Exercise Prescription in Patients with Different Combinations of Cardiovascular Disease Risk Factors: A Consensus Statement from the EXPERT Working Group

Dominique Hansen; Josef Niebauer; Veronique Cornelissen; Olga Barna; Daniel Neunhäuserer; Christoph Stettler; Cajsa Tonoli; Eugenio Greco; Robert Fagard; Karin Coninx; Luc Vanhees; Massimo F Piepoli; Roberto Pedretti; Gustavo Rovelo Ruiz; Ugo Corrà; Jean-Paul Schmid; Constantinos H Davos; Frank Edelmann; Ana Abreu; Bernhard Rauch; Marco Ambrosetti; Simona Sarzi Braga; Paul Beckers; Maurizio Bussotti; Pompilio Faggiano; Esteban Garcia-Porrero; Evangelia Kouidi; Michel Lamotte; Rona Reibis; Martijn A Spruit; Tim Takken; Carlo Vigorito; Heinz Völler; Patrick Doherty; Paul Dendale

doi:10.1007/s40279-018-0930-4

Exercise Prescription in Patients with Different Combinations of Cardiovascular Disease Risk Factors: A Consensus Statement from the EXPERT Working Group

Dominique Hansen, Josef Niebauer, Veronique Cornelissen, Olga Barna, Daniel Neunhäuserer, Christoph Stettler, Cajsa Tonoli, Eugenio Greco, Robert Fagard, Karin Coninx, Luc Vanhees, Massimo F Piepoli, Roberto Pedretti, Gustavo Rovelo Ruiz, Ugo Corrà, Jean-Paul Schmid, Constantinos H Davos, Frank Edelmann, Ana Abreu, Bernhard RauchMarco Ambrosetti, Simona Sarzi Braga, Paul Beckers, Maurizio Bussotti, Pompilio Faggiano, Esteban Garcia-Porrero, Evangelia Kouidi, Michel Lamotte, Rona Reibis, Martijn A Spruit, Tim Takken, Carlo Vigorito, Heinz Völler, Patrick Doherty, Paul Dendale

Health Sciences

Research output: Contribution to journal › Review article › peer-review

Abstract

Whereas exercise training is key in the management of patients with cardiovascular disease (CVD) risk (obesity, diabetes, dyslipidaemia, hypertension), clinicians experience difficulties in how to optimally prescribe exercise in patients with different CVD risk factors. Therefore, a consensus statement for state-of-the-art exercise prescription in patients with combinations of CVD risk factors as integrated into a digital training and decision support system (the EXercise Prescription in Everyday practice & Rehabilitative Training (EXPERT) tool) needed to be established. EXPERT working group members systematically reviewed the literature for meta-analyses, systematic reviews and/or clinical studies addressing exercise prescriptions in specific CVD risk factors and formulated exercise recommendations (exercise training intensity, frequency, volume and type, session and programme duration) and exercise safety precautions, for obesity, arterial hypertension, type 1 and 2 diabetes, and dyslipidaemia. The impact of physical fitness, CVD risk altering medications and adverse events during exercise testing was further taken into account to fine-tune this exercise prescription. An algorithm, supported by the interactive EXPERT tool, was developed by Hasselt University based on these data. Specific exercise recommendations were formulated with the aim to decrease adipose tissue mass, improve glycaemic control and blood lipid profile, and lower blood pressure. The impact of medications to improve CVD risk, adverse events during exercise testing and physical fitness was also taken into account. Simulations were made of how the EXPERT tool provides exercise prescriptions according to the variables provided. In this paper, state-of-the-art exercise prescription to patients with combinations of CVD risk factors is formulated, and it is shown how the EXPERT tool may assist clinicians. This contributes to an appropriately tailored exercise regimen for every CVD risk patient.

Original language	English
Pages (from-to)	1-17
Number of pages	17
Journal	Sports Medicine (Auckland, N.Z.)
Early online date	4 May 2018
DOIs	https://doi.org/10.1007/s40279-018-0930-4
Publication status	E-pub ahead of print - 4 May 2018

Bibliographical note

© Springer International Publishing AG, part of Springer Nature 2018. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details.

