How chest press-based exercises can alleviate the burden of cardiovascular diseases
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Department of Public Health, University of Naples Federico II, Naples, Italy
Laboratory for Industrial and Applied Mathematics, Department of Mathematics and Statistics, York University, Toronto, Canada
Postgraduate School of Public Health, Department of Health Sciences, University of Genoa, Genoa, Italy
Laboratory for Applied Physiology, Sport Systems, Talents Development and Influence of Physical Activities on Health, Faculty of Kinesiology, University of Split, Split, Croatia
Croatian Institute for Kinesiology and Sport, Split, Croatia
Einstein Craft for Research, Development, Education, Trade and Services, Split, Croatia
Faculty of Kinesiology, University of Split, Split, Croatia
School of Exercise and Sport Science, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
Department of Biomedical Sciences for Health, University of Milan, Milan, Italy
Submission date: 2021-01-03
Acceptance date: 2021-05-04
Publication date: 2021-06-28
Hum Mov. 2022;23(4):88-98
Unlike in the previous decades, strength training is gaining more scientific attention owing to its numerous benefits on human health. It has major benefits on metabolic processes, cardiovascular system, musculoskeletal system, age-related processes, and mental health. In comparison with aerobic low-intensity exercises, chest press-based strength training cardiovascular adaptations have been ignored for many years. Yet, if properly prescribed and conducted, strength training has shown to be safe and effective in people with cardiovascular disease. This narrative review aims at summarizing the available evidence
about the role of chest press-based strength training on the cardiovascular system.
Martínez-Velilla N, Cadore EL, Casas-Herrero Á, Idoate-Saralegui F, Izquierdo M. Physical activity and early rehabilitation in hospitalized elderly medical patients: systematic review of randomized clinical trials. J Nutr Health Aging. 2016;20(7):738–751; doi: 10.1007/s12603-016-0683-4.
Pedersen BK, Saltin B. Evidence for prescribing exercise as therapy in chronic disease. Scand J Med Sci Sports. 2006;16(Suppl. 1):3–63; doi: 10.1111/j.1600-0838.2006.00520.x.
Adami PE, Negro A, Lala N, Martelletti P. The role of physical activity in the prevention and treatment of chronic diseases. Clin Ter. 2010;161(6):537–541.
Kruk J. Physical activity in the prevention of the most frequent chronic diseases: an analysis of the recent evidence. Asian Pac J Cancer Prev. 2007;8(3):325–338.
Fiuza-Luces C, Garatachea N, Berger NA, Lucia A. Exercise is the real polypill. Physiology. 2013;28(5):330–358; doi: 10.1152/physiol.00019.2013.
Warburton DER, Nicol CW, Bredin SSD. Health benefits of physical activity: the evidence. CMAJ. 2006;174(6):801–809; doi: 10.1503/cmaj.051351.
Knuttgen HG. Strength training and aerobic exercise: comparison and contrast. J Strength Cond Res. 2007;21(3):973–978; doi: 10.1519/R-505011.1.
Chamari K, Padulo J. ‘Aerobic’ and ‘anaerobic’ terms used in exercise physiology: a critical terminology reflection. Sports Med Open. 2015;1(1):9; doi: 10.1186/s40798-015-0012-1.
Dhahbi W, Chaabene H, Chaouachi A, Padulo J, Behm DG, Cochrane J, et al. Kinetic analysis of pushup exercises: a systematic review with practical recommendations. Sports Biomech. 2018;1–40; doi: 10.1080/14763141.2018.1512149.
American College of Sports Medicine. ACSM’s guidelines for exercise testing and prescription. Philadelphia: Lippincott Williams & Wilkins; 2020.
Souza D, Barbalho M, Gentil P. The impact of resistance training volume on muscle size and lean body mass: to infinity and beyond? Hum Mov. 2020;21(4):18–29; doi: 10.5114/hm.2020.94199.
Thomas MH, Burns SP. Increasing lean mass and strength: a comparison of high frequency strength training to lower frequency strength training. Int J Exerc Sci. 2016;9(2):159–167.
