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Canadian Journal of Cardiology
Editorial| Volume 35, ISSUE 10, P1275-1277, October 2019

Sustaining Improvements in Cardiorespiratory Fitness and Muscular Strength in Cardiac Rehabilitation

  • Carl J. Lavie
    Correspondence
    Corresponding author: Dr Carl J. Lavie, Ochsner Clinical School, 1514 Jefferson Highway, New Orleans, Louisiana 70121, USA. Tel.: +1-504-842-1281; fax: +1-504-842-5875.
    Affiliations
    Department of Cardiovascular Disease, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - The University of Queensland School of Medicine, New Orleans, Louisiana, USA
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  • Cemal Ozemek
    Affiliations
    Department of Physical Therapy, College of Applied Health Sciences, University of Illinois at Chicago, Chicago, Illinois, USA
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  • Salvatore Carbone
    Affiliations
    VCU Pauley Heart Center, Department of Internal Medicine, Virginia Commonwealth University, Richmond, Virginia, USA
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  • Sergey Kachur
    Affiliations
    Department of Cardiovascular Disease, John Ochsner Heart and Vascular Institute, Ochsner Clinical School - The University of Queensland School of Medicine, New Orleans, Louisiana, USA
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      Despite the fact that the American Heart Association, American College of Cardiology, and American College of Sports Medicine, among numerous leading medical organizations, have emphasized physical inactivity (PI) and sedentary behavior (SB) as major modifiable risk factors for cardiovascular disease (CVD), a sizable percentage of the population in the United States, Canada, and worldwide still have low levels of physical activity (PA) and high levels of PI/SB.
      • Lavie C.J.
      • Ozemek C.
      • Carbone S.
      • Katzmarzyk P.T.
      • Blair S.N.
      Sedentary behavior, exercise, and cardiovascular health.
      • Fletcher G.F.
      • Landolfo C.
      • Niebauer J.
      • et al.
      Promoting physical activity and exercise: JACC Health Promotion Series.
      • Lavie C.J.
      • Arena R.
      • Swift D.L.
      • et al.
      Exercise and the cardiovascular system: clinical science and cardiovascular outcomes.
      • Ozemek C.
      • Laddu D.R.
      • Lavie C.J.
      • et al.
      An update on the role of cardiorespiratory fitness, structured exercise and lifestyle physical activity in preventing cardiovascular disease and health risk.
      • Ozemek C.
      • Lavie C.J.
      • Rognmo Ø.
      Global physical activity levels - Need for intervention.
      • Hagnäs M.J.
      • Lakka T.A.
      • Mäkikallio T.H.
      • et al.
      High leisure-time physical activity is associated with reduced risk of sudden cardiac death among men with low cardiorespiratory fitness.
      Recently, major efforts have been made to make health promotion a priority, including promoting PA/exercise training to improve levels of cardiorespiratory fitness (CRF) in the United States and worldwide in the primary and secondary prevention of CVD.
      • Fletcher G.F.
      • Landolfo C.
      • Niebauer J.
      • et al.
      Promoting physical activity and exercise: JACC Health Promotion Series.
      Among patients with established CVD, especially coronary heart disease (CHD), but also heart failure (HF) and even congenital heart disease, formal cardiac rehabilitation and exercise training (CRET) programs have considerable evidence for improving CHD risk factors, psychological risk factors, quality of life, and CRF levels, as well as reducing major CVD morbidity and mortality.
      • Fletcher G.F.
      • Landolfo C.
      • Niebauer J.
      • et al.
      Promoting physical activity and exercise: JACC Health Promotion Series.
      • Anderson L.
      • Oldridge N.
      • Thompson D.R.
      • et al.
      Exercise-based cardiac rehabilitation for coronary heart disease: Cochrane systematic review and meta-analysis.
      • Kachur S.
      • Chongthammakun V.
      • Lavie C.J.
      • et al.
      Impact of cardiac rehabilitation and exercise training programs in coronary heart disease.
      • Lavie C.J.
      • Ozemek C.
      • Arena R.
      Bringing cardiac rehabilitation and exercise training to a higher level in heart failure.
      • Kovacs A.H.
      • Kaufman T.M.
      • Broberg C.S.
      Cardiac rehabilitation for adults with congenital heart disease: physical and psychosocial considerations.
      • Marzolini S.
      Integrating individuals with stroke into cardiac rehabilitation following traditional stroke rehabilitation: promoting a continuum of care.
      • Kusunose K.
      • Seno H.
      • Yamada H.
      • et al.
      Right ventricular function and beneficial effects of cardiac rehabilitation in patients with systolic chronic heart failure.
      • Arora R.C.
      • Brown C.H.
      • Sanjanwala R.M.
      • McKelvie R.
      “NEW” prehabilitation: a 3-way approach to improve postoperative survival and health-related quality of life in cardiac surgery patients.
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