ORIGINAL PAPER
Effect of two different types of exercise volumes on exercise capacity, physical activity, and quality of life in subjects undergoing percutaneous coronary intervention: a pilot study
 
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1
Universidad de Santander, Facultad de Ciencias Médicas y de la Salud, Bucaramanga, Colombia
 
2
Research Institute of the McGill University Health Centre, Montreal, QC H4A 3S5, Canada
 
3
IPS Profesionales de la Salud y Cia, Bucaramanga, Colombia
 
4
Unidades Tecnológicas de Santander, Facultad de Ciencias Socioeconómicas y Empresariales, Bucaramanga, Colombia
 
5
Grupo de Investigación Ser Cultura y Movimiento, Facultad de Salud, Universidad Santo Tomás, Santander, Colombia
 
 
Submission date: 2023-07-24
 
 
Acceptance date: 2024-01-04
 
 
Online publication date: 2024-08-09
 
 
Corresponding author
Juan Carlos Sánchez-Delgado   

University of Santo Tomás, Cra. 18 Nº 9–27, Bucaramanga, Colombia
 
 
Physiother Quart. 2025;33(1):50-59
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
Phase II of cardiac rehabilitation includes 36 sessions of exercise over 12 weeks, an intervention format that seems to be based on historical practice and not scientific evidence. The objective was to evaluate the effect of two types of exercise volumes on exercise capacity, physical activity levels, and quality of life in subjects undergoing percutaneous coronary intervention.

Methods:
A randomized controlled clinical trial was performed in 17 subjects, who were randomly assigned to two groups. The first (n = 7) was trained for eight consecutive weeks, and the second (n = 10) for 12 weeks. The six-minute walk test, the International Physical Activity Questionnaire, and the SF-36 were applied before starting the cardiac rehabilitation program at 8 and 12 weeks.

Results:
No significant differences were found between the intervention groups. The rise of VO2max was only significant in the 8-week group. Both groups improved the distance walked and sedentary behaviour. The 12-week intervention group improved the quality of life, specifically in physical functioning, and the 8-week intervention group in the domains of social function, physical, and emotional role. Additionally, the percentage of participants meeting physical activity recommendations was higher in the 12-week cardiac rehabilitation group.

Conclusions:
The implication for clinical practice is that the exercise traditionally used in cardiac rehabilitation shows early changes in exercise capacity and quality of life. The results of the levels of physical activity and sedentary behaviour improved after 12 weeks of rehabilitation without the presence of adverse events.
REFERENCES (51)
1.
American Association of Cardiovascular Pulmonary Rehabilitation. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs. 5th ed. Champaign: Human Kinetics; 2013.
 
2.
Sánchez-Delgado JC, Camargo Sepulveda DC, Cardona Zapata A, Franco Pico MY, Santos Blanco LM, Jácome Hortúa AM, de Souza HCD, Angarita-Fonseca A. The effects of maintenance cardiac rehabilitation: a systematic review. J Cardiopulm Rehabil Prev. 2020;40(4):224–4; doi: 10.1097/HCR.0000000000000520.
 
3.
Anderson L, Thompson, DR, Oldridge N, Zwisler AD, Rees K, Martin N, Taylor RS. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2016(1):1–12; doi: 10.1002/14651858.CD001800.pub3.
 
4.
Benjamin E, Blaha M, Chiuve S. Cushman M, Das SR, Deo R, de Ferranti SD, Floyd J, Fornage M, Gillespie C, Isasi CR, Jiménez MC, Jordan LC, Judd SE, Lackland D, Lichtman JH, Lisabeth L, Liu S, Longenecker CT, Mackey RH, Matsushita K, Mozaffarian D, Mussolino ME, Nasir K, Neumar RW, Palaniappan L, Pandey DK, Thiagarajan RR, Reeves MJ, Ritchey M, Rodriguez CJ, Roth GA, Rosamond WD, Sasson C, Towfighi A, Tsao CW, Turner MB, Virani SS, Voeks JH, Willey JZ, Wilkins JT, Wu JH, Alger HM, Wong SS, Muntner P; American Heart Association Statistics Committee, Stroke Statistics Subcommittee. Heart disease and stroke statistics. 2017 update: a report from the American Heart Association. Circulation. 2017; 135(10):e146–e603; doi: 10.1161/CIR.0000000000000485.
 
5.
Kabboul NN, Tomlinson G, Francis TA, Grace SL, Cha­ves G, Rac V, Daou-Kabboul T, Bielecki JM, Alter DA, Krahn M. Comparative effectiveness of the core components of cardiac rehabilitation on mortality and morbidity: a systematic review and network meta-analysis. J Clin Med. 2018;7(12):514; doi: 10.3390/jcm7120514.
 