Huovinen V, Ivaska KK, Kiviranta R, Bucci M, Lipponen H, Sandboge S, et al. Bone mineral density is increased after a 16-week resistance training intervention in elderly women with decreased muscle strength. Eur J Endocrinol. 2016;175(6):571–582; doi: 10.1530/EJE-16-0521.
Anek A, Kanungsukasem V, Bunyaratavej N. Effects of aerobic step combined with resistance training on biochemical bone markers, health-related physical fitness and balance in working women. J Med Assoc Thai. 2015;98(Suppl. 8):S42–S51.
Ribeiro AS, Tomeleri CM, Souza MF, Pina FLC, Schoenfeld BJ, Nascimento MA, et al. Effect of resistance training on C-reactive protein, blood glucose and lipid profile in older women with differing levels of RT experience. Age. 2015;37(6):109; doi: 10.1007/s11357-015-9849-y.
Takenami E, Iwamoto S, Shiraishi N, Kato A, Watanabe Y, Yamada Y, et al. Effects of low-intensity resistance training on muscular function and glycemic control in older adults with type 2 diabetes. J Diabetes Investig. 2019;10(2):331–338; doi: 10.1111/jdi.12926.
Pollock ML, Vincent KR. Resistance training for health. Pres Counc Phys Fit Sports Res Dig. 1996;2(8).
Cavalcante EF, Ribeiro AS, do Nascimento MA, Silva AM, Tomeleri CM, Nabuco HCG, et al. Effects of different resistance training frequencies on fat in overweight/obese older women. Int J Sports Med. 2018;39(7):527–534; doi: 10.1055/a-0599-6555.
Nagai K, Miyamato T, Okamae A, Tamaki A, Fujioka H, Wada Y, et al. Physical activity combined with resistance training reduces symptoms of frailty in older adults: a randomized controlled trial. Arch Gerontol Geriatr. 2018;76:41–47; doi: 10.1016/j.archger.2018.02.005.
Fiatarone MA, O’Neill EF, Ryan ND, Clements KM, Solares GR, Nelson ME, et al. Exercise training and nutritional supplementation for physical frailty in very elderly people. N Engl J Med. 1994;330(25):1769–1775; doi: 10.1056/NEJM199406233302501.
Ades PA, Ballor DL, Ashikaga T, Utton JL, Nair KS. Weight training improves walking endurance in healthy elderly persons. Ann Intern Med. 1996;124(6):568–572; doi: 10.7326/0003-4819-124-6-199603150-00005.
Pratley R, Nicklas B, Rubin M, Miller J, Smith A, Smith M, et al. Strength training increases resting metabolic rate and norepinephrine levels in healthy 50- to 65-yr-old men. J Appl Physiol. 1994;76(1):133–137; doi: 10.1152/jappl.1994.76.1.133.
Treuth MS, Hunter GR, Kekes-Szabo T, Weinsier RL, Goran MI, Berland L. Reduction in intra-abdominal adipose tissue after strength training in older women. J Appl Physiol. 1995;78(4):1425–1431; doi: 10.1152/jappl.1995.78.4.1425.
Kraschnewski JL, Sciamanna CN, Poger JM, Rovniak LS, Lehman EB, Cooper AB, et al. Is strength training associated with mortality benefits? A 15year cohort study of US older adults. Prev Med. 2016;87:121–127; doi: 10.1016/j.ypmed.2016.02.038.
Singh NA, Quine S, Clemson LM, Williams EJ, Williamson DA, Stavrinos TM, et al. Effects of high-intensity progressive resistance training and targeted multidisciplinary treatment of frailty on mortality and nursing home admissions after hip fracture: a randomized controlled trial. J Am Med Dir Assoc. 2012;13(1):24–30; doi: 10.1016/j.jamda.2011.08.005.
Parise G, Brose AN, Tarnopolsky MA. Resistance exercise training decreases oxidative damage to DNA and increases cytochrome oxidase activity in older adults. Exp Gerontol. 2005;40(3):173–180; doi: 10.1016/j.exger.2004.09.002.
