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Exercise guidelines to promote cardiometabolic health in spinal cord injured humans: time to raise the intensity?

Citation
Nightingale TE, Metcalfe R, Vollaard N & Bilzon JLJ (2017) Exercise guidelines to promote cardiometabolic health in spinal cord injured humans: time to raise the intensity?, Archives of Physical Medicine and Rehabilitation, 98 (9), pp. 1693-1704.

Abstract
Spinal cord injury (SCI) is a life changing event that, as a result of paralysis, negatively influences habitual levels of physical activity and hence cardiometabolic health. Performing regular structured exercise therefore appears extremely important in persons with SCI. However, exercise options are mainly limited to the upper-body, which involves a smaller activated muscle mass compared to the mainly leg-based activities commonly performed by non-disabled individuals. Current exercise guidelines for SCI focus predominantly on relative short durations of moderate-intensity aerobic arm cranking exercise, yet contemporary evidence suggests this is not sufficient to induce meaningful improvements in risk factors for the prevention of cardiometabolic disease in this population. As such, these guidelines and their physiological basis, require reappraisal. In this special communication, we propose that high-intensity interval training (HIIT) may be a viable alternative exercise strategy, to promote vigorous-intensity exercise and prevent cardiometabolic disease in persons with SCI. Supplementing the limited data from SCI cohorts with consistent findings from studies in non-disabled populations, we present strong evidence to suggest that HIIT is superior to moderate-intensity aerobic exercise for improving cardiorespiratory fitness, insulin sensitivity and vascular function. The potential application and safety of HIIT in this population is also discussed. We conclude that increasing exercise intensity could offer a simple, readily available, time-efficient solution to improve cardiometabolic health in persons with SCI. We call for high-quality randomised controlled trials to examine the efficacy and safety of HIIT in this population.

Keywords
Spinal cord injury; Cardiometabolic health; High-intensity interval training; Vigorous-intensity exercise; Cardiorespiratory fitness

StatusPublished
AuthorsNightingale Tom E, Metcalfe Richard, Vollaard Niels, Bilzon James L J
Publication date08/2017
Publication date online13/01/2017
Date accepted by journal15/12/2016
PublisherElsevier
ISSN 0003-9993
LanguageEnglish

Journal
Archives of Physical Medicine and Rehabilitation: Volume 98, Issue 9

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