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Title: | Exercise prescription in patients with different combinations of cardiovascular disease risk factors: a consensus statement from the EXPERT* working group | Authors: | HANSEN, Dominique Niebauer, Josef Cornelissen, Veronique Barna, Olga Neunhäuserer, Daniel Stettler, Christoph Tonoli, Cajsa Greco, Eugenio Fagard, Robert CONINX, Karin Vanhees, Luc Piepoli, Massimo Pedretti, Roberto ROVELO RUIZ, Gustavo Corrà, Ugo Schmid, Jean-Paul Davos, Constantinos Edelmann, Frank Abreu, Ana Rauch, Bernhard Ambrosetti, Marco Sarzi Braga, Simona Beckers, Paul Bussotti, Maurizio Faggiano, Pompilio Garcia-Porrero, Esteban Kouidi, Evangelia Lamotte, Michel Reibis, Rona SPRUIT, Martijn A. Takken, Tim Vigorito, Carlo Völler, Heinz Doherty, Patrick DENDALE, Paul |
Issue Date: | 2018 | Source: | SPORTS MEDICINE, 48 (8), p. 1781-1797 | Abstract: | Whereas exercise training is key in the management of patients with cardiovascular disease (CVD) risk (obesity, diabetes, dyslipidaemia, hypertension), clinicians experience difficulties in how to optimally prescribe exercise in patients with different CVD risk factors. Therefore, a consensus statement for state-of-the-art exercise prescription in patients with combinations of CVD risk factors as integrated into a digital training and decision support system (the EXercise Prescription in Everyday practice & Rehabilitative Training (EXPERT) tool) needed to be established. EXPERT working group members systematically reviewed the literature for meta-analyses, systematic reviews and/or clinical studies addressing exercise prescriptions in specific CVD risk factors and formulated exercise recommendations (exercise training intensity, frequency, volume and type, session and programme duration) and exercise safety precautions, for obesity, arterial hypertension, type 1 and 2 diabetes, and dyslipidaemia. The impact of physical fitness, CVD risk altering medications and adverse events during exercise testing was further taken into account to fine-tune this exercise prescription. An algorithm, supported by the interactive EXPERT tool, was developed by Hasselt University based on these data. Specific exercise recommendations were formulated with the aim to decrease adipose tissue mass, improve glycaemic control and blood lipid profile, and lower blood pressure. The impact of medications to improve CVD risk, adverse events during exercise testing and physical fitness was also taken into account. Simulations were made of how the EXPERT tool provides exercise prescriptions according to the variables provided. In this paper, state-of-the-art exercise prescription to patients with combinations of CVD risk factors is formulated, and it is shown how the EXPERT tool may assist clinicians. This contributes to an appropriately tailored exercise regimen for every CVD risk patient. | Notes: | Hansen, D (reprint author), Jessa Hosp, Heart Ctr Hasselt, Hasselt, Belgium dominique.hansen@uhasselt.be | Document URI: | http://hdl.handle.net/1942/25974 | ISSN: | 0112-1642 | e-ISSN: | 1179-2035 | DOI: | 10.1007/s40279-018-0930-4 | ISI #: | 000454455500003 | Rights: | (c) Springer International Publishing AG, part of Springer nature 2018 | Category: | A1 | Type: | Journal Contribution | Validations: | ecoom 2020 |
Appears in Collections: | Research publications |
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eapc expert paper 2 sports medicine R2 - clean copy.pdf Restricted Access | Non Peer-reviewed author version | 715.87 kB | Adobe PDF | View/Open Request a copy |
10.1007@s40279-018-0930-4.pdf Restricted Access | Published version | 451.3 kB | Adobe PDF | View/Open Request a copy |
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