with a diagnosis of CAD; b) controlled studies that included at least MICT and CT groups, conducted in a center under professional supervision; c) studies that included the typical characteristics of CR, with 18 to 36 sessions, and 2-6 weekly sessions.; d) studies with pre and post measurement and with mean and standard deviation; e) studies published in Spanish and English until April, 2024.

Results: Sixteen studies met the eligibility criteria selected. Studies that included strength metrics predominantly showed better results for CT compared to MICT. In terms of VO_2peak, heart rate peak and body composition, CT and MICT showed no differences between methodologies.

Conclusions: Strength is increased with CT without any evident decline in other included variables, despite the reduced time spent on MICT. Additionally, both modalities showed similar adherence. Regarding adverse events of concurrent training (CT), there are insufficient patient hours of CT available to draw conclusions. However, improvements in exercise capacity, specifically VO₂peak, seem comparable to those observed with MICT.

Recommended Citation

Alfaro-Chaverri, Amanda; Quindry, John; Dumke, Charles; and Loyd, Brian, "A COMPARISON OF CONCURRENT TRAINING AND MODERATE INTENSITY CONTINUOUS TRAINING IN PATIENTS WITH CORONARY ARTERY DISEASE" (2024). Graduate Student Theses, Dissertations, & Professional Papers. 12317.
https://scholarworks.umt.edu/etd/12317