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Title: Development and evaluation of strength assessment and resistance training in patients attending cardiac rehabilitation in the UK and India
Author: Pakhare, Snehal Rajan
Awarding Body: University of Leeds
Current Institution: University of Leeds
Date of Award: 2012
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Introduction: There is growing evidence that a combination of aerobic and resistance training is more effective than aerobic training only in cardiac rehabilitation (CR), but the approach used to assess strength and deliver resistance training varies greatly. There is a wealth of literature on how to assess strength in the general population, yet caution about the use of some approaches (e.g. one repetition maximum or 1 RM) in patients with cardiovascular disease is advised. The primary aims of this thesis were (1) to develop a scientific yet clinically easy to use strength assessment protocol in a CR setting for a diverse population of different ethnic and cultural backgrounds and (2) to investigate the effects of resistance training when added to a traditional cardiac rehabilitation programme offered in the UK. There is growing evidence that biomarkers influence strength, so the secondary aim of this study was to investigate the association between strength and inflammatory biomarkers in CVD patients. Methodology: Three studies were conducted. Study one (n=20) was an observational study conducted with community-based CR participants in the UK, in order to develop a 1 RM protocol for cardiac patients. The second study (n=30) was a randomised controlled trial conducted on outpatient-based CR patients, to investigate the effects of high to moderate intensity (recommended) resistance training when added to the usual six-week phase III cardiac rehabilitation programme offered in the UK. The third study (n=40) was conducted on outpatient-based CR patients in India, to evaluate the 1 RM protocol and investigate the association between the inflammatory biomarker TNF alpha and strength in patients of Asian ethnicity. Results: The 1 RM protocol developed for strength assessment was feasible in CVD patients but had to be modified for use in the Indian CVD patient population. There was a significant (p
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available