Effect of high-intensity interval training on rehabilitation in patients with coronary artery disease:a re-evaluation of systematic review
10.3969/j.issn.1671-8283.2024.07.008
- VernacularTitle:高强度间歇训练应用于冠心病患者康复效果的系统评价再评价
- Author:
Yan WANG
1
;
Jie LI
;
Ling ZENG
Author Information
1. 四川大学华西医院重症医学科/四川大学华西护理学院,四川成都,610041
- Keywords:
coronary heart disease;
rehabilitation;
high-intensity interval training;
re-evaluation of systematic reviews
- From:
Modern Clinical Nursing
2024;23(7):54-62
- CountryChina
- Language:Chinese
-
Abstract:
Objective To re-evaluate the systematic review/meta-analysis about the effect of high-intensity interval training(HIIT)on rehabilitation in patients with coronary heart disease(CHD),aiming to provide an evidence-based support for exercise rehabilitation.Methods Website-based search on systematic reviews or meta-analyses of the effect of HIIT on CHD rehabilitation were conducted through databases including PubMed,Embase,Web of Science,the Cochrane Library,CNKI,Wanfang Data,VIP and Sinomed from inception to November 2023.Two trained researchers screened the retrieved articles for data extraction.The included literatures were assessed for the qualities of methodology,article and evidence using the assessment of multiple systematic reviews 2(AMSTAR 2),the preferred reporting items for systematic reviews and Meta-analyses(PRISMA)statement,and the grading system of grading of recommendations assessment,development and evaluation(GRADE),respectively.Results A total of 13 systematic reviews were included.It was found that one paper was in high quality,two in low quality and ten in very low quality,according to AMSTAR 2.Where,according to PRISMA,the included papers scored between 16 and 26.5,with 6 reviews in relative completion and 7 with some deficiencies.Overall,the evidences extracted from the reviews encompassed 48 outcome indicators of which 12 were in medium quality,9 in low quality and 27 in very low quality.Re-evaluation of the included meta-analyses indicated the HIIT that showed superior outcomes over moderate-intensity continuous training(MICT)with 6 indicators of peak oxygen uptake,anaerobic threshold,peak heart rate,resting heart rate,left ventricular ejection fraction and blood pressure.Conclusions HIIT has demonstrated an advantage in enhancing rehabilitation of CHD patients,with moderate safety.However,the previous systematic reviews and meta-analyses exhibit low qualities in methodology,literature and evidence.Therefore,future researches should prioritise the multi-centre,large-sample and randomised controlled studies in validation of the findings.