Putiri AL, Lovejoy JC, Gillham S, Sasagawa M, Bradley R, Sun G-C. Psychological effects of Yi Ren Medical Qigong and progressive resistance training in adults with type 2 diabetes mellitus: a randomized controlled pilot study. Altern Ther Health Med. 2012;18(1):30–34.
Sparrow D, Gottlieb DJ, Demolles D, Fielding RA. Increases in muscle strength and balance using a resistance training program administered via a telecommunications system in older adults. J Gerontol A Biol Sci Med Sci. 2011;66(11):1251–1257; doi: 10.1093/gerona/glr138.
Ferreira RM, da Costa Alves WMG, de Lima TA, Alves TGG, Alves Filho PAM, Pimentel CP, et al. The effect of resistance training on the anxiety symptoms and quality of life in elderly people with Parkinson’s disease: a randomized controlled trial. Arq Neuropsiquiatr. 2018;76(8):499–506; doi: 10.1590/0004-282X20180071.
Schmidt T, Weisser B, Jonat W, Baumann FT, Mundhenke C. Gentle strength training in rehabilitation of breast cancer patients compared to conventional therapy. Anticancer Res. 2012;32(8):3229–3233.
Brochu M, Savage P, Lee M, Dee J, Cress ME, Poehlman ET, et al. Effects of resistance training on physical function in older disabled women with coronary heart disease. J Appl Physiol. 2002;92(2):672–678; doi: 10.1152/japplphysiol.00804.2001.
Van den Tillaar R, Ettema G. A comparison of muscle activity in concentric and counter movement maximum bench press. J Hum Kinet. 2013;38:63–71; doi: 10.2478/hukin-2013-0046.
McArdle WD, Katch FI, Katch VL. Exercise physiology: nutrition, energy, and human performance. Philadelphia: Lippincott Williams & Wilkins; 2010.
Baechle TR, Earle RW. Essentials of strength training and conditioning. Champaign: Human Kinetics; 2008.
Fong SSM, Tam YT, Macfarlane DJ, Ng SSM, Bae Y-H, Chan EWY, et al. Core muscle activity during TRX suspension exercises with and without kinesiology taping in adults with chronic low back pain: implications for rehabilitation. Evid Based Complement Alternat Med. 2015;2015:910168; doi: 10.1155/2015/910168.
Padulo J, Laffaye G, Chaouachi A, Chamari K. Bench press exercise: the key points. J Sports Med Phys Fitness. 2015;55(6):604–608.
Padulo J, Mignogna P, Mignardi S, Tonni F, D’Ottavio S. Effect of different pushing speeds on bench press. Int J Sports Med. 2012;33(5):376–380; doi: 10.1055/s-0031-1299702.
Reynolds JM, Gordon TJ, Robergs RA. Prediction of one repetition maximum strength from multiple repetition maximum testing and anthropometry. J Strength Cond Res. 2006;20(3):584–592; doi: 10.1519/R-15304.1.
Ruiz JR, Sui X, Lobelo F, Morrow JR, Jackson AW, Sjöström M, et al. Association between muscular strength and mortality in men: prospective cohort study. BMJ. 2008;337(7661):a439; doi: 10.1136/bmj.a439.
Maslow AL, Sui X, Colabianchi N, Hussey J, Blair SN. Muscular strength and incident hypertension in normotensive and prehypertensive men. Med Sci Sports Exerc. 2010;42(2):288–295; doi: 10.1249/MSS.0b013e3181b2f0a4.
Haddad M, Stylianides G, Djaoui L, Dellal A, Chamari K. Session-RPE method for training load monitoring: validity, ecological usefulness, and influencing factors. Front Neurosci. 2017;11:612; doi: 10.3389/fnins.2017.00612.
Molacek ZD, Conley DS, Evetovich TK, Hinnerichs KR. Effects of low- and high-volume stretching on bench press performance in collegiate football players. J Strength Cond Res. 2010;24(3):711–716; doi: 10.1519/JSC.0b013e3181c7c242.
