Training after myocardial infarction : Lack of long-term effects on physical capacity and psychological variables
(1994) In Archives of Physical Medicine and Rehabilitation 75(5). p.551-554- Abstract
This study evaluated long-term effects of 12 weeks of supervised training, of at least 45 minutes duration with two sessions per week, on physical performance and psychological well-being after myocardial infarction (MI). Sixty-nine patients were randomized to either an exercise or a nonexercise group. Maximum exercise capacity 6 weeks post-MI was inversely related to the acute peak aspartate aminotransferase values in serum, as an index of infarct size. One year post-MI, the increase in level of fitness (10%) in the training group did not significantly exceed (p = .10) that of the controls (2%). No intergroup differences were registered in self-rated psychological well-being and physical scores or in the return to work rate. In the... (More)
This study evaluated long-term effects of 12 weeks of supervised training, of at least 45 minutes duration with two sessions per week, on physical performance and psychological well-being after myocardial infarction (MI). Sixty-nine patients were randomized to either an exercise or a nonexercise group. Maximum exercise capacity 6 weeks post-MI was inversely related to the acute peak aspartate aminotransferase values in serum, as an index of infarct size. One year post-MI, the increase in level of fitness (10%) in the training group did not significantly exceed (p = .10) that of the controls (2%). No intergroup differences were registered in self-rated psychological well-being and physical scores or in the return to work rate. In the training group, but not in the controls, the change in perceived dyspnoea at leisure- time activities was positively related to the objectively measured peak exercise capacity. We conclude that after MI only marginal improvements in physical performance are achieved 6 months after training is finished, with no long-term psychological benefits apparent versus a usual care program. The adaptive implications of supervised conventional exercise programs post-MI are therefore questioned.
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- author
- Holmback, A. M. LU ; Sawe, U. and Fagher, B.
- organization
- publishing date
- 1994-05-31
- type
- Contribution to journal
- publication status
- published
- subject
- in
- Archives of Physical Medicine and Rehabilitation
- volume
- 75
- issue
- 5
- pages
- 4 pages
- publisher
- Elsevier
- external identifiers
-
- pmid:8185448
- scopus:0028228246
- ISSN
- 0003-9993
- language
- English
- LU publication?
- yes
- id
- f162b4a2-99ea-460d-86d7-a995eacd952c
- date added to LUP
- 2019-05-20 08:40:23
- date last changed
- 2024-01-01 05:36:11
@article{f162b4a2-99ea-460d-86d7-a995eacd952c,
abstract = {{<p>This study evaluated long-term effects of 12 weeks of supervised training, of at least 45 minutes duration with two sessions per week, on physical performance and psychological well-being after myocardial infarction (MI). Sixty-nine patients were randomized to either an exercise or a nonexercise group. Maximum exercise capacity 6 weeks post-MI was inversely related to the acute peak aspartate aminotransferase values in serum, as an index of infarct size. One year post-MI, the increase in level of fitness (10%) in the training group did not significantly exceed (p = .10) that of the controls (2%). No intergroup differences were registered in self-rated psychological well-being and physical scores or in the return to work rate. In the training group, but not in the controls, the change in perceived dyspnoea at leisure- time activities was positively related to the objectively measured peak exercise capacity. We conclude that after MI only marginal improvements in physical performance are achieved 6 months after training is finished, with no long-term psychological benefits apparent versus a usual care program. The adaptive implications of supervised conventional exercise programs post-MI are therefore questioned.</p>}},
author = {{Holmback, A. M. and Sawe, U. and Fagher, B.}},
issn = {{0003-9993}},
language = {{eng}},
month = {{05}},
number = {{5}},
pages = {{551--554}},
publisher = {{Elsevier}},
series = {{Archives of Physical Medicine and Rehabilitation}},
title = {{Training after myocardial infarction : Lack of long-term effects on physical capacity and psychological variables}},
volume = {{75}},
year = {{1994}},
}