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Effects of exercise modalities on central hemodynamics, arterial stiffness and cardiac function in cardiovascular disease: Systematic review and meta-analysis of randomized controlled trials

Author

Listed:
  • Yahui Zhang
  • Lin Qi
  • Lisheng Xu
  • Xingguo Sun
  • Wenyan Liu
  • Shuran Zhou
  • Frans van de Vosse
  • Stephen E Greenwald

Abstract

Background: Exercise is accepted as an important contribution to the rehabilitation of patients with cardiovascular disease (CVD). This study aims to better understand the possible causes for lack of consensus and reviews the effects of three exercise modalities (aerobic, resistance and combined exercise) on central hemodynamics, arterial stiffness and cardiac function for better rehabilitation strategies in CVD. Methods: The electronic data sources, Cochrane Library, MEDLINE, Web of Science, EBSCO (CINAHL), and ScienceDirect from inception to July 2017 were searched for randomized controlled trials (RCTs) investigating the effect of exercise modalities in adult patients with CVD. The effect size was estimated as mean differences (MD) with 95% confidence intervals (CI). Subgroup analysis and meta-regression were used to study potential moderating factors. Results: Thirty-eight articles describing RCTs with a total of 2089 patients with CVD were included. The pooling revealed that aerobic exercise [MD(95%CI) = -5.87 (-8.85, -2.88), P = 0.0001] and resistance exercise [MD(95%CI) = -7.62 (-10.69, -4.54), P

Suggested Citation

  • Yahui Zhang & Lin Qi & Lisheng Xu & Xingguo Sun & Wenyan Liu & Shuran Zhou & Frans van de Vosse & Stephen E Greenwald, 2018. "Effects of exercise modalities on central hemodynamics, arterial stiffness and cardiac function in cardiovascular disease: Systematic review and meta-analysis of randomized controlled trials," PLOS ONE, Public Library of Science, vol. 13(7), pages 1-28, July.
    • Handle: RePEc:plo:pone00:0200829
    DOI: 10.1371/journal.pone.0200829
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    References listed on IDEAS

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    1. Ammar W Ashor & Jose Lara & Mario Siervo & Carlos Celis-Morales & John C Mathers, 2014. "Effects of Exercise Modalities on Arterial Stiffness and Wave Reflection: A Systematic Review and Meta-Analysis of Randomized Controlled Trials," PLOS ONE, Public Library of Science, vol. 9(10), pages 1-15, October.
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    1. Marit Skogstad & Asgeir Mamen & Lars-Kristian Lunde & Bente Ulvestad & Dagfinn Matre & Hans Christian D. Aass & Reidun Øvstebø & Pia Nielsen & Kari N. Samuelsen & Øivind Skare & Per Anton Sirnes, 2019. "Shift Work Including Night Work and Long Working Hours in Industrial Plants Increases the Risk of Atherosclerosis," IJERPH, MDPI, vol. 16(3), pages 1-11, February.
    2. Fábio Santos Lira & Telmo Pereira & Luciele Guerra Minuzzi & Caique Figueiredo & Tiago Olean-Oliveira & Ana Paula Coelho Figueira Freire & Manuel João Coelho-e-Silva & Armando Caseiro & Ronaldo Vagner, 2021. "Modulatory Effects of Physical Activity Levels on Immune Responses and General Clinical Functions in Adult Patients with Mild to Moderate SARS-CoV-2 Infections—A Protocol for an Observational Prospect," IJERPH, MDPI, vol. 18(24), pages 1-13, December.
    3. Asgeir Mamen & Reidun Øvstebø & Per Anton Sirnes & Pia Nielsen & Marit Skogstad, 2020. "High-Intensity Training Reduces CVD Risk Factors among Rotating Shift Workers: An Eight-Week Intervention in Industry," IJERPH, MDPI, vol. 17(11), pages 1-13, June.

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