Pinto RR, Polito MD. Haemodynamic responses during resistance exercise with blood flow restriction in hypertensive subjects. Clin Physiol Funct Imaging. 2016;36(5):407–413; doi: 10.1111/cpf.12245.
Moreira OC, Faraci LL, de Matos DG, Mazini Filho ML, da Silva SF, Aidar FJ, et al. Cardiovascular responses to unilateral, bilateral, and alternating limb resistance exercise performed using different body segments. J Strength Cond Res. 2017;31(3):644–652; doi: 10.1519/JSC.0000000000001160.
MacDougall JD, Tuxen D, Sale DG, Moroz JR, Sutton JR. Arterial blood pressure response to heavy resistance exercise. J Appl Physiol. 1985;58(3):785–790; doi: 10.1152/jappl.1985.58.3.785.
Smereck JA, Papafilippaki A, Sudarshan S. Acute chest pain after bench press exercise in a healthy young adult. Open Access Emerg Med. 2016;8:73–76; doi: 10.2147/OAEM.S114310.
Romero SA, Minson CT, Halliwill JR. The cardiovascular system after exercise. J Appl Physiol. 2017;122(4):925–932; doi: 10.1152/japplphysiol.00802.2016.
Williams MA, Haskell WL, Ades PA, Amsterdam EA, Bittner V, Franklin BA, et al. Resistance exercise in individuals with and without cardiovascular disease: 2007 update: a scientific statement from the American Heart Association Council on Clinical Cardiology and Council on Nutrition, Physical Activity, and Metabolism. Circulation. 2007;116(5):572–584; doi: 10.1161/CIRCULATIONAHA.107.185214.
Artero EG, Lee D-C, Lavie CJ, España-Romero V, Sui X, Church TS, et al. Effects of muscular strength on cardiovascular risk factors and prognosis. J Cardiopulm Rehabil Prev. 2012;32(6):351–358; doi: 10.1097/HCR.0b013e3182642688.
Spirito P, Pelliccia A, Proschan MA, Granata M, Spataro A, Bellone P, et al. Morphology of the ‘athlete’s heart’ assessed by echocardiography in 947 elite athletes representing 27 sports. Am J Cardiol. 1994;74(8):802–806; doi: 10.1016/0002-9149(94)90439-1.
Mitchell JH, Payne FC, Saltin B, Schibye B. The role of muscle mass in the cardiovascular response to static contractions. J Physiol. 1980;309:45–54; doi: 10.1113/jphysiol.1980.sp013492.
Harman EA, Frykman PN, Clagett ER, Kraemer WJ. Intra-abdominal and intra-thoracic pressures during lifting and jumping. Med Sci Sports Exerc. 1988;20(2):195–201; doi: 10.1249/00005768-198820020-00015.
Ricci F, Sutton R, Palermi S, Tana C, Renda G, Gallina S, et al. Prognostic significance of noncardiac syncope in the general population: a systematic review and meta-analysis. J Cardiovasc Electrophysiol. 2018;29(12):1641–1647; doi: 10.1111/jce.13715.
Murrell C, Cotter JD, George K, Shave R, Wilson L, Thomas K, et al. Influence of age on syncope following prolonged exercise: differential responses but similar orthostatic intolerance. J Physiol. 2009;587(Pt 24):5959–5969; doi: 10.1113/jphysiol.2009.179549.
McCartney N. Acute responses to resistance training and safety. Med Sci Sports Exerc. 1999;31(1):31–37; doi: 10.1097/00005768-199901000-00007.
Pollock ML, Franklin BA, Balady GJ, Chaitman BL, Fleg JL, Fletcher B, et al. Resistance exercise in individuals with and without cardiovascular disease: benefits, rationale, safety, and prescription: an advisory from the Committee on Exercise, Rehabilitation, and Prevention, Council on Clinical Cardiology, American Heart Association. Circulation. 2000;101(7):828–833; doi: 10.1161/01.cir.101.7.828.
Poton R, Polito MD. Hemodynamic response to resistance exercise with and without blood flow restriction in healthy subjects. Clin Physiol Funct Imaging. 2016;36(3):231–236; doi: 10.1111/cpf.12218.
