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- W2986456051 abstract "Objective: To observe the effects of aerobic exercise combined with resistance training on the cardiorespiratory fitness and exercise capacity of patients with stable coronary artery disease (CAD) . Methods: From June 2014 to December 2015, 73 patients with stable CAD in our department were recruited and randomly assigned to two groups: the control group (n=38) and the exercise group (n=35) . Patients in both groups received conventional medical treatment for CAD and related cardiac health education. While for patients in exercise group, a twelve-week aerobic exercise combined with resistance training program were applied on top of conventional treatment and health education. Cardiorespiratory fitness and exercise capacity were evaluated by cardiopulmonary exercise testing. Results: (1) The exercise capacity was significantly increased in the exercise group after 12 weeks training as compared to baseline level: peak oxygen uptake per kilogram ( (26.25±5.14) ml·kg(-1)·min(-1) vs. (20.88±4.59) ml·kg(-1)·min(-1)) , anaerobic threshold ( (15.24±2.75) ml·kg(-1)·min(-1) vs. (13.52±2.92) ml·kg(-1)·min(-1)], peak oxygen pulse ( (11.91±2.89) ml/beat vs. (9.77±2.49) ml/beat) , peak Watts ( (113.2±34.0) W vs. (103.7±27.9) W) , peak metabolic equivalent ( (7.57±1.46) METs vs. (6.00±1.32) METs) (all P<0.05 vs. baseline) . (2) The degree of improvement of peak oxygen uptake per kilogram ( (26.25±5.14) ml·kg(-1)·min(-1) vs. (22.32±4.00) ml·kg(-1)·min(-1)) , anaerobic threshold ( (15.24±2.75) ml·kg(-1)·min(-1) vs. (13.76±2.51) ml·kg(-1)·min(-1)) , peak oxygen pulse ( (11.91±2.89) ml/beat vs. (9.99±2.15) ml/beat) and peak metabolic equivalent ( (7.57±1.46) METs vs. (6.47±1.17) METs) were significantly higher in exercise group than in control group (all P<0.05) . Conclusion: Aerobic training at an aerobic threshold level combined with Thera-band resistance training is safe for patients with stable coronary artery disease. This combined exercise program can significantly improve the cardiorespiratory fitness and exercise capacity of patients with stable coronary artery disease.目的: 探讨无氧阈水平的有氧联合弹力带抗阻运动对冠心病患者心肺适能及运动能力的影响。 方法: 前瞻性研究。选取2014年6月至2015年12月在湘雅医院心血管康复中心就诊的冠心病患者73例,按随机数字表法将患者分为对照组(n=38)和运动组(n=35)。对照组予以强化健康教育、标准化的药物治疗;运动组在对照组治疗基础上,予以无氧阈水平的有氧联合弹力带抗阻运动治疗,共干预12周。两组干预前、后分别行心肺运动试验评估患者心肺适能及运动能力。 结果: (1)与干预前比较:对照组峰值公斤摄氧量、无氧阈、峰值氧脉搏、峰值功率、最大代谢当量无明显变化(P均>0.05);运动组峰值公斤摄氧量[(26.25±5.14)ml·kg(-1)·min(-1)比(20.88±4.59)ml·kg(-1)·min(-1)]、无氧阈[(15.24±2.75)ml·kg(-1)·min(-1)比(13.52±2.92)ml·kg(-1)·min(-1)]、峰值氧脉搏[(11.91±2.89)ml/搏比(9.77±2.49)ml/搏]、峰值功率[(113.2±34.0)W比(103.7±27.9)W]、峰值代谢当量[(7.57±1.46)METs比(6.00±1.32)METs]均较运动前上升(P均<0.05)。(2)与对照组比较:运动组峰值公斤摄氧量[(26.25±5.14)ml·kg(-1)·min(-1)比(22.32±4.00)ml·kg(-1)·min(-1)]、无氧阈[(15.24±2.75)ml·kg(-1)·min(-1)比(13.76±2.51)ml·kg(-1)·min(-1)]、峰值氧脉搏[(11.91±2.89)ml/搏比(9.99±2.15)ml/搏]、峰值代谢当量[(7.57±1.46)METs比(6.47±1.17)METs]差异均有统计学意义(P均<0.05)。 结论: 无氧阈水平的有氧运动联合弹力带抗阻训练可明显改善冠心病患者心肺适能,提高运动能力。." @default.
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- W2986456051 date "2017-12-24" @default.
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- W2986456051 title "[Effects of aerobic exercise combined with resistance training on the cardiorespiratory fitness and exercise capacity of patients with stable coronary artery disease]." @default.
- W2986456051 doi "https://doi.org/10.3760/cma.j.issn.0253-3758.2017.12.011" @default.
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