Characteristics of strength in subjects with cardiovascular disease
DOI:
https://doi.org/10.14198/jhse.2019.14.Proc1.11Keywords:
Cardiovascular disease, Strength, Upper limb, Lower limbAbstract
The aim of our work was to estimate the maximum strength of the upper and lower limbs (quadriceps, gastrocnemius, biceps, triceps, deltoid) in a group of patients affected by various cardiovascular diseases and compare it with that of a group of healthy and sedentary subjects (n = 20). We also wanted to assess whether there were differences in the maximum strength between different groups of cardiovascular diseases. This study presents many innovative elements, primarily two ones: (a) to recognize the importance of muscle strength as a health component in heart patients; (b) to establish a method for the assessment of strength based on estimation of 1RM. Here are presented the patients recruited on the basis of the basic pathology: 45 patients had chronic heart failure (CHF) in clinical stability for at least 3 months, class NYHA II-III; 21 patients had peripheral obliterative arteriopathy with claudication (POAC, stage IIa of Fontaine); 22 patients had undergone coronary angioplasty (coronary artery disease - CAD); 6 patients had undergone orthotopic cardiac transplant (HT) for at least 6 months. Chronic cardiovascular patients are characterized by a muscular impairment that parallels the history of the disease.
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References
American College of Sports Medicine. ACSM's Guidelines for Exercise Testing and prescription. 7th ed. Philadelphia, Pa: Lippincott Williams and Wilkins, 2006.
American Association of Cardiovascular and Pulmonary Rehabilitation. Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs. 4th ed. Champaign, Ill: Human Kinetics, 2004.
Ades PA, Savage PD, Brawner CA et al. Aerobic capacity in patients entering cardiac rehabilitation. Circulation 2006, 113:2706-2712. https://doi.org/10.1161/CIRCULATIONAHA.105.606624
Okada K, Naito AT, Higo T, et al. Wnt/β-Catenin Signaling Contributes to Skeletal Myopathy in Heart Failure via Direct Interaction With Forkhead Box O. Circ Heart Fail 2015; 8:799-808. https://doi.org/10.1161/CIRCHEARTFAILURE.114.001958
Drexler H. Peripheral circulatory adaptations to pump failure of the heart. Br Heart J 1994; 72:S22-27. https://doi.org/10.1136/hrt.72.2_Suppl.S22
Greising SM, Gransee HM, Mantilla CB, Sieck GC. Systems biology of skeletal muscle: fiber type as an organizing principle. Wiley Interdiscip Rev Syst Biol Med 2012; 4:457–473. https://doi.org/10.1002/wsbm.1184
Sullivan MJ, Green HJ, Cobb FR. Skeletal muscle biochemistry and histology in ambulatory patients with long-term heart failure. Circulation 1990; 81:518–527. https://doi.org/10.1161/01.CIR.81.2.518
Rantanen T. Muscle strength, disability and mortality. Scand J Med Sci Sports 2003;13:3-8. https://doi.org/10.1034/j.1600-0838.2003.00298.x
Hulsmann M, Quittan M, Berger R et al. Muscle strength as a predictor of long-term survival in severe congestive heart failure. Eur J Heart Fail 2004; 6:101-107. https://doi.org/10.1016/j.ejheart.2003.07.008
Izawa KP, Watanabe S, Osada N et al. Handgrip strength as a predictor of prognosis in Japanese patients with congestive heart failure. Eur J Cardiovasc Prev Rehabil 2009; 16:21-27. https://doi.org/10.1097/HJR.0b013e32831269a3
Purser JL, Kuchibhatla MN, Fillenbaum GG, et al. Identifying frailty in hospitalized older adults with significant coronary artery disease. J Am Geriatr Soc 2006; 54:1674-1681. https://doi.org/10.1111/j.1532-5415.2006.00914.x
Ruiz JR, Sui X, Lobelo F et al. Association between muscular strength and mortality in men: prospective cohort study. BMJ 2008; 337:92-95. https://doi.org/10.1136/bmj.a439
Metter EJ, Talbot LA, Schrager M, Conwit RA. Arm-cranking muscle power and arm isometric muscle strength are independent predictors of all-cause mortality in men. J Appl Physiol 2004; 96:814-821. https://doi.org/10.1152/japplphysiol.00370.2003
Oliver D, Pflugfelder PW, McCartney N, et al. Acute cardiovascular responses to leg-press resistance exercise in heart transplant recipients. Int J Cardiol 2001;81:61-74. https://doi.org/10.1016/S0167-5273(01)00529-0
World Health Organization. Global Recommendations on Physical Activity for Health. Switzerland: WHO Library Cataloguing-in-Publication Data, 2010.
Sarto P, Merlo L, Astolfo P, Sarto M, Bedin L, Noventa D for the Long Term Therapeutic Exercise Training (LoTTET) group. Comprehensive therapeutic program for cardiovascular patients: Role of a sports medicine unit in collaboration with local gymnasiums. J Cardiovasc Med 2009; 10:27-33. https://doi.org/10.2459/JCM.0b013e32830eb715
Brzyski, M. Strength testing: Predicting a one-rep max from a reps-to-fatigue. J Phys Ed Rec Dance 1993; 64:88-90. https://doi.org/10.1080/07303084.1993.10606684
Izawa K, Hirano Y, Yamada S, Oka K, Omiya K, Iijima S. Improvement in physiological outcomes and health-related quality of life following cardiac rehabilitation in patients with acute myocardial infarction. Circulation 2004; 68:315-320. https://doi.org/10.1253/circj.68.315
McKelvie RS, Teo KK, Roberts R, et al. Effects of exercise training in patients with heart failure: the Exercise Rehabilitation Trial (EXERT). Am Heart J 2002; 144:23-30. https://doi.org/10.1067/mhj.2002.123310
Williams M, Haskell W, Ades P et al. Resistance exercise in individuals with and without cardiovascular disease: 2007 update. Circulation 2007; 116:572-584. https://doi.org/10.1161/CIRCULATIONAHA.107.185214
Ghroubi S, Chaari M, Elleuch H et al. The isokinetic assessment of peripheral muscle function in patients with coronary artery disease: Correlations with cardiorespiratory capacity. Ann Readapt Med Phys 2007; 50:295-301. https://doi.org/10.1016/j.annrmp.2007.03.012
Gayda M, Merzouk A, Choquet D, Doutrellot PL, Ahmaidi S. Aerobic capacity and peripheral skeletal muscle function in coronary artery disease male patients. Int J Sports Med 2003; 24:258-263. https://doi.org/10.1055/s-2003-39507
Gualco A., Opasich C, Brazzo S et al. Metabolic frailty in malnourished heart failure patients. Monaldi Arch Chest Dis 2007; 68:115-120.
Braith RW, Limacher MC, Leggett SH, Pollock ML. Skeletal muscle strength in heart transplant recipients. J Heart Lung Transplant 1993;12:1018-1023.
Schmid J, Anderegg M, Romanens M et al. Combined endurance/resistance training early on, after a first myocardial infarction, does not induce negative left ventricular remodelling. Eur J Cardiovasc Prev Rehabil 2008; 15:341-346. https://doi.org/10.1097/HJR.0b013e3282f5dbf5
Volaklis KA, Tokmakidis, SP. Resistance exercise training in patients with heart failure. Sports Med 2005; 35:1085-1103. https://doi.org/10.2165/00007256-200535120-00006
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