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Title: | Appropriate exercise prescription in primary and secondary prevention of cardiovascular disease: why this skill remains to be improved among clinicians and healthcare professionals. A call for action from the EXPERT Network | Authors: | HANSEN, Dominique CONINX, Karin Beckers, Paul Cornelissen, Véronique Kouidi, Evangelia Neunhauserer, Daniel Niebauer, Josef SPRUIT, Martijn A. Takken, Tim DENDALE, Paul |
Corporate Authors: | EXPERT Network working group | Issue Date: | 2023 | Publisher: | Source: | European Journal of Preventive Cardiology, (Art N° zwad232) | Status: | Early view | Abstract: | In Europe alone, on a yearly basis millions of people need an appropriate exercise prescription to prevent the occurrence or progression of cardiovascular disease (CVD). A general exercise recommendation can be provided to these individuals (at least 150 min of moderate-intensity endurance exercise, spread over 3-5 days/week, complemented by dynamic moderate-intensity resistance exercise 2 days/week). However, recent evidence shows that this one size does not fit all and that individual adjustments should be made according to the patient’s underlying disease(s), risk profile and individual needs, to maximise clinical benefits of exercise. In this paper, we 1. argue that this general exercise prescription simply provided to all patients with CVD, or elevated risk for CVD, is insufficient for optimal CVD prevention, and 2. show that clinicians and healthcare professionals perform heterogeneously when asked to adjust exercise characteristics (e.g. intensity, volume and type) according to the patient’s condition, hereby leading to suboptimal CVD risk factor control. Since exercise training is a class 1A intervention in the primary and secondary prevention of CVD, the awareness of the need to improve exercise prescription has to be raised among clinicians and healthcare professionals, if optimized prevention of CVD is ambitioned. | Keywords: | cardiovascular risk;exercise training;rehabilitation;training adaptation | Document URI: | http://hdl.handle.net/1942/40623 | ISSN: | 2047-4873 | e-ISSN: | 2047-4881 | DOI: | 10.1093/eurjpc/zwad232 | ISI #: | 001035401400001 | Category: | A1 | Type: | Journal Contribution |
Appears in Collections: | Research publications |
Files in This Item:
File | Description | Size | Format | |
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zwad232.pdf Restricted Access | Early view | 1.17 MB | Adobe PDF | View/Open Request a copy |
EXPERT paper_calltoaction(ejpc_final)R1.pdf | Peer-reviewed author version | 251.34 kB | Adobe PDF | View/Open |
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