6.
Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the global burden of disease study 2010. Lancet. 2012;380(9859):2095–128; doi: 10.1016/S0140-6736(12)61728-0.
 
7.
Prabhu N, Maiya M, Prabhu N. Impact of cardiac rehabilitation on functional capacity and physical activity after coronary revascularization: a scientific review. Cardiol Res Pract. 2020;2020:1236968; doi: 10.1155/2020/1236968.
 
8.
Price KJ, Gordon BA, Bird SR, Benson AC. A review of guidelines for cardiac rehabilitation exercise programmes: is there an international consensus?. Eur J Prev Cardiol. 2016;23(16):1715–33; doi: 10.1177/2047487316657669.
 
9.
Abell B, Glasziou P, Briffa T, Hoffmann T. Exercise training characteristics in cardiac rehabilitation programmes: a cross-sectional survey of Australian practice. Open Heart. 2016;3(1):e000374; doi: 10.1136/openhrt-2015-000374.
 
10.
Davos CH, Rauch B. Evidence for cardiac rehabilitation in the modern era. In: Abreu A, Schmid J, Piepoli M (eds.) ESC Handbook of Cardiovascular Rehabilitation. A Practical Clinical Guide. Oxford University Press. 2020; doi: 10.1093/med/9780198849308.003.0001.
 
11.
WHO Expert Committee on Rehabilitation after Cardiovascular Diseases with Special Emphasis on Developing Countries, World Health Organization. Technical report series. Ginebra, Suiza: World Health Organization; 1993. Available from: https://iris.who.int/handle/10... (accessed: 01.012024).
 
12.
Hamm LF, Kavanagh T, Campbell RB, Mertens DJ, Beyene J, Kennedy J, Shephard RJ. Timeline for peak improvements during 52 weeks of outpatient cardiac rehabilitation. J Cardiopulm Rehabil. 2004;24(6):374–80; doi: 10.1097/00008483-200411000-00002.
 
13.
Hammill B, Curtis L, Schulman K, Whellan D. Relationship between cardiac rehabilitation and long-term risks of death and myocardial infarction among elderly medicare beneficiaries. Circulation. 2010;121(1):63–70; doi: 10.1161/CIRCULATIONAHA.109.876383.
 
14.
Powell R, McGregor G, Ennis S, Kimani PK, Underwood M. Is exercise-based cardiac rehabilitation effective? A systematic review and meta-analysis to re-examine the evidence. BMJ Open 2018;8(3):e019656; doi: 10.1136/bmjopen-2017-019656.
 
15.
Herdy AH, López-Jiménez F, Terzic CP, Milani M, Stein R, Carvalho T, Serra S, Araujo CG, Zeballos PC, Anchi­que CV, Burdiat G, González K, González G, Fernández R, Santibáñez C, Rodríguez-Escudero JP, Ilarraza-Lomelí H. South American guidelines for cardiovascular disease prevention and rehabilitation. Arq Bras Cardiol. 2014;103(2, suppl 1):1–31; doi: 10.5935/abc.2014S003.
 
16.
Ross RM, Murthy JN, Wollak ID, Jackson AS. The six minute walk test accurately estimates mean peak oxygen uptake. BMC Pulm Med. 2010;10:31; doi: 10.1186/1471-2466-10-31.
 
17.
Erratum: ATS statement: guidelines for the six-minute walk test. Am J Respir Crit Care Med. 2016;193(10):1185; doi: 10.1164/rccm.19310erratum.
 
18.
Mantilla Toloza SC, Gómez-Conesa A. International Physical Activity Questionnaire. An adequate instrument in population physical activity monitoring. Rev Iberoam Fisioter Kinesol. 2007;10(1):48–52; doi: 10.1016/S1138-6045(07)73665-1.
 
19.
Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, Carty C, Chaput J-P, Chastin S, Chou R, Dempsey PC, DiPietro L, Ekelund U, Firth J, Friedenreich CM, Garcia L, Gichu M, Jago R, Katzmarzyk PT, Lambert E, Leitzmann M, Milton K, Ortega FB, Ranasinghe C, Stamatakis E, Tiedemann A, Troiano RP, van der Ploeg HP, Wari V, Willumsen JF. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Med. 2020;54(24):1451–62; doi: 10.1136/bjsports-2020-102955.
 
20.
Luz H, Lugo A, Héctor B, García I, Gómez C. Reliability of SF-36 quality of life in health questionnairein Medellín, Colombia. Rev Fac Nac Salud Pública. 2006;24(2):37–50.
 
21.
Noguchi K GY, Brunner E, Konietschke F. nparLD: an R software package for the non-parametric analysis of longitudinal data in factorial experiments. J Stat Softw. 2012;50(12):1–23; doi: 10.18637/jss.v050.i12.
 
