A1 Journal article (refereed)
The Effects of Combined Same Session Aerobic and Resistance Training on Physical Performance in Coronary Artery Disease Patients : Protocol Comparison (2021)

Clavario, P., Barbara, C., Porcile, A., Russo, C., Zappulla, T., Capurroa, E., Cornero, T., Ferrari, A., Mäkikallio, T., & Hautala A., J. (2021). The Effects of Combined Same Session Aerobic and Resistance Training on Physical Performance in Coronary Artery Disease Patients : Protocol Comparison. Austin Journal of Clinical Cardiology, 7(2), Article 1077. https://doi.org/10.26420/austinjclincardiolog.2021.1077

JYU authors or editors

Publication details

All authors or editorsClavario, P.; Barbara, C.; Porcile, A.; Russo, C.; Zappulla, T.; Capurroa, E.; Cornero, T.; Ferrari, Aggradi, C.; Mäkikallio, T.; Hautala A., J.

Journal or seriesAustin Journal of Clinical Cardiology


Publication year2021

Publication date19/06/2021


Issue number2

Article number1077

PublisherAustin Publishing Group

Publication countryUnited States

Publication languageEnglish


Publication open accessOpenly available

Publication channel open accessOpen Access channel

Publication is parallel published (JYX)https://jyx.jyu.fi/handle/123456789/79538


Aerobic training is included to cardiac rehabilitation programs together with resistance training. The effects of combined aerobic and resistance training performed in a same session with different protocols on peak aerobic capacity (VO2peak) and maximal dynamic strength (1RM: one repetition maximum) are not well known. We compared the effectiveness of two different combined aerobic and resistance training programs for 12 weeks performed three times in a week in stable Coronary Artery Disease (CAD) patients (n=30) who had previously performed aerobic training only. The patients were randomized to High Volume- Low Intensity Group (HLG) or Low Volume-High Intensity Group (LHG). Both groups performed laboratory controlled aerobic exercise first (60min, 80% of lactate threshold) followed by six major muscle group resistance exercises (HLG: 30-35% of 1RM, 3 sets, 12 repetitions) or (LHG: 60-70% of 1RM, 3 sets, 6 repetitions). VO2peak remained at the baseline level for whole study group (23 ± 6 vs. 24 ± 7 ml·kg-1·min-1, p=0.380) and the responses did not differ between the HLG and LHG (p=0.891). Muscle strength increased when analyzed as one group for both upper (Push Up; 24 ± 8 vs. 30 ± 7 kg, p <0.0001) and lower body (Leg Extension; 20 ± 6 vs. 27 ± 6 kg, p <0.0001) with no difference between subgroups (p=0.240 and p=0.504, respectively). As conclusion, combined aerobic and resistance training in the same training session for 12 weeks improved maximal strength independently of the intensity of resistance training. These results highlight the importance of regular resistance training, even at moderate intensity, for CAD patients in terms of physical performance and independent living.

Keywordscoronary diseaserehabilitationtrainingendurance trainingaerobic trainingaerobic capacityphysical fitnessmuscle strengthperformance (capacity)health effectsphysical trainingexercise (people)

Free keywordscoronary heart disease; combined aerobic and resistance training; rehabilitation

Contributing organizations

Ministry reportingYes

Reporting Year2021

JUFO rating0

Last updated on 2024-03-04 at 17:17