Medicine and science in sports and exercise
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Since the mid-1980s resistance training has become an accepted part of the exercise rehabilitation process for patients eligible for traditional cardiac rehabilitation programs. A growing number of studies have demonstrated the safety of resistance training in Phase III/IV programs (Phase III--community based, beginning 6-12 wk posthospital discharge; a typical patient would be clinically stable with a functional capacity of > or = 5 METs; Phase IV--long-term maintenance) and more recently in Phase II (beginning within 3 wk posthospital discharge and lasting up to 3 months). Evidence is consistent that this form of training provokes fewer signs and symptoms of myocardial ischemia than aerobic testing and training, perhaps because of a lower heart rate (HR) and higher diastolic pressure combining to produce improved coronary artery filling. ⋯ Studies on blood lipid profiles have mostly been contaminated by confounders, and the effects on blood pressure (BP) are inconsistent. There are encouraging reports that resistance training may increase glucose tolerance and insulin sensitivity, independent of changes in body fat or aerobic capacity. Future studies are needed in patients with congestive heart failure and orthotopic heart transplantation; muscle weakness is common in these groups and makes them excellent candidates to benefit from this form of exercise.
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Med Sci Sports Exerc · Oct 1998
Insights into the AHA scientific statement concerning cardiovascular preparticipation screening of competitive athletes.
In 1996 the American Heart Association (AHA) published recommendations concerning the cardiovascular component of the preparticipation exam in competitive athletes as part of an AHA medical scientific statement. This article will review the rationale for the development of such a statement and how it has been incorporated into the current state-of-the-art preparticipation exam of athletes.