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Villelabeitia Jaureguizar, Koldobika

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Koldobika

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Villelabeitia Jaureguizar

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Ciencias de la Salud

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2015 - 201942020 - 20221
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Now showing 1 - 5 of 5
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    Mechanical efficiency of high versus moderate intensity aerobic exercise in coronary heart disease patients: A randomized clinical trial.
    (Cardiology Journal, 2019) Villelabeitia Jaureguizar, Koldobika; Vicente Campos, Davinia; Berenguel Senen, Alejandro; Hernández Jiménez, Verónica; Ruiz Bautista, Lorena; Barrios Garrido-Lestache, María Elvira; López Chicharro, José
    Background: Mechanical efficiency (ME) refers to the ability of an individual to transfer energy consumed by external work. A decreased ME, could represent an increased energy cost during exercise and may, therefore, be limited in terms of physical activity. This study aimed to compare the influence of two different exercise protocols: moderate continuous training (MCT) versus high intensity interval training (HIIT), as part of a cardiac rehabilitation program on ME values among coronary patients. Methods: One hundred and ten coronary patients were assigned to either HIIT or MCT groups for 8 weeks. Incremental exercise tests in a cycle ergometer were performed to obtain VO2peak. Net energy expenditure (EE) and ME were obtained at intensities corresponding to the first (VT1) and second (VT2) ventilatory thresholds, and at VO2peak. Results: Both exercise programs significantly increase VO2peak with a higher increase in the HIIT group (2.96 ± 2.33 mL/kg/min vs. 3.88 ± 2.40 mL/kg/min, for patients of the MCT and HIIT groups, respectively, p < 0.001). The ME at VO2peak and VT2 only significantly increased in the HIIT group. At VT1, ME significantly increased in both groups, with a greater increase in the HIIT group (2.20 ± ± 6.25% vs. 5.52 ± 5.53%, for patients of the MCT and HIIT groups, respectively, p < 0.001). Conclusions: The application of HIIT to patients with chronic ischemic heart disease of low risk resulted in a greater improvement in VO2peak and in ME at VT1, than when MCT was applied. Moreover, only the application of HIIT brought about a significant increase in ME at VT2 and at VO2peak. (Cardiol J 2019; 26, 2: 130–137)
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    Effect of high-intensity interval versus continuous exercise training on functional capacity and quality of life in patients with coronary artery disease.
    (Journal of cardiopulmonary rehabilitation and prevention, 2015) Villelabeitia Jaureguizar, Koldobika; Vicente Campos, Davinia; Ruiz Bautista, Lorena; Hernández de la Peña, César; Arriaza Gómez, María José; Calero Rueda, María José; Mahillo Fernández, Ignacio
    There is strong evidence that exercise training has beneficial health effects in patients with cardiovascular disease. Most studies have focused on moderate continuous training (MCT); however, a body of evidence has begun to emerge demonstrating that highintensity interval training (HIIT) has significantly better results in terms of morbidity and mortality. The aim of this study was to compare the effects of MCT versus HIIT on functional capacity and quality of life and to assess safety. Seventy-two patients with ischemic heart disease were assigned to either HITT or MCT for 8 weeks. We analyzed cardiopulmonary exercise stress test data, quality of life, and adverse events.High-intensity interval training resulted in a significantly greater increase in V · O 2 peak (4.5 ± 4.7 mL·kg − 1 ·min − 1 ) compared with MCT (2.5 ± 3.6 mL·kg − 1 ·min − 1 ) ( P < .05). The aerobic threshold (V T 1 ) increased by 21% in HIIT and 14% in MCT. Furthermore, there was a significant ( P < .05) increase in the distance covered in the 6-minute walk distance test in the HIIT group (49.6 ± 6.3 m) when compared with the MCT group (29.6 ± 12.0 m). Both training protocols improved quality of life. No adverse events were reported in either of the groups.On the basis of the results of this study, HIIT should be considered for use in cardiac rehabilitation as it resulted in a greater increase in functional capacity compared with MCT. We also observed greater improvement in quality of life without any increase in cardiovascular risk.
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    Low Intensity Respiratory Muscle Training in COVID-19 Patients after Invasive Mechanical Ventilation: A Retrospective Case-Series Study.
    (Biomedicines, 2022) Villelabeitia Jaureguizar, Koldobika; Calvo Lobo, César; Rodríguez-Sanz, David; Vicente Campos, Davinia; Castro-Portal, José Adrián; López Cañadas, Marta; Becerro-de-Bengoa-Vallejo, Ricardo; López Chicharro, José
    Worldwide, healthcare systems had to respond to an exponential increase in COVID-19 patients with a noteworthy increment in intensive care units (ICU) admissions and invasive mechanical ventilation (IMV). The aim was to determine low intensity respiratory muscle training (RMT) effects in COVID-19 patients upon medical discharge and after an ICU stay with IMV. A retrospective case-series study was performed. Forty COVID-19 patients were enrolled and divided into twenty participants who received IMV during ICU stay (IMV group) and 20 participants who did not receive IMV nor an ICU stay (non-IMV group). Maximal expiratory pressure (PEmax), maximal inspiratory pressure (PImax), COPD assessment test (CAT) and Medical Research Council (MRC) dyspnea scale were collected at baseline and after 12 weeks of low intensity RMT. A greater MRC dyspnea score and lower PImax were shown at baseline in the IMV group versus the non-IMV group (p < 0.01). RMT effects on the total sample improved all outcome measurements (p < 0.05; d = 0.38–0.98). Intragroup comparisons after RMT improved PImax, CAT and MRC scores in the IMV group (p = 0.001; d = 0.94–1.09), but not for PImax in the non-IMV group (p > 0.05). Between-groups comparison after RMT only showed MRC dyspnea improvements (p = 0.020; d = 0.74) in the IMV group versus non-IMV group. Furthermore, PImax decrease was only predicted by the IMV presence (R2 = 0.378). Low intensity RMT may improve respiratory muscle strength, health related quality of life and dyspnea in COVID-19 patients. Especially, low intensity RMT could improve dyspnea level and maybe PImax in COVID-19 patients who received IMV in ICU.
