Ulster University Logo

Exercise guidelines to promote cardiometabolic health in spinal cord injured humans: time to raise the intensity?

Nightingale, Tom E, Metcalfe, Richard S, Vollaard, Niels BJ and Bilzon, James LJ (2016) Exercise guidelines to promote cardiometabolic health in spinal cord injured humans: time to raise the intensity? Archives of Physical Medicine and Rehabilitation, ePub . [Journal article]

[img] Text - Accepted Version

URL: http://www.archives-pmr.org/article/S0003-9993(17)30004-7/fulltext

DOI: 10.1016/j.apmr.2016.12.008


Spinal cord injury (SCI) is a life changing event that, as a result of paralysis, negatively influences habitual levels of physical activity and hence cardiometabolic health. Performing regular structured exercise therefore appears extremely important in persons with SCI. However, exercise options are mainly limited to the upper-body, which involves a smaller activated muscle mass compared to the mainly leg-based activities commonly performed by non-disabled individuals. Current exercise guidelines for SCI focus predominantly on relative short durations of moderate-intensity aerobic arm cranking exercise, yet contemporary evidence suggests this is not sufficient to induce meaningful improvements in risk factors for the prevention of cardiometabolic disease in this population. As such, these guidelines and their physiological basis, require reappraisal. In this special communication, we propose that high-intensity interval training (HIIT) may be a viable alternative exercise strategy, to promote vigorous-intensity exercise and prevent cardiometabolic disease in persons with SCI. Supplementing the limited data from SCI cohorts with consistent findings from studies in non-disabled populations, we present strong evidence to suggest that HIIT is superior to moderate-intensity aerobic exercise for improving cardiorespiratory fitness, insulin sensitivity and vascular function. The potential application and safety of HIIT in this population is also discussed. We conclude that increasing exercise intensity could offer a simple, readily available, time-efficient solution to improve cardiometabolic health in persons with SCI. We call for high-quality randomised controlled trials to examine the efficacy and safety of HIIT in this population.

Item Type:Journal article
Keywords:Spinal cord injury, Cardiometabolic health, High-intensity interval training, Vigorous-intensity exercise, Cardiorespiratory fitness
Faculties and Schools:Faculty of Life and Health Sciences > School of Sport
Faculty of Life and Health Sciences
Research Institutes and Groups:Sport and Exercise Sciences Research Institute
Sport and Exercise Sciences Research Institute > Centre for Physical Activity and Health
ID Code:36695
Deposited By: Mr Richard Metcalfe
Deposited On:24 Jan 2017 09:24
Last Modified:17 Oct 2017 16:27

Repository Staff Only: item control page