De Jesus RCA, Moreira OC, de Oliveira CEP, Doimo LA, Monteiro WD. Cardiovascular response in three different resistance exercises to the deltoid muscle [in Portuguese]. Biosci J. 2013;29(6):2077–2084.
Moreira OC, Oliveira CEP, Matos DG, Silva SF, Hickner RC, Aidar FJ. Cardiovascular response to strength training is more affected by intensity than volume in healthy subjects. Rev Andal Med Deporte. 2018;11(3):1–5; doi: 10.1016/j.ramd.2017.01.002.
Lamotte M, Fleury F, Pirard M, Jamon A, van de Borne P. Acute cardiovascular response to resistance training during cardiac rehabilitation: effect of repetition speed and rest periods. Eur J Cardiovasc Prev Rehabil. 2010;17(3):329–336; doi: 10.1097/HJR.0b013e328332efdd.
Burd NA, Andrews RJ, West DWD, Little JP, Cochran AJR, Hector AJ, et al. Muscle time under tension during resistance exercise stimulates differential muscle protein sub-fractional synthetic responses in men. J Physiol. 2012;590(2):351–362; doi: 10.1113/jphysiol.2011.221200.
Dias MRC, de Matos DG, Mazini Filho ML, Moreira OC, Hickner RC, Cardozo D, et al. Comparison of repetition number between uni-joint and multi-joint exercises with 1-min and 2-min rest intervals. JEP online. 2014;17(4):93–101.
Lepley AS, Hatzel BM. Effects of weightlifting and breathing technique on blood pressure and heart rate. J Strength Cond Res. 2010;24(8):2179–2183; doi: 10.1519/JSC.0b013e3181e2741d.
Pearson AC, Schiff M, Mrosek D, Labovitz AJ, Williams GA. Left ventricular diastolic function in weight lifters. Am J Cardiol. 1986;58(13):1254–1259; doi: 10.1016/0002-9149(86)90392-9.
D’Andrea A, Bossone E, Radmilovic J, Caso P, Calabrò R, Russo MG, et al. The role of new echocardiographic techniques in athlete’s heart. F1000Res. 2015;4:289; doi: 10.12688/f1000research.6745.1.
D’Andrea A, Mele D, Palermi S, Rizzo M, Campana M, Di Giannuario G, et al. The “gray areas” of cardiovascular adaptations to physical exercise: how to orient yourself in the echocardiographic assessment of the athlete’s heart [in Italian]. G Ital Cardiol. 2020;21(6):457–468; doi: 10.1714/3359.33330.
Karlsdottir AE, Foster C, Porcari JP, Palmer-McLean K, White-Kube R, Backes RC. Hemodynamic responses during aerobic and resistance exercise. J Cardiopulm Rehabil. 2002;22(3):170–177; doi: 10.1097/00008483-200205000-00008.
Martel GF, Hurlbut DE, Lott ME, Lemmer JT, Ivey FM, Roth SM, et al. Strength training normalizes resting blood pressure in 65- to 73-year-old men and women with high normal blood pressure. J Am Geriatr Soc. 1999;47(10):1215–1221; doi: 10.1111/j.1532-5415.1999.tb05202.x.
Featherstone JF, Holly RG, Amsterdam EA. Physiologic responses to weight lifting in coronary artery disease. Am J Cardiol. 1993;71(4):287–292; doi: 10.1016/0002-9149(93)90792-b.
Pescatello LS, Franklin BA, Fagard R, Farquhar WB, Kelley GA, Ray CA, et al. American College of Sports Medicine position stand. Exercise and hypertension. Med Sci Sports Exerc. 2004;36(3):533–553; doi: 10.1249/01.mss.0000115224.88514.3a.
Maeda S, Miyauchi T, Iemitsu M, Sugawara J, Nagata Y, Goto K. Resistance exercise training reduces plasma endothelin-1 concentration in healthy young humans. J Cardiovasc Pharmacol. 2004;44(Suppl. 1):S443–S446; doi: 10.1097/01.fjc.0000166319.91623.b0.