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    Effects of high-intensity interval versus continuous exercise training on post-exercise heart rate recovery in coronary heart-disease patients.
    (International Journal of Cardiology, 2017) Villelabeitia Jaureguizar, Koldobika; Vicente Campos, Davinia; Berenguel Senen, Alejandro; Hernández Jiménez, Verónica; Barrios Garrido-Lestache, María Elvira; López Chicharro, José
    Background: Heart rate recovery (HRR) has been considered a prognostic and mortality indicator in both healthy and coronary patients. Physical exercise prescription has shown improvements in VO2peak and HRR, but most of the studies have been carried out applying continuous training at a moderate intensity, being very limited the use of protocols of high intensity interval training in coronary patients. We aimed to compare the effects of a moderate continous training (MCT) versus a high intensity interval training (HIIT) programme on VO2 peak and HRR. Methods: Seventy three coronary patients were assigned to either HIIT or MCT groups for 8 weeks. Incremental exercise tests in a cycloergometer were performed to obtain VO2peak data and heart rate was monitored during and after the exercise test to obtain heart rate recovery data. Results: Both exercise programmes significantly increase VO2peak with a higher increase in the HIIT group (HIIT: 4.5± 4.46 ml/kg/min vs MCT: 2.46±3.57 ml/kg/min; P=0.039). High intensity interval training resulted in a significantly increase in HRR at the first and second minute of the recovery phase (15,44±7,04 vs 21,22 ±6,62, P <0,0001 and 23,73±9,64 vs 31,52±8,02, p <0,0001, respectively). Conclusions: The results of our research show that the application of HIIT to patients with chronic ischemic heart disease of low risk resulted in an improvement in VO2peak, and also improvements in post-exercise heart-rate recovery, compared with continuous training.
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    Efectos de un programa de ejercicio aeróbico contínuo de moderada intensidad vs. interválico de alta intensidad sobre factores predicitivos de supervivencia en pacientes con cardiopatía isquémica.
    (2019) Villelabeitia Jaureguizar, Koldobika; Vicente Campos, Davinia; López Chicharro, José; Biotecnología, Medicina y Ciencias Biosanitarias
    Introducción: La prescripción de ejercicio físico mejora la capacidad funcional y la morbimortalidad de los pacientes con enfermedades cardiovasculares. La mayoría de las investigaciones han estudiado los efectos del ejercicio físico aeróbico continuo de moderada intensidad (ECMI) en pacientes con enfermedad cardiovascular, sin embargo, el entrenamiento aeróbico interválico de alta intensidad (HIIT) comienza a despertar un gran interés por los resultados obtenidos sobre determinados parámetros pronóstico de morbi-mortalidad. Objetivos: Los objetivos principales de este estudio fueron comparar el efecto de dos modalidades de entrenamiento aeróbico (ECMI vs HIIT) sobre la capacidad funcional, la recuperación de la frecuencia cardíaca en el primer y segundo minuto (RFC-1 vs RFC-2) tras una prueba de esfuerzo hasta el agotamiento, y sobre los valores de eficiencia mecánica (EM), en pacientes con cardiopatía isquémica. Los objetivos secundarios fueron verificar la seguridad a la hora de aplicar entrenamiento físico de alta intensidad y conocer el impacto de ambos entrenamientos (ECMI vs HIIT) sobre la calidad de vida relacionada con la salud en pacientes con cardiopatía isquémica. Métodos: Ensayo clínico prospectivo y aleatorizado (NCT02168712) con pacientes diagnosticados de enfermedad coronaria estable de clase funcional I y/o II. Tras firmar un consentimiento informado fueron aleatorizados en relación 1-1 en dos grupos: ECMI o HIIT. En ambos grupos, los entrenamientos se realizaron en cicloergómetro con sesiones de 40 minutos, 3 días/semana. Se analizaron parámetros ergoespirométricos durante la prueba de esfuerzo y posterior recuperación, aspectos relacionados con la calidad de vida pre y post-programa, así como un registro de incidencias durante el programa. Resultados: Ambos grupos de entrenamiento aumentaron el VO2 (ml kg-1 min-1) y la carga (vatios) asociados tanto al nivel de esfuerzo máximo (VO2 pico) como al submáximo (VT1 y VT2), con mayores incrementos a favor del HIIT (p<0,05). Sólo se observó un aumento significativo de la RFC-1 y RFC-2 en el grupo HIIT (p<0,001). Se obtuvo una correlación significativa entre los valores de VO2 pico con RFC-1 (p<0,001) y RFC-2 (p<0,001). La EM en el VT1 aumentó significativamente en ambos grupos de entrenamiento aeróbico, con un mayor aumento en el grupo HIIT (p<0,01). La EM en VO2 pico y en VT2 solo aumentó significativamente en el grupo HIIT (p<0,001). Ambos entrenamientos mejoraron los resultados de los test de la calidad de vida con mejores resultados en el grupo interválico. No se registró ningún tipo de eventos en ninguna de las modalidades. Conclusiones: La aplicación de un programa de entrenamiento tipo HIIT en pacientes con enfermedad coronaria consigue mayores mejoras en el VO2 pico, en la carga asociada a los umbrales ventilatorios, en los índices de RFC post-ejercicio y en la eficiencia mecánica muscular frente al ECMI. Todo ello sin un riesgo cardiovascular añadido y con un mayor impacto en los test de calidad de vida.