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Bedeutung des Krafttrainings zur Prävention und Rehabilitation internistischer Erkrankungen

Konsensuspapier der AG Kardiologische Rehabilitation und Sekundärprävention der Österreichischen kardiologischen Gesellschaft

Resistance training for patients with cardiovascular diseases

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Zusammenfassung

Körperliches Training ist seit Jahren Bestandteil der Empfehlungen zur Prävention und Rehabilitation von Herz-Kreislauf-, pulmonalen und Stoffwechsel-Erkrankungen. Lange Zeit wurde das Hauptaugenmerk auf Ausdauertraining gelegt, doch belegen immer mehr Studien den positiven Effekt von dosiert ausgeführtem Krafttraining bei internistischen Patienten. Neben Verbesserungen der Muskelkraft per se lassen sich ähnlich positive Trainingseffekte auf Herz-Kreislauf und Stoffwechsel wie durch ein Ausdauertraining erzielen. Darüber hinaus finden sich Verbesserungen in der Lebensqualität und in der Mobilität vor allem bei älteren Patienten. Bei entsprechender Ausführung ist das Risiko der Kraftanstrengung gering und kann daher auch stabilen Patienten mit eingeschränkter linksventrikulärer Funktion empfohlen werden.

Summary

Physical training is part of the recommendations for prevention and rehabilitation of cardiovascular and metabolic diseases. The main focus was on endurance training for a long time. However, a positive effect of strength training has also been found for patients with with a wide spectrum of diseases. Beside the improvement of muscle strength similar positive effects as with endurance training have been documented. Moreover, improvements of quality of life and mobility have been found, mainly for older patients. Resistance training is safe and can be recommended to a wide range of patients including those with reduced left ventricular function.

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Authors and Affiliations

  1. Hansa-Privatklinikum Graz, Körblergasse 42, 8010, Graz, Österreich

    Manfred Wonisch

  2. Sonderkrankenanstalt-Rehabilitationszentrum für Herz-Kreislauf-Erkrankungen der PVA, Felbring, Österreich

    Christiane Marko

  3. Universitätsinstitut für präventive und rehabilitative Sportmedizin Salzburg, Salzburg, Österreich

    Josef Niebauer

  4. Institut für Sportwissenschaften, Zentrum für Sportwissenschaften und Universitätssport, Wien, Österreich

    Rochus Pokan

  5. Rehabilitations- u Kurzentrum Austria d Versicherungsanstalt öffentl Bediensteter Bad Schallerbach, Bad Schallerbach, Österreich

    Peter Schmid

  6. Sonderkrankenanstalt für Herz- und Kreislauferkrankungen Groß Gerungs, Groß Gerungs, Österreich

    Elmar Wiesinger

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  1. Manfred Wonisch
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  2. Christiane Marko
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  3. Josef Niebauer
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  4. Rochus Pokan
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Correspondence to Manfred Wonisch.

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Wonisch, M., Marko, C., Niebauer, J. et al. Bedeutung des Krafttrainings zur Prävention und Rehabilitation internistischer Erkrankungen. Wien Klin Wochenschr 124, 326–333 (2012). https://doi.org/10.1007/s00508-012-0170-9

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