Physical Activity and Exercise in Cardiovascular Disease

Year 2022, , 663 - 672, 31.05.2022

Melissa Köprülüoğlu , İlknur Naz Gürşan

https://doi.org/10.30621/jbachs.1063539

Abstract

Cardiovascular diseases (CVD) are the leading cause of death in the world. Physical inactivity is one of the important risk factors for the development of CVD. It is thought that increasing physical inactivity and sedentary lifestyle in recent years will result in an increase in CVD and mortality due to CVD. Therefore the importance of physical activity (PA) programmeswhich are both preventive and treatment approaches in the disease process is increasing day by day. Regular exercise has been shown in many studies to improve endothelial function, increase aerobic capacity, improve autonomic function and blood pressure, reduce lipid accumulation and inflammation, improve vascular health, prevent sarcopenia, and increase muscle strength and endurance. However, discussions continue in the literature on which of the different PA programs such as aerobic exercise, resistance exercise, yoga, and pilates are more effective for people with CVD. For exercise programs in CVD, it is critical that health professionals choose a patient within the framework of guidelines, ensure the safety of patients during exercise, and making the patient feel safe. It should not be forgotten that the evidence-based benefits mentioned require a sustainable exercise habit and it is important to ensure exercise compliance of people with CVD. In this review, the effectiveness of PA and exercise programs in the CVD, studies on coronary heart disease, heart failure and peripheral artery disease, safety of exercise programs, patient selection, importance of PA and compliance with exercise programs were discussed. For this reason, it has been shown that PA and exercise program are effective in CVD and strategies to improve compliance with the programs should be used.

Keywords

Cardiovascular disease, physical activity, exercise, exercise contraindications, self-efficiacy.

Kardiyovasküler Hastalıklarda Fiziksel Aktivite ve Egzersiz

Abstract

Kardiyovasküler hastalıklar (KVH) dünyada önde gelen ölüm nedenidir. Fiziksel hareketsizlik, KVH gelişimi için önemli risk faktörlerinden biridir. Son yıllarda artan fiziksel inaktivite ve sedanter yaşam tarzının KVH'da ve KVH'ye bağlı mortalitede artışa neden olacağı düşünülmektedir. Bu nedenle hastalık sürecinde hem koruyucu hem de tedavi yaklaşımı olan fiziksel aktivite (FA) programlarının önemi her geçen gün artmaktadır. Düzenli egzersizin endotel fonksiyonunu iyileştirdiği, aerobik kapasiteyi artırdığı, otonomik fonksiyonu ve kan basıncını iyileştirdiği, lipid birikimini ve inflamasyonu azalttığı, vasküler sağlığı iyileştirdiği, sarkopeniyi önlediği, kas kuvvetini ve dayanıklılığını artırdığı birçok çalışmada gösterilmiştir. Ancak literatürde aerobik egzersiz, dirençli egzersiz, yoga ve pilates gibi farklı FA programlarından hangisinin kardiyovasküler hastalığı olan kişiler için daha etkin olduğu konusunda tartışmalar devam etmektedir. KVH'da egzersiz programları için, sağlık profesyonellerinin mevcut kılavuzlar çerçevesinde hasta seçmeleri, egzersiz sırasında hastaların güvenliğini sağlamaları ve hastanın güvende hissetmesinin sağlanması kritik önem taşımaktadır. Bahsedilen kanıta dayalı faydaların sürdürülebilir bir egzersiz alışkanlığı gerektirdiği ve KVH'li kişilerin egzersiz uyumunun sağlanmasının önemli olduğu unutulmamalıdır. Bu derlemede, kardiyovasküler hastalıklarda FA ve egzersiz programlarının etkinliği, koroner kalp hastalığı, kalp yetmezliği ve periferik arter hastalığı ile ilgili çalışmalar, egzersiz programlarının güvenliği, hasta seçimi, FA'nın önemi ve egzersiz programlarına uyum tartışılmıştır. Sonuç olarak KVH’de FA ve egzersiz programının etkin olduğu ancak programlara uyumu geliştirecek stratejilerin kullanılması gerektiği gösterilmiştir.

Keywords

Kardiyovasküler hastalık, fiziksel aktivite, egzersiz, egzersiz kontraendikasyonu, özyeterlilik

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