Exercise intensity assessment and prescription in cardiovascular rehabilitation and beyond: why and how: a position statement from the Secondary Prevention and Rehabilitation Section of the European Association of Preventive Cardiology

Dominique Hansen (Corresponding author), Ana Abreu, Marco Ambrosetti, Veronique Cornelissen, Andreas Gevaert, Hareld Kemps, Jari A. Laukkanen, Roberto Pedretti, Maria Simonenko, Matthias Wilhelm, Constantinos H Davos, Wolfram Doehner, Marie-Christine Iliou, Nicolle Kränkel, Heinz Völler, Massimo Piepoli

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164 Citations (Scopus)
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Abstract

A proper determination of the exercise intensity is important for the rehabilitation of patients with cardiovascular disease (CVD) since it affects the effectiveness and medical safety of exercise training. In 2013, the European Association of Preventive Cardiology (EAPC), together with the American Association of Cardiovascular and Pulmonary Rehabilitation and the Canadian Association of Cardiac Rehabilitation, published a position statement on aerobic exercise intensity assessment and prescription in cardiovascular rehabilitation (CR). Since this publication, many subsequent papers were published concerning the determination of the exercise intensity in CR, in which some controversies were revealed and some of the commonly applied concepts were further refined. Moreover, how to determine the exercise intensity during resistance training was not covered in this position paper. In light of these new findings, an update on how to determine the exercise intensity for patients with CVD is mandatory, both for aerobic and resistance exercises. In this EAPC position paper, it will be explained in detail which objective and subjective methods for CR exercise intensity determination exist for aerobic and resistance training, together with their (dis)advantages and practical applications.

Original languageEnglish
Pages (from-to)230-245
Number of pages16
JournalEuropean Journal of Preventive Cardiology
Volume29
Issue number1
Early online date2 Jun 2021
DOIs
Publication statusPublished - 1 Jan 2022

Keywords

  • Aerobic training
  • Exercise intensity
  • Resistance training
  •  Cardiovascular rehabilitation
  • Cardiovascular rehabilitation

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