22.
Kassambara, A. (s.f.). Pipe-Friendly Framework for Basic Statistical Tests. Version: 0.6.0. Available from: https://rpkgs.datanovia.com/rs...: 01.01.2024).
 
23.
Halekoh U, Højsgaard S, Yan J. The R Package geepack for Generalized Estimating Equations. J Stat Softw. 2006;15(2):1–11; doi: 10.18637/jss.v015.i02.
 
24.
Kim K-H, Jang Y-C, Song M-K, Park H-K, Choi I-S, Han J-Y. Changes in aerobic capacity over time in elderly patients with acute myocardial infarction during cardiac rehabilitation. Ann Rehabil Med. 2020;44(1):77–84; doi: 10.5535/arm.2020.44.1.77.
 
25.
Andjic M, Spiroski D, Ilic Stojanovic O, Vidakovic T, Lazovic M, Babic D, Ristic A, Mazic S, Zdravkovic M, Otasevic P. Effect of short-term exercise training in patients following acute myocardial infarction treated with primary percutaneous coronary intervention. Eur J Phys Rehabil Med. 2016;52(3):364–9.
 
26.
Bellet RN, Francis RL, Adams L, Morris NR. Six-minute walk test distances in fast-track and traditional cardiac rehabilitation: a 3-year database review. J Cardiopulm Rehabil Prev. 2015;35(6):417–22; doi: 10.1097/HCR.0000000000000131.
 
27.
Hannan AL, Hing W, Simas V, Climstein M, Coombes JS, Jayasinghe R, Byrnes J, Furness J. High-intensity interval training versus moderate-intensity continuous training within cardiac rehabilitation: a systematic review and meta-analysis. Open Access J Sports Med. 2018;9:1–17; doi: 10.2147/oajsm.s150596.
 
28.
Bassett DR Jr, Howley ET. Limiting factors for maximum oxygen uptake and determinants of endurance performance. Med Sci Sports Exerc. 2000;32(1):70–84; doi: 10.1097/00005768-200001000-00012.
 
29.
Gormley SE, Swain DP, High R, Spina RJ, Dowling EA, Kotipalli US, Gandrakota R. Effect of intensity of aerobic training on VO2max. Med Sci Sports Exerc. 2008;40(7):1336–43; doi: 10.1249/MSS.0b013e31816c4839.
 
30.
Rognmo Ø, Hetland E, Helgerud J, Hoff J, Slørdahl SA. High intensity aerobic interval exercise is superior to moderate intensity exercise for increasing aerobic capacity in patients with coronary artery disease. Eur J Cardiovasc Prev Rehabil. 2004;11(3):216–22; doi: 10.1097/01.hjr.0000131677.96762.0c.
 
31.
Swain DP, Franklin BA. Comparison of cardioprotective benefits of vigorous versus moderate intensity aerobic exercise. Am J Cardiol. 2006;97(1):141–7; doi: 10.1016/j.amjcard.2005.07.130.
 
32.
Wehmeier UF, Schweitzer A, Jansen A, Probst H, Grüter S, Hähnchen S, Hilberg T. Effects of high-intensity interval training in a three-week cardiovascular rehabilitation: a randomized controlled trial. Clin Rehabil. 2020;34(5):646–55; doi: 10.1177/0269215520912302.
 
33.
Cuellar-Gallardo ÁA, Gómez-García Y, Castro-Torres Y, Triana-Díaz A, Gómez Lauchy JM, Gavilanes-Hernández R, Herrera-León Y, León AR. Cardiac rehabilitation in patients with ST-segment elevation acute myocardial infarction and percutaneous coronary intervention. CorSalud. 2019;11(4):278–86.
 
34.
Zhao W, Bai J, Zhang F, Guo L, Gao W. Impact of completeness of revascularization by coronary intervention on exercise capacity early after acute ST-elevation myocardial infarction. J Cardiothorac Surg. 2014;9:50; doi: 10.1186/1749-8090-9-50.
 
35.
Bohannon RW, Crouch R. Minimal clinically important difference for change in 6-minute walk test distance of adults with pathology: a systematic review. J Eval Clin Pract. 2017;23(2):377–81; doi: 10.1111/jep.12629; doi: 10.1111/jep.12629.
 
36.
Gremeaux V, Troisgros O, Benaïm S, Hannequin A, Laurent Y, Casillas JM, Benaïm C. Determining the minimal clinically important difference for the six-minute walk test and the 200-meter fast-walk test during cardiac rehabilitation program in coronary artery disease patients after acute coronary syndrome. Arch Phys Med Rehabil. 2011;92(4):611–9; doi: 10.1016/j.apmr.2010.11.023.
 
37.
Cook CE. Clinimetrics corner: the minimal clinically important change score (mcid): a necessary pretense. J Man Manip Ther. 2008;16(4):82–3; doi: 10.1179/jmt.2008.16.4.82E.
 
