《美国心肺康复协会(AACVPR)心脏康复指南第六版》关于科学运动与训练的更新要点

Updated Essentials of Scientific Exercise and Training in the 6th Edition of the Guidelines for Cardiac Rehabilitation Programs by American Association of Cardiovascular and Pulmonary Rehabilitation

欧美等大多数国家心脏康复已进入发展的成熟期,2020年《美国心肺康复协会(AACVPR)心脏康复指南第六版》(以下简称第六版指南)已发布,其是对2013年发布的《AACVPR心脏康复与二级预防第五版》的进一步更新。第六版指南以健康管理为主,强调对于心血管疾病(CVD)的二级预防不只是针对疾病本身的管理还包括危险因素的管理;增加科学运动与训练章节,推荐根据FITT训练原则〔频率(F)、强度(I)、时间(T)和种类(T)〕制定运动处方。本文重点对第六版指南中关于科学运动与训练的更新要点进行解读,以期借鉴和学习欧美的成功经验,推动我国心脏康复学科的建设和临床发展。

Cardiac rehabilitation in most countries such as Europe and the United States has entered a mature stage of development.In 2020,the 6th Edition of Guidelines for Cardiac Rehabilitation Programs by American Association of Cardiovascular and Pulmonary Rehabilitation(the 6th edition of the guideline)had been released,which was a further update of the 5th Edition of Guidelines for Cardiac Rehabilitation and Secondary Prevention Programs by AACVPR released in 2013.The 6th edition of the guideline focused on health management,emphasizing that the secondary prevention of cardiovascular disease(CVD)was not only the management of the disease itself,but also the management of risk factors;the scientific exercise and training chapters were added,and FITT(frequency,intense,time,type)training principles were recommended to formulate exercise prescription.This article focused on the interpretation of the updated points on exercise training in the 6th edition of the guideline,in order to draw on and learn from the successful experience of Europe and the United States,and promote the construction and clinical development of cardiac rehabilitation in China.