Bank AJ, Shammas RA, Mullen K, Chuang PP. Effects of short-term forearm exercise training on resistance vessel endothelial function in normal subjects and patients with heart failure. J Card Fail. 1998;4(3):193–201; doi: 10.1016/s1071-9164(98)80006-7.
Lewington S, Clarke R, Qizilbash N, Peto R, Collins R, Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: a meta-analysis of individual data for one milion adults in 61 prospective studies. Lancet. 2002;360(9349):1903–1913; doi: 10.1016/s0140-6736(02)11911-8.
Stewart KJ, Bacher AC, Turner KL, Fleg JL, Hees PS, Shapiro EP, et al. Effect of exercise on blood pressure in older persons: a randomized controlled trial. Arch Intern Med. 2005;165(7):756–762; doi: 10.1001/archinte.165.7.756.
Wright JT Jr, Whelton PK, Reboussin DM. A randomized trial of intensive versus standard blood-pressure control. N Engl J Med. 2016;374(23):2294; doi:10.1056/NEJMc1602668.
De Sousa EC, Abrahin O, Ferreira ALL, Rodrigues RP, Alves EAC, Vieira RP. Resistance training alone reduces systolic and diastolic blood pressure in prehypertensive and hypertensive individuals: meta-analysis. Hypertens Res. 2017;40(11):927–931; doi: 10.1038/hr.2017.69.
Sirico F, Fernando F, Di Paolo F, Adami PE, Signorello MG, Sannino G, et al. Exercise stress test in apparently healthy individuals – where to place the finish line? The Ferrari corporate wellness programme experience. Eur J Prev Cardiol. 2019;26(7):731–738; doi: 10.1177/2047487318825174.
Beniamini Y, Rubenstein JJ, Faigenbaum AD, Lichtenstein AH, Crim MC. High-intensity strength training of patients enrolled in an outpatient cardiac rehabilitation program. J Cardiopulm Rehabil. 1999;19(1):8–17; doi: 10.1097/00008483-199901000-00001.
McCartney N, McKelvie RS, Haslam DR, Jones NL. Usefulness of weightlifting training in improving strength and maximal power output in coronary artery disease. Am J Cardiol. 1991;67(11):939–945; doi: 10.1016/0002-9149(91)90164-g.
Leon AS, Franklin BA, Costa F, Balady GJ, Berra KA, Stewart KJ, et al. Cardiac rehabilitation and secondary prevention of coronary heart disease: an American Heart Association scientific statement from the Council on Clinical Cardiology (Subcommittee on Exercise, Cardiac Rehabilitation, and Prevention) and the Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity), in collaboration with the American Association of Cardiovascular and Pulmonary Rehabilitation. Circulation. 2005;111(3):369–376; doi: 10.1161/01.CIR.0000151788.08740.5C.
Wilke NA, Sheldahl LM, Tristani FE, Hughes CV, Kalbfleisch JH. The safety of static-dynamic effort soon after myocardial infarction. Am Heart J. 1985;110(3):542–545; doi: 10.1016/0002-8703(85)90072-9.
Ji H, Fang L, Yuan L, Zhang Q. Effects of exercise-based cardiac rehabilitation in patients with acute coronary syndrome: a meta-analysis. Med Sci Monit. 2019;25:5015–5027; doi: 10.12659/MSM.917362.
Heran BS, Chen JM, Ebrahim S, Moxham T, Oldridge N, Rees K, et al. Exercise-based cardiac rehabilitation for coronary heart disease. Cochrane Database Syst Rev. 2011;7:CD001800; doi: 10.1002/14651858.CD001800.pub2.
Hare DL, Ryan TM, Selig SE, Pellizzer AM, Wrigley TV, Krum H. Resistance exercise training increases muscle strength, endurance, and blood flow in patients with chronic heart failure. Am J Cardiol. 1999;83(12):1674–1677; doi: 10.1016/s0002-9149(99)00179-4.
