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dc.contributor.authorMcGregor, Gordon
dc.contributor.authorNichols, Simon
dc.contributor.authorHamborg, Thomas
dc.contributor.authorBryning, Lucy
dc.contributor.authorTudor-Edwards, Rhiannon
dc.contributor.authorMarkland, David
dc.contributor.authorMercer, Jenny
dc.contributor.authorBirkett, Stefan
dc.contributor.authorEnnis, Stuart
dc.contributor.authorPowell, Richard
dc.contributor.authorBegg, Brian
dc.contributor.authorHaykowsky, Mark J
dc.contributor.authorBanerjee, Prithwish
dc.contributor.authorIngle, Lee
dc.contributor.authorShave, Rob
dc.contributor.authorBackx, Karianne
dc.date.accessioned2016-11-28T10:41:42Z
dc.date.available2016-11-28T10:41:42Z
dc.date.issued2016-11-16
dc.identifier.citationMcGregor, G., Nichols, S., Hamborg, T., Bryning5, , L., Tudor-Edwards, R., Markland, D., Mercer, J., Birkett, S., Ennis, S., Powell, R., Begg, B., Haykowsky, M.J., Banerjee, P., Ingle, L., Shave, R., Backx, K. (2016) 'High-intensity interval training versus moderate-intensity steady-state training in UK cardiac rehabilitation programmes (HIIT or MISS UK): study protocol for a multicentre randomised controlled trial and economic evaluation', BMJ Open, 6; 11, e012843.en_US
dc.identifier.issn2044-6055
dc.identifier.urihttp://hdl.handle.net/10369/8198
dc.descriptionThis article was published in BMJ open on 16 November 2016 (online), available open access at http://dx.doi.org/10.1136/bmjopen-2016-012843en_US
dc.description.abstractIntroduction Current international guidelines for cardiac rehabilitation (CR) advocate moderate-intensity exercise training (MISS, moderate-intensity steady state). This recommendation predates significant advances in medical therapy for coronary heart disease (CHD) and may not be the most appropriate strategy for the ‘modern’ patient with CHD. High-intensity interval training (HIIT) appears to be a safe and effective alternative, resulting in greater improvements in peak oxygen uptake (VO2 peak). To date, HIIT trials have predominantly been proof-of-concept studies in the laboratory setting and conducted outside the UK. The purpose of this multicentre randomised controlled trial is to compare the effects of HIIT and MISS training in patients with CHD attending UK CR programmes. Methods and analysis This pragmatic study will randomly allocate 510 patients with CHD to 8 weeks of twice weekly HIIT or MISS training at 3 centres in the UK. HIIT will consist of 10 high-intensity (85–90% peak power output (PPO)) and 10 low-intensity (20–25% PPO) intervals, each lasting 1 min. MISS training will follow usual care recommendations, adhering to currently accepted UK guidelines (ie, >20 min continuous exercise at 40–70% heart rate reserve). Outcome measures will be assessed at baseline, 8 weeks and 12 months. The primary outcome for the trial will be change in VO2 peak as determined by maximal cardiopulmonary exercise testing. Secondary measures will assess physiological, psychosocial and economic outcomes. Ethics and dissemination The study protocol V.1.0, dated 1 February 2016, was approved by the NHS Health Research Authority, East Midlands—Leicester South Research Ethics Committee (16/EM/0079). Recruitment will start in August 2016 and will be completed in June 2018. Results will be published in peer-reviewed journals, presented at national and international scientific meetings and are expected to inform future national guidelines for exercise training in UK CR.en_US
dc.language.isoenen_US
dc.publisherBMJ Publishing Groupen_US
dc.relation.ispartofseriesBMJ Open;
dc.subjectcardiac rehabilitationen_US
dc.subjecthigh intensity exerciseen_US
dc.subjecthealth economicsen_US
dc.subjectpsychosocialen_US
dc.subjectqualitativeen_US
dc.subjectcardiovascular physiologyen_US
dc.titleHigh-intensity interval training versus moderate-intensity steady-state training in UK cardiac rehabilitation programmes (HIIT or MISS UK): study protocol for a multicentre randomised controlled trial and economic evaluationen_US
dc.typeArticleen_US
dc.identifier.doihttp://dx.doi.org/10.1136/bmjopen-2016-012843
dcterms.dateAccepted2016-10-05
rioxxterms.funderCardiff Metropolitan Universityen_US
rioxxterms.identifier.projectCardiff Metropolian (Internal)en_US
rioxxterms.versionVoRen_US
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by-nc/4.0/en_US
rioxxterms.licenseref.startdate2016-11-28
rioxxterms.funder.project37baf166-7129-4cd4-b6a1-507454d1372een_US


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