Keywords

Journal Article
Review

Access to Document

10.1007/s40279-018-0930-4

Hansen et al eapc expert paper 2 sports medicine R2
© Springer International Publishing AG, part of Springer Nature 2018. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details.
Accepted author manuscript, 79.9 KB

Cite this

Hansen, D., Niebauer, J., Cornelissen, V., Barna, O., Neunhäuserer, D., Stettler, C., Tonoli, C., Greco, E., Fagard, R., Coninx, K., Vanhees, L., Piepoli, M. F., Pedretti, R., Ruiz, G. R., Corrà, U., Schmid, J.-P., Davos, C. H., Edelmann, F., Abreu, A., ... Dendale, P. (2018). Exercise Prescription in Patients with Different Combinations of Cardiovascular Disease Risk Factors: A Consensus Statement from the EXPERT Working Group. Sports Medicine (Auckland, N.Z.), 1-17. Advance online publication. https://doi.org/10.1007/s40279-018-0930-4

@article{0d645703136145cfa1e09b1ff45c043e,

title = "Exercise Prescription in Patients with Different Combinations of Cardiovascular Disease Risk Factors: A Consensus Statement from the EXPERT Working Group",

abstract = "Whereas exercise training is key in the management of patients with cardiovascular disease (CVD) risk (obesity, diabetes, dyslipidaemia, hypertension), clinicians experience difficulties in how to optimally prescribe exercise in patients with different CVD risk factors. Therefore, a consensus statement for state-of-the-art exercise prescription in patients with combinations of CVD risk factors as integrated into a digital training and decision support system (the EXercise Prescription in Everyday practice & Rehabilitative Training (EXPERT) tool) needed to be established. EXPERT working group members systematically reviewed the literature for meta-analyses, systematic reviews and/or clinical studies addressing exercise prescriptions in specific CVD risk factors and formulated exercise recommendations (exercise training intensity, frequency, volume and type, session and programme duration) and exercise safety precautions, for obesity, arterial hypertension, type 1 and 2 diabetes, and dyslipidaemia. The impact of physical fitness, CVD risk altering medications and adverse events during exercise testing was further taken into account to fine-tune this exercise prescription. An algorithm, supported by the interactive EXPERT tool, was developed by Hasselt University based on these data. Specific exercise recommendations were formulated with the aim to decrease adipose tissue mass, improve glycaemic control and blood lipid profile, and lower blood pressure. The impact of medications to improve CVD risk, adverse events during exercise testing and physical fitness was also taken into account. Simulations were made of how the EXPERT tool provides exercise prescriptions according to the variables provided. In this paper, state-of-the-art exercise prescription to patients with combinations of CVD risk factors is formulated, and it is shown how the EXPERT tool may assist clinicians. This contributes to an appropriately tailored exercise regimen for every CVD risk patient.",

keywords = "Journal Article, Review",

author = "Dominique Hansen and Josef Niebauer and Veronique Cornelissen and Olga Barna and Daniel Neunh{\"a}userer and Christoph Stettler and Cajsa Tonoli and Eugenio Greco and Robert Fagard and Karin Coninx and Luc Vanhees and Piepoli, {Massimo F} and Roberto Pedretti and Ruiz, {Gustavo Rovelo} and Ugo Corr{\`a} and Jean-Paul Schmid and Davos, {Constantinos H} and Frank Edelmann and Ana Abreu and Bernhard Rauch and Marco Ambrosetti and Braga, {Simona Sarzi} and Paul Beckers and Maurizio Bussotti and Pompilio Faggiano and Esteban Garcia-Porrero and Evangelia Kouidi and Michel Lamotte and Rona Reibis and Spruit, {Martijn A} and Tim Takken and Carlo Vigorito and Heinz V{\"o}ller and Patrick Doherty and Paul Dendale",

note = "{\textcopyright} Springer International Publishing AG, part of Springer Nature 2018. This is an author-produced version of the published paper. Uploaded in accordance with the publisher{\textquoteright}s self-archiving policy. Further copying may not be permitted; contact the publisher for details. ",

year = "2018",

month = may,

day = "4",

doi = "10.1007/s40279-018-0930-4",

language = "English",

pages = "1--17",

journal = "Sports Medicine (Auckland, N.Z.)",

issn = "0112-1642",

publisher = "Springer",

}

Hansen, D, Niebauer, J, Cornelissen, V, Barna, O, Neunhäuserer, D, Stettler, C, Tonoli, C, Greco, E, Fagard, R, Coninx, K, Vanhees, L, Piepoli, MF, Pedretti, R, Ruiz, GR, Corrà, U, Schmid, J-P, Davos, CH, Edelmann, F, Abreu, A, Rauch, B, Ambrosetti, M, Braga, SS, Beckers, P, Bussotti, M, Faggiano, P, Garcia-Porrero, E, Kouidi, E, Lamotte, M, Reibis, R, Spruit, MA, Takken, T, Vigorito, C, Völler, H, Doherty, P & Dendale, P 2018, 'Exercise Prescription in Patients with Different Combinations of Cardiovascular Disease Risk Factors: A Consensus Statement from the EXPERT Working Group', Sports Medicine (Auckland, N.Z.), pp. 1-17. https://doi.org/10.1007/s40279-018-0930-4

TY - JOUR

T1 - Exercise Prescription in Patients with Different Combinations of Cardiovascular Disease Risk Factors

