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Institutional Guidelines for Resistance Exercise Training in Cardiovascular Disease: A Systematic Review

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Abstract

Background

Institutional position stands are useful for practitioners when designing exercise routines for specific populations. Resistance training has been included in programs for patients with cardiovascular disease.

Objective

The objective of this systematic review was to analyze institutional guidelines providing recommendations for resistance training applied to cardiovascular disease.

Methods

PubMed, Web of Science, and Scopus databases were searched from inception until 30 April, 2018.

Results

Of 994 articles initially found, 13 position stands were retained. Consensual indications occurred only for number of sets (one to three sets) and training frequency (two to three sessions/week). Recommendations concerning other major training variables were discordant regarding workload (none or loads ranging from < 30% up to 80% 1 repetition maximum) and exercise order (none or vaguely indicating alternation of muscle groups or circuit format), or insufficient regarding intervals between sets and exercises or number and type of exercises. Overall, guidelines lack recommendations of specific procedures for each type of disease at different severity levels, cardiovascular risk during exercise, or criteria for training progression.

Conclusions

Recommendations provided by institutional guidelines appear to be insufficient to support adequate resistance training prescription in the context of cardiovascular disease.

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Acknowledgements

The authors thank Dr. Roberto Potton for his support during the article search.

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Authors and Affiliations

  1. Graduate Program in Physical Activity Sciences, Salgado de Oliveira University, Bloco A, Rua Marechal Deodoro, 217, bloco A, Centro, Niterói, RJ, CEP 24030-060, Brazil

    Andressa Santoro Faber Fidalgo, Paulo Farinatti & Walace Monteiro

  2. Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and Sports, University of Rio de Janeiro State, Rua São Francisco Xavier, 524, sala 8121F, Maracanã, Rio de Janeiro, RJ, CEP 20550-900, Brazil

    Andressa Santoro Faber Fidalgo, Paulo Farinatti, Juliana Pereira Borges, Tainah de Paula & Walace Monteiro

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  1. Andressa Santoro Faber Fidalgo
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  2. Paulo Farinatti
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Correspondence to Walace Monteiro.

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Funding

This study was partially funded by grants from the Brazilian Council for Technological and Research Development (CNPq) and the Carlos Chagas Foundation for the Research Support at the Rio de Janeiro State (FAPERJ).

Conflict of interest

Andressa Santoro Faber Fidalgo, Paulo Farinatti, Juliana Pereira Borges, Tainah de Paula, and Walace Monteiro have no conflicts of interest that are directly relevant to the content of this study.

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Fidalgo, A.S.F., Farinatti, P., Borges, J.P. et al. Institutional Guidelines for Resistance Exercise Training in Cardiovascular Disease: A Systematic Review. Sports Med 49, 463–475 (2019). https://doi.org/10.1007/s40279-019-01059-z

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