Atrial Fibrillation Specific Exercise Rehabilitation: Are We There Yet?
Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
Standard
Atrial Fibrillation Specific Exercise Rehabilitation : Are We There Yet? / Buckley, Benjamin J.R.; Risom, Signe S.; Boidin, Maxime; Lip, Gregory Y.H.; Thijssen, Dick H.J.
I: Journal of Personalized Medicine, Bind 12, Nr. 4, 610, 2022.Publikation: Bidrag til tidsskrift › Review › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Atrial Fibrillation Specific Exercise Rehabilitation
T2 - Are We There Yet?
AU - Buckley, Benjamin J.R.
AU - Risom, Signe S.
AU - Boidin, Maxime
AU - Lip, Gregory Y.H.
AU - Thijssen, Dick H.J.
N1 - Publisher Copyright: © 2022 by the authors. Licensee MDPI, Basel, Switzerland.
PY - 2022
Y1 - 2022
N2 - Regular physical activity and exercise training are integral for the secondary prevention of cardiovascular disease. Despite recent advances in more holistic care pathways for people with atrial fibrillation (AF), exercise rehabilitation is not provided as part of routine care. The most recent European Society of Cardiology report for AF management states that patients should be encouraged to undertake moderate-intensity exercise and remain physically active to prevent AF incidence or recurrence. The aim of this review was to collate data from primary trials identified in three systematic reviews and recent real-world cohort studies to propose an AF-specific exercise rehabilitation guideline. Collating data from 21 studies, we propose that 360–720 metabolic equivalent (MET)-minutes/week, corresponding to ~60–120 min of exercise per week at moderate-to-vigorous intensity, could be an evidence-based recommendation for patients with AF to improve AF-specific outcomes, quality of life, and possibly prevent long-term major adverse cardiovascular events. Furthermore, non-traditional, low-moderate intensity exercise, such as Yoga, seems to have promising benefits on patient quality of life and possibly physical capacity and should, therefore, be considered in a personalised rehabilitation programme. Finally, we discuss the interesting concepts of short-term exercise-induced cardioprotection and ‘none-response’ to exercise training with reference to AF rehabilitation.
AB - Regular physical activity and exercise training are integral for the secondary prevention of cardiovascular disease. Despite recent advances in more holistic care pathways for people with atrial fibrillation (AF), exercise rehabilitation is not provided as part of routine care. The most recent European Society of Cardiology report for AF management states that patients should be encouraged to undertake moderate-intensity exercise and remain physically active to prevent AF incidence or recurrence. The aim of this review was to collate data from primary trials identified in three systematic reviews and recent real-world cohort studies to propose an AF-specific exercise rehabilitation guideline. Collating data from 21 studies, we propose that 360–720 metabolic equivalent (MET)-minutes/week, corresponding to ~60–120 min of exercise per week at moderate-to-vigorous intensity, could be an evidence-based recommendation for patients with AF to improve AF-specific outcomes, quality of life, and possibly prevent long-term major adverse cardiovascular events. Furthermore, non-traditional, low-moderate intensity exercise, such as Yoga, seems to have promising benefits on patient quality of life and possibly physical capacity and should, therefore, be considered in a personalised rehabilitation programme. Finally, we discuss the interesting concepts of short-term exercise-induced cardioprotection and ‘none-response’ to exercise training with reference to AF rehabilitation.
KW - atrial fibrillation
KW - atrial health
KW - cardiovascular disease
KW - exercise
KW - physical activity
KW - preventive cardiology
KW - rehabilitation medicine
KW - secondary prevention
KW - vascular health
U2 - 10.3390/jpm12040610
DO - 10.3390/jpm12040610
M3 - Review
C2 - 35455726
AN - SCOPUS:85128858729
VL - 12
JO - Journal of Personalized Medicine
JF - Journal of Personalized Medicine
SN - 2075-4426
IS - 4
M1 - 610
ER -
ID: 308364299