T2 - A Consensus Statement from the EXPERT Working Group

AU - Hansen, Dominique

AU - Niebauer, Josef

AU - Cornelissen, Veronique

AU - Barna, Olga

AU - Neunhäuserer, Daniel

AU - Stettler, Christoph

AU - Tonoli, Cajsa

AU - Greco, Eugenio

AU - Fagard, Robert

AU - Coninx, Karin

AU - Vanhees, Luc

AU - Piepoli, Massimo F

AU - Pedretti, Roberto

AU - Ruiz, Gustavo Rovelo

AU - Corrà, Ugo

AU - Schmid, Jean-Paul

AU - Davos, Constantinos H

AU - Edelmann, Frank

AU - Abreu, Ana

AU - Rauch, Bernhard

AU - Ambrosetti, Marco

AU - Braga, Simona Sarzi

AU - Beckers, Paul

AU - Bussotti, Maurizio

AU - Faggiano, Pompilio

AU - Garcia-Porrero, Esteban

AU - Kouidi, Evangelia

AU - Lamotte, Michel

AU - Reibis, Rona

AU - Spruit, Martijn A

AU - Takken, Tim

AU - Vigorito, Carlo

AU - Völler, Heinz

AU - Doherty, Patrick

AU - Dendale, Paul

N1 - © Springer International Publishing AG, part of Springer Nature 2018. This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details.

PY - 2018/5/4

Y1 - 2018/5/4

N2 - Whereas exercise training is key in the management of patients with cardiovascular disease (CVD) risk (obesity, diabetes, dyslipidaemia, hypertension), clinicians experience difficulties in how to optimally prescribe exercise in patients with different CVD risk factors. Therefore, a consensus statement for state-of-the-art exercise prescription in patients with combinations of CVD risk factors as integrated into a digital training and decision support system (the EXercise Prescription in Everyday practice & Rehabilitative Training (EXPERT) tool) needed to be established. EXPERT working group members systematically reviewed the literature for meta-analyses, systematic reviews and/or clinical studies addressing exercise prescriptions in specific CVD risk factors and formulated exercise recommendations (exercise training intensity, frequency, volume and type, session and programme duration) and exercise safety precautions, for obesity, arterial hypertension, type 1 and 2 diabetes, and dyslipidaemia. The impact of physical fitness, CVD risk altering medications and adverse events during exercise testing was further taken into account to fine-tune this exercise prescription. An algorithm, supported by the interactive EXPERT tool, was developed by Hasselt University based on these data. Specific exercise recommendations were formulated with the aim to decrease adipose tissue mass, improve glycaemic control and blood lipid profile, and lower blood pressure. The impact of medications to improve CVD risk, adverse events during exercise testing and physical fitness was also taken into account. Simulations were made of how the EXPERT tool provides exercise prescriptions according to the variables provided. In this paper, state-of-the-art exercise prescription to patients with combinations of CVD risk factors is formulated, and it is shown how the EXPERT tool may assist clinicians. This contributes to an appropriately tailored exercise regimen for every CVD risk patient.

AB - Whereas exercise training is key in the management of patients with cardiovascular disease (CVD) risk (obesity, diabetes, dyslipidaemia, hypertension), clinicians experience difficulties in how to optimally prescribe exercise in patients with different CVD risk factors. Therefore, a consensus statement for state-of-the-art exercise prescription in patients with combinations of CVD risk factors as integrated into a digital training and decision support system (the EXercise Prescription in Everyday practice & Rehabilitative Training (EXPERT) tool) needed to be established. EXPERT working group members systematically reviewed the literature for meta-analyses, systematic reviews and/or clinical studies addressing exercise prescriptions in specific CVD risk factors and formulated exercise recommendations (exercise training intensity, frequency, volume and type, session and programme duration) and exercise safety precautions, for obesity, arterial hypertension, type 1 and 2 diabetes, and dyslipidaemia. The impact of physical fitness, CVD risk altering medications and adverse events during exercise testing was further taken into account to fine-tune this exercise prescription. An algorithm, supported by the interactive EXPERT tool, was developed by Hasselt University based on these data. Specific exercise recommendations were formulated with the aim to decrease adipose tissue mass, improve glycaemic control and blood lipid profile, and lower blood pressure. The impact of medications to improve CVD risk, adverse events during exercise testing and physical fitness was also taken into account. Simulations were made of how the EXPERT tool provides exercise prescriptions according to the variables provided. In this paper, state-of-the-art exercise prescription to patients with combinations of CVD risk factors is formulated, and it is shown how the EXPERT tool may assist clinicians. This contributes to an appropriately tailored exercise regimen for every CVD risk patient.

KW - Journal Article

KW - Review

U2 - 10.1007/s40279-018-0930-4

DO - 10.1007/s40279-018-0930-4

M3 - Review article

C2 - 29729003

SN - 0112-1642

SP - 1

EP - 17

JO - Sports Medicine (Auckland, N.Z.)

JF - Sports Medicine (Auckland, N.Z.)

ER -