38.
Sadeghi M, Izadi A, Mahdi Hadavi M, Rafati Fard M, Roohafza H. Comparison of the effect of 12- and 24-session cardiac rehabilitation on physical, psychosocial and biomedical factors in ischemic heart disease patients. Horm Mol Biol Clin Investig. 2020;41(1); doi: 10.1515/hmbci-2019-0023.
 
39.
Chen C-H, Chen Y-J, Tu H-P, Huang M-H, Jhong J-H, Lin K-L. Benefits of exercise training and the correlation between aerobic capacity and functional outcomes and quality of life in elderly patients with coronary artery disease. Kaohsiung J Med Sci. 2014;30(10):521–30; doi: 10.1016/j.kjms.2014.08.004.
 
40.
Saeidi M, Mostafavi S, Heidari H, Masoudi S. Effects of a comprehensive cardiac rehabilitation program on quality of life in patients with coronary artery disease. ARYA Atheroscler. 2013;9(3):179–85.
 
41.
Masoumi SZ, Kazemi F, Khani S, Seifpanahi-Shabani H, Garousian M, Ghabeshi M, Razmara F, Roshanaei G. Evaluating the effect of cardiac rehabilitation care plan on quality of life of patients undergoing coronary artery bypass graft surgery. Int J Cardiovasc Pract. 2017;2(2):1–7; doi: 10.21859/ijcp-020204.
 
42.
Hirani S, Sajjad S, Gowani A, James H, Gupta A, Kennedy M, Norris CM. Psychosocial interventions and mental health in patients with cardiovascular diseases living in low- and middle-income countries: a systematic review and meta-analysis. J Psychosom Res. 2023;172:111416; doi: 10.1016/j.jpsychores.2023.111416.
 
43.
Rincón-Rueda ZR, Carrillo-Vásquez AC, Cepeda-Fló­rez KT, Quintero-Santos LS, Sánchez-Delgado JC. Impact of an 8 and 12-week cardiac rehabilitation program on the perception of quality of life in patients with coronary angioplasty. A randomized controlled trial. Rev Investig Innov Cienc Salud. 2023;5(1):91–102; doi: 10.46634/riics.151.
 
44.
Ramadi A, Buijs DM, Threlfall TG, Aggarwal SG, Arena R, Rodgers WM, Haennel RG. Long-term physical activity behavior after completion of traditional versus fast-track cardiac rehabilitation. J Cardiovasc Nurs. 2016;31(6):1–7; doi: 10.1097/JCN.0000000000000341.
 
45.
Biswas A, Oh PI, Faulkner GE, Alter DA. A prospective study examining the influence of cardiac rehabilitation on the sedentary time of highly sedentary, physically inactive patients. Ann Phys Rehabil Med. 2018;61(4):207–24; doi: 10.1016/j.rehab.2017.06.003.
 
46.
Healy GN, Dunstan DW, Salmon J, Cerin E, Shaw JE, Zimmet PZ, Owen N. Breaks in sedentary time: beneficial associations with metabolic risk. Diabetes Care. 2008;31(4):661–6; doi: 10.2337/dc07-2046.
 
47.
Ter Hoeve N, Sunamura M, van Geffen ME, Fanchamps MH, Horemans HL, Bussmann JB, Stam HJ, van Domburg RT, van den Berg-Emons RJ. Changes in physical activity and sedentary behavior during cardiac rehabilitation. Arch Phys Med Rehabil. 2017;98(12):2378–84; doi: 10.1016/j.apmr.2017.05.008.
 
48.
Alsaleh E, Windle R, Blake H. Behavioural intervention to increase physical activity in adults with coronary heart disease in Jordan. BMC Public Health. 2016;16:643; doi: 10.1186/s12889-016-3313-5.
 
49.
Lee P, Macfarlane D, Lam T, Stewart S. Validity of the International Physical Activity Questionnaire Short Form (IPAQ-SF): a systematic review. Int J Behav Nutr Phys Act. 2011;8(1):115; doi: 10.1186/1479-5868-8-115.
 
50.
Steene-Johannessen J, Anderssen SA, van der Ploeg HP, Hendriksen IJ, Donnelly AE, Brage S, Ekelund U. Are self-report measures able to define individuals as physically active or inactive? Med Sci Sports Exerc. 2016;48(2):235–44; doi: 10.1249/MSS.0000000000000760.
 
51.
Branco CF, Viamonte S, Matos C, Magalhães S, Cunha I, Barreira A,  Fernandes P, Torres S. Predictors of changes in functional capacity on a cardiac rehabilitation program. Rev Port Cardiol. 2016;35(4):215–24; doi: 10.1016/j.repc.2015.09.010.
 
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