Cardiovascular diseases (CVDs) remain a leading cause of morbidity and mortality. While multicomponent training (MCT) is beneficial for CVDs management, the added value of integrating isometric exercise training (IET), known for its antihypertensive effects, remain unclear. This study compared traditional MCT versus isometric-integrated MCT (IMCT) on cardiovascular, physical, and psychological outcomes in adults with stable CVDs. Thirty adults (18 M, 12F; 69.9 ± 5.2 years; BMI 27.56 ± 4.96 kg/m2) with stable CVDs were randomised into MCT (n = 10), IMCT (n = 10), or control (n = 10). Both interventions involved supervised 60-min sessions twice weekly for 24 weeks; IMCT replaced dynamic resistance training with isometric exercises. Outcomes included resting heart rate (RHR), peripheral blood pressure (P-SBP/P-DBP), physical fitness (30s chair stand, TUG, handgrip, 2′ step, back scratch, chair sit & reach), quality of life (SF-36), and exercise motivation (BREQ-3). Both MCT and IMCT improved RHR, blood pressure, fitness, HRQoL, and motivation versus controls (p < 0.001). IMCT showed greater reductions in P-SBP (p = 0.004, d = 1.49) and P-DBP (p = 0.020, d = 1.13). Both programmes effectively enhance cardiovascular, physical, and psychological health in older adults with stable CVDs. IMCT offers superior blood pressure benefits, supporting IET integration in community-based cardiovascular programmes.
Effects of traditional versus isometric-integrated multicomponent training on cardiovascular Health, physical function, quality of life and motivation in older adults with cardiovascular disease
Luca Poli;Francesco Fischetti
;Gianpiero Greco;
2026-01-01
Abstract
Cardiovascular diseases (CVDs) remain a leading cause of morbidity and mortality. While multicomponent training (MCT) is beneficial for CVDs management, the added value of integrating isometric exercise training (IET), known for its antihypertensive effects, remain unclear. This study compared traditional MCT versus isometric-integrated MCT (IMCT) on cardiovascular, physical, and psychological outcomes in adults with stable CVDs. Thirty adults (18 M, 12F; 69.9 ± 5.2 years; BMI 27.56 ± 4.96 kg/m2) with stable CVDs were randomised into MCT (n = 10), IMCT (n = 10), or control (n = 10). Both interventions involved supervised 60-min sessions twice weekly for 24 weeks; IMCT replaced dynamic resistance training with isometric exercises. Outcomes included resting heart rate (RHR), peripheral blood pressure (P-SBP/P-DBP), physical fitness (30s chair stand, TUG, handgrip, 2′ step, back scratch, chair sit & reach), quality of life (SF-36), and exercise motivation (BREQ-3). Both MCT and IMCT improved RHR, blood pressure, fitness, HRQoL, and motivation versus controls (p < 0.001). IMCT showed greater reductions in P-SBP (p = 0.004, d = 1.49) and P-DBP (p = 0.020, d = 1.13). Both programmes effectively enhance cardiovascular, physical, and psychological health in older adults with stable CVDs. IMCT offers superior blood pressure benefits, supporting IET integration in community-based cardiovascular programmes.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