Piña IL, Apstein CS, Balady GJ, Belardinelli R, Chaitman BR, Duscha BD, et al. Exercise and heart failure: a statement from the American Heart Association Committee on Exercise, Rehabilitation, and Prevention. Circulation. 2003;107(8):1210–1225; doi: 10.1161/01.cir.0000055013.92097.40.
Yamamoto S, Hotta K, Ota E, Mori R, Matsunaga A. Effects of resistance training on muscle strength, exercise capacity, and mobility in middle-aged and elderly patients with coronary artery disease: a meta-analysis. J Cardiol. 2016;68(2):125–134; doi: 10.1016/j.jjcc.2015.09.005.
Grönefeld GC, Lilienthal J, Kuck KH, Hohnloser SH, Pharmacological Intervention in Atrial Fibrillation (PIAF) study investigators. Impact of rate versus rhythm control on quality of life in patients with persistent atrial fibrillation. Results from a prospective randomized study. Eur Heart J. 2003;24(15):1430–1436; doi: 10.1016/s0195-668x(03)00261-6.
Osbak PS, Mourier M, Henriksen JH, Kofoed KF, Jensen GB. Effect of physical exercise training on muscle strength and body composition, and their association with functional capacity and quality of life in patients with atrial fibrillation: a randomized controlled trial. J Rehabil Med. 2012;44(11):975–979; doi: 10.2340/16501977-1039.
Hegbom F, Stavem K, Sire S, Heldal M, Orning OM, Gjesdal K. Effects of short-term exercise training on symptoms and quality of life in patients with chronić atrial fibrillation. Int J Cardiol. 2007;116(1):86–92; doi: 10.1016/j.ijcard.2006.03.034.
Hegbom F, Sire S, Heldal M, Orning OM, Stavem K, Gjesdal K. Short-term exercise training in patients with chronic atrial fibrillation: effects on exercise capacity, AV conduction, and quality of life. J Cardiopulm Rehabil. 2006;26(1):24–29; doi: 10.1097/00008483-200601000-00005.
Plisiene J, Blumberg A, Haager G, Knackstedt C, Latsch J, Norra C, et al. Moderate physical exercise: a simplified approach for ventricular rate control in older patients with atrial fibrillation. Clin Res Cardiol. 2008;97(11):820–826; doi: 10.1007/s00392-008-0692-3.
Guasch E, Mont L, Sitges M. Mechanisms of atrial fibrillation in athletes: what we know and what we do not know. Neth Heart J. 2018;26(3):133–145; doi: 10.1007/s12471-018-1080-x.
Kiuchi MG, Chen S, Hoye NA. The effects of different physical activities on atrial fibrillation in patients with hypertension and chronic kidney disease. Kidney Res Clin Pract. 2017;36(3):264–273; doi: 10.23876/j.krcp.2017.36.3.264.
World Health Organization. Global recommendations on physical activity for health. Available from: https://
Fragala MS, Cadore EL, Dorgo S, Izquierdo M, Kraemer WJ, Peterson MD, et al. Resistance training for older adults: position statement from the National Strength and Conditioning Association. J Strength Cond Res. 2019;33(8):2019–2052; doi: 10.1519/JSC.0000000000003230.
Thow M (ed.). Exercise leadership in cardiac rehabilitation: an evidence-based approach. Hoboken: John Wiley & Sons; 2006.
Biffi A, Fernando F, Adami PE, Messina M, Sirico F, Di Paolo F, et al. Ferrari Corporate Wellness Program: results of a pilot analysis and the “drag” impact in the workplace. High Blood Press Cardiovasc Prev. 2018;25(3):261–266; doi: 10.1007/s40292-018-0266-z.
Ehsani AA, Heath GW, Hagberg JM, Sobel BE, Holloszy JO. Effects of 12 months of intense exercise training on ischemic ST-segment depression in patients with coronary artery disease. Circulation. 1981;64(6):1116–1124; doi: 10.1161/01.cir.64.6.1116.
McKelvie RS, McCartney N. Weightlifting training in cardiac patients. Considerations. Sports Med. 1990;10(6):355–364; doi: 10.2165/00007256-199010060-00003.
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