Exercise Prescription in Patients with Different Combinations of Cardiovascular Disease Risk Factors: A Consensus Statement from the EXPERT Working Group.

DOI
Publisher DOI
PubMed ID
29729003
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.
Date Issued
2018-08
Publication Type
Article
Subject(s)
Language(s)
en
Author(s)
Hansen, Dominique
Niebauer, Josef
Cornelissen, Veronique
Barna, Olga
Neunhäuserer, Daniel
Tonoli, Cajsa
Greco, Eugenio
Fagard, Robert
Coninx, Karin
Vanhees, Luc
Piepoli, Massimo F
Pedretti, Roberto
Ruiz, Gustavo Rovelo
Corrà, Ugo
Schmid, Jean-Paul
Davos, Constantinos H
Edelmann, Frank
Abreu, Ana
Rauch, Bernhard
Ambrosetti, Marco
Braga, Simona Sarzi
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
Additional Credits
Journal
Sports medicine
Publisher
Springer
ISSN
1179-2035
Access(Rights)
restricted
Show full item