Effects of combined high-intensity aerobic interval training program and Mediterranean diet recommendations after myocardial infarction (INTERFARCT Project): study protocol for a randomized controlled trial.
| Intervention | Direction | Endpoint | Population | Dosage | Impact | Claim # |
|---|---|---|---|---|---|---|
Exercise therapy | neutral | rehabilitation after myocardial infarction | patients after myocardial infarction | - | has long been used for rehabilitation purposes | #1 |
regular physical exercise | neutral | rehabilitation after myocardial infarction | patients after myocardial infarction | - | benefit is well-established | #2 |
High-intensity interval training | increase | improving exercise capacity and health-related adaptations | - | - | has been proposed to be more effective than continuous exercise | #3 |
low-volume HIIT | neutral | health-related adaptations | - | - | are also known | #4 |
Mediterranean diet | neutral | contribution to a favorable health status and a better quality of life | - | - | has been widely reported to be a model of healthy eating | #5 |
Mediterranean diet | decrease | overall mortality | - | - | reducing | #6 |
different HIIT programs (high-volume vs low-volume) and Mediet recommendations | neutral | clinical condition, cardiorespiratory fitness, biomarkers, ventricular function, and perception of quality of life | patients after myocardial infarction | - | will investigate the effects | #7 |
BACKGROUND: Exercise therapy has long been used for rehabilitation purposes after myocardial infarction (MI) and the benefit of regular physical exercise is also well-established. High-intensity interval training (HIIT) has been proposed to be more effective than continuous exercise for improving exercise capacity and health-related adaptations to low-volume (LV) and HIIT are also known. Furthermore, the Mediterranean diet (Mediet) has been widely reported to be a model of healthy eating for its contribution to a favorable health status and a better quality of life, reducing overall mortality. This study will investigate the effects of different HIIT programs (high-volume [HV] vs LV) and Mediet recommendations in clinical condition, cardiorespiratory fitness, biomarkers, ventricular function, and perception of quality of life after MI, and compared to an attention control group that is recommended to Mediet and physical activity without supervision sessions. METHODS/DESIGN: In this randomized controlled trial, cardiorespiratory fitness, anthropometry, central and peripheral cardiovascular variables, biochemical and nutritional condition, and quality of life will be assessed before and after 16 weeks of intervention in 177 participants diagnosed with MI type 1. All participants will be randomly (1:1:1) assigned to the attention control group or two exercise groups (Mediet recommendations plus supervised aerobic exercise two days/week: (1) HV (40 min) HIIT group and (2) LV (20 min) HIIT group. DISCUSSION: This study will be the first clinical trial comparing the effects of two different volumes of HIIT programs with Mediet recommendations for people after MI. The results of this study will provide good evidence for physical rehabilitation in this population. TRIAL REGISTRATION: ClinicalTrials.gov, NCT02876952 . Registered on 24 August 2016.