AACVPR TELECONFERENCe

Resistance Training: Rationale, Safety, Contraindications, and Prescriptive Guidelines
Presented By: Barry Franklin, PhD

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Many patients lack the physical strength and/or self-confidence to perform daily activities, especially activities that involve lifting or carrying moderate-to-heavy objects. Resistance training can provide an effective method for improving muscular strength and endurance, preventing and managing a variety of chronic medical conditions, modifying coronary risk factors (e.g., improved insulin action, decreased systolic/diastolic blood pressure, and decreased visceral adipose tissue), reducing the susceptibility to falls, and enhancing psychosocial well-being. Weight training has also been shown to attenuate the rate-pressure product when any given load is lifted. Thus, resistance training can decrease cardiac demands during daily activities such as carrying groceries or lifting moderate-to-heavy objects.

This presentation will focus on the role of resistance training in persons with and without cardiovascular disease, with specific reference to health and fitness benefits, rationale, relevant physiologic considerations, and safety. Participation criteria (i.e., applications in varied patient subsets) and prescriptive guidelines will also be discussed, along with recent provocative data showing that muscular strength is inversely associated with all-cause mortality and the prevalence of metabolic syndrome, independent of cardio-respiratory fitness levels.

Following this program, participants will be better prepared to:

● critically evaluate whether resistance training modifies cardiovascular risk factors in persons with and without cardiovascular disease.

● summarize the relationship between the pressor response to resistance training as a function of the percent of maximal voluntary contraction, and the impact of increased muscle strength on this response.

● review the health and fitness benefits of resistance training as well as the physiologic and clinical rationale to support this form of exercise as an adjunct to an adult fitness or cardiac rehabilitation program.

● discuss the safety of resistance training in persons with and without documented cardiovascular disease, as well as the prescriptive guidelines in these patient subsets.

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