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Review
. 2021 Aug 6:20:e20210056.
doi: 10.1590/1677-5449.210056. eCollection 2021.

Effect of different physical training modalities on peak oxygen consumptions in post-acute myocardial infarction patients: systematic review and meta-analysis

Gabriela Bourscheid  1 , Karin Raquel Just  1 , Rochelle Rocha Costa  2   3 , Thalia Petry  4 , Luiz Cláudio Danzmann  5 , Adamastor Humberto Pereira  2   6 , Alexandre Araújo Pereira  2   6 , Leandro Tolfo Franzoni  2   6 , Eduardo Lima Garcia  6
Affiliations
Review

Effect of different physical training modalities on peak oxygen consumptions in post-acute myocardial infarction patients: systematic review and meta-analysis

Gabriela Bourscheid et al. J Vasc Bras. .

Abstract
in English, Portuguese

Physical training can increase peak oxygen uptake (VO2peak) in people who have suffered acute myocardial infarction (AMI). However, there is still a gap in the literature in relation to the effectiveness of different types of interventions. Therefore, the aim of the present study was to evaluate the effects of different physical training modalities on VO2peak in post-AMI patients. The following databases were used: PubMed (MEDLINE), Cochrane Library, Scopus, and Pedro. Studies that evaluated aerobic exercise, strength exercise, or combined exercise were included. Six studies met eligibility criteria. Aerobic exercise increased VO2peak by 6.07 ml.kg-1.min-1 when compared to the control group (CG) (p = 0.013). The comparison between combined exercise and control group detected a difference of 1.84 ml.kg-1.min-1, but this was not significant (p = 0.312). We therefore conclude that aerobic exercise is the only modality that is effective for increasing VO2peak compared to a control group.

Resumo: O treinamento físico é capaz de aumentar o consumo de oxigênio de pico em indivíduos que sofreram infarto agudo do miocárdio. No entanto, em relação à eficácia de diferentes tipos de intervenções ainda há uma lacuna na literatura. O objetivo do presente estudo foi avaliar os efeitos de diferentes modalidades de treinamento físico no consumo de oxigênio de pico de pacientes pós-infarto agudo do miocárdio. Foram utilizadas as seguintes bases de dados: PubMed (MEDLINE), Cochrane Library, Scopus e PEDro. Foram incluídos estudos que avaliassem exercícios aeróbicos, de força ou combinados. Seis estudos preencheram elegibilidade. O exercício aeróbico aumentou 6,07 mL.kg-1.min-1 quando comparado ao grupo controle (p = 0,013). Na comparação entre exercício combinado e grupo controle, foi observada uma diferença de 1,84 mL.kg-1.min-1, no entanto, sem significância (p = 0,312). Portanto, concluímos que o exercício aeróbico é a única modalidade que apresenta eficácia para aumentar o consumo de oxigênio de pico em comparação a um grupo controle.

Keywords: acute myocardial infarction; cardiovascular rehabilitation; coronary artery disease; ischemic cardiopathy; physical exercise.

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Conflict of interest statement

Conflicts of interest: No conflicts of interest declared concerning the publication of this article.

Figures

Figure 1
Figure 1. Study flow diagram illustrating all steps in the systematic review and meta-analysis.
Figure 2
Figure 2. Standardized mean differences in peak oxygen consumption (mL.kg-1.min- ) observed between aerobic exercise group and control group.
Figure 3
Figure 3. Standardized mean differences in peak oxygen consumption (mL.kg-1.min- ) observed between combined exercise group and control group.
Figura 1
Figura 1. Fluxograma do estudo com todas etapas da revisão sistemática e metanálise.
Figura 2
Figura 2. Diferenças médias padronizadas no consumo de oxigênio de pico (mL.kg-1.min-1) observadas entre exercício aeróbico e grupo controle.
Figura 3
Figura 3. Diferenças médias padronizadas no consumo de oxigênio de pico (mL.kg-1.min-1) observadas entre exercício combinado e grupo controle.
See this image and copyright information in PMC

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