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dc.contributor.authorNightingale, Tom Een_UK
dc.contributor.authorMetcalfe, Richarden_UK
dc.contributor.authorVollaard, Nielsen_UK
dc.contributor.authorBilzon, James L Jen_UK
dc.description.abstractSpinal 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.en_UK
dc.relationNightingale TE, Metcalfe R, Vollaard N & Bilzon JLJ (2017) Exercise guidelines to promote cardiometabolic health in spinal cord injured humans: time to raise the intensity?. Archives of Physical Medicine and Rehabilitation, 98 (9), pp. 1693-1704.
dc.rightsThis item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study. Accepted refereed manuscript of: Nightingale TE, Metcalfe R, Vollaard N & Bilzon JLJ (2017) Exercise guidelines to promote cardiometabolic health in spinal cord injured humans: time to raise the intensity?, Archives of Physical Medicine and Rehabilitation, 98 (9), pp. 1693-1704. DOI: 10.1016/j.apmr.2016.12.008 © 2017, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International
dc.subjectSpinal cord injuryen_UK
dc.subjectCardiometabolic healthen_UK
dc.subjectHigh-intensity interval trainingen_UK
dc.subjectVigorous-intensity exerciseen_UK
dc.subjectCardiorespiratory fitnessen_UK
dc.titleExercise guidelines to promote cardiometabolic health in spinal cord injured humans: time to raise the intensity?en_UK
dc.typeJournal Articleen_UK
dc.rights.embargoreason[20170301-APMR_HIIT_Review_Final.pdf] Publisher requires embargo of 12 months after formal publication.en_UK
dc.citation.jtitleArchives of Physical Medicine and Rehabilitationen_UK
dc.type.statusAM - Accepted Manuscripten_UK
dc.contributor.affiliationUniversity of Bathen_UK
dc.contributor.affiliationUlster Universityen_UK
dc.contributor.affiliationUniversity of Bathen_UK
rioxxterms.apcnot requireden_UK
rioxxterms.typeJournal Article/Reviewen_UK
local.rioxx.authorNightingale, Tom E|en_UK
local.rioxx.authorMetcalfe, Richard|en_UK
local.rioxx.authorVollaard, Niels|0000-0002-4576-8879en_UK
local.rioxx.authorBilzon, James L J|en_UK
local.rioxx.projectInternal Project|University of Stirling|
Appears in Collections:Faculty of Health Sciences and Sport Journal Articles

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