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Physical Activity, Health and Exercise

The effects of 12-months supervised periodized training on health-related physical fitness in coronary artery disease: a randomized controlled trial

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Pages 1893-1902
Accepted 19 Mar 2021
Published online: 28 Mar 2021

ABSTRACT

We compared the impact of a one-year periodized exercise training versus a non-periodized exercise training on health-related physical fitness (HRPF) including body composition, cardiorespiratory and muscular fitness in patients with coronary artery disease (CAD). Fifty CAD patients (60.4 ± 9.9 years) were randomized to either a periodized training group (PG) (n = 25) or a non-periodized training group (NPG) (n = 25). Both consisted of a combined training programme, performed 3 days/week for 12 months. Thirty-six CAD patients (PG: n = 18, NPG: n = 18) successfully completed the exercise regimes. In both groups, a favourable main effect for time was evident for peak VO2, peak workload, anaerobic threshold and respiratory compensation point workloads and VO2, whole body skeletal muscle mass and quality index at 12 months.

In conclusion, a periodized model is as effective as a non-periodized model in promoting increases in HRPF outcomes following a one-year intervention. These findings indicate that health-professionals can add variation to cardiac rehabilitation workouts without compromising effectiveness.

Acknowledgments

The authors would like to thank all the participants in this study for their dedication to the training programmes and associated assessments. We thank the cardiopulmonary technician Paula Sousa for performing all the CPET, and we are also grateful to Machado Rodrigues for all the support provided.

Disclosure statement

The authors declare that they have no competing interests.

Supplementary material

Supplemental data for this article can be accessed online https://doi.org/10.1080/02640414.2021.1907062

Additional information

Funding

R. P. was supported by a scholarship from the Universidade de Lisboa, grant number 545. The current work was partly supported by the Portuguese Foundation for Science and Technology, under grant UIDB/00447/2020 to CIPER – Centro Interdisciplinar para o Estudo da Performance Humana (unit 447).

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