{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T02:42:09Z","timestamp":1761964929363,"version":"3.41.0"},"reference-count":44,"publisher":"Canadian Science Publishing","issue":"3","license":[{"start":{"date-parts":[[2018,3,1]],"date-time":"2018-03-01T00:00:00Z","timestamp":1519862400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.nrcresearchpress.com\/page\/about\/CorporateTextAndDataMining"}],"content-domain":{"domain":["cdnsciencepub.com"],"crossmark-restriction":false},"short-container-title":["Appl. Physiol. Nutr. Metab."],"published-print":{"date-parts":[[2018,3]]},"abstract":"<jats:p> Increasing energy expenditure (EE) in cardiac patients remains a challenge. Exercise approaches in cardiac rehabilitation\/secondary prevention programs (CR\/SP) have consistently resulted in minimal weight loss, due in part to the low exercise-related EE. The purpose of this study was to measure the EE among patients participating in a routine exercise session of Phase III maintenance CR\/SP, where a recreational activity was introduced. Twelve overweight\/obese male patients with coronary artery disease (aged 62.6 \u00b1 8.5 years) had their total EE measured during a combined aerobic (circuit workout (ACW) and recreational activity) and resistance training (RT) session using a portable gas analyzer. Subjects were instructed to exercise at 60%\u201370% of heart rate reserve. Activity EE was calculated from total EE and resting EE. The duration of the session was 75.3 \u00b1 1.5 min, of which 59.7 \u00b1 8.8 min were above moderate intensity (3\u20136 METs). Activity EE was 309 \u00b1 76 kcal, concurring to a total EE of 457 \u00b1 80 kcal (3.9 \u00b1 0.8 METs-h). ACW, recreational activity, and RT fulfilled 34.4% \u00b1 6.4%, 25.0% \u00b1 5.3%, and 14.2% \u00b1 2.7% of the activity EE, respectively. Absolute intensities (METs) were significantly different between the RT (3.9 \u00b1 1.0) and the ACW (6.9 \u00b1 1.8) and recreational activity (5.9 \u00b1 0.8). In conclusion, a combined aerobic and resistance training following standard exercise prescription practices, coupled with a recreational activity, is an effective tool to promote exercise above moderate intensity in male coronary artery disease patients. Clinicians can adopt concepts from recreational activity to develop CR\/SP sessions. <\/jats:p>","DOI":"10.1139\/apnm-2017-0109","type":"journal-article","created":{"date-parts":[[2017,10,26]],"date-time":"2017-10-26T21:34:34Z","timestamp":1509053674000},"page":"292-298","update-policy":"https:\/\/doi.org\/10.1139\/csp-crossmark-policy","source":"Crossref","is-referenced-by-count":3,"title":["Energy expenditure during an exercise training session for cardiac patients"],"prefix":"10.1139","volume":"43","author":[{"given":"Helena","family":"Santa-Clara","sequence":"first","affiliation":[{"name":"Faculdade de Motricidade Humana \u2013 Universidade de Lisboa, Centro Interdisciplinar de Estudo da Performance Humana, Lisboa, 1499-002, Portugal."}]},{"given":"Xavier","family":"Melo","sequence":"additional","affiliation":[{"name":"Faculdade de Motricidade Humana \u2013 Universidade de Lisboa, Centro Interdisciplinar de Estudo da Performance Humana, Lisboa, 1499-002, Portugal."},{"name":"Gin\u00e1sio Clube Portugu\u00eas, Lisboa, 1250-111, Portugal."}]},{"given":"Romina","family":"Willi","sequence":"additional","affiliation":[{"name":"University College Physiotherapy Thim van der Laan, Health Department, Landquart, 7302, Switzerland."}]},{"given":"Rita","family":"Pinto","sequence":"additional","affiliation":[{"name":"Faculdade de Motricidade Humana \u2013 Universidade de Lisboa, Centro Interdisciplinar de Estudo da Performance Humana, Lisboa, 1499-002, Portugal."}]},{"given":"Vanessa","family":"Santos","sequence":"additional","affiliation":[{"name":"Faculdade de Motricidade Humana \u2013 Universidade de Lisboa, Centro Interdisciplinar de Estudo da Performance Humana, Lisboa, 1499-002, Portugal."}]},{"given":"Jos\u00e9 P.","family":"Almeida","sequence":"additional","affiliation":[{"name":"Faculdade de Motricidade Humana \u2013 Universidade de Lisboa, Centro Interdisciplinar de Estudo da Performance Humana, Lisboa, 1499-002, Portugal."}]},{"given":"Rodrigo","family":"Martins","sequence":"additional","affiliation":[{"name":"Faculdade de Motricidade Humana \u2013 Universidade de Lisboa, Centro Interdisciplinar de Estudo da Performance Humana, Lisboa, 1499-002, Portugal."},{"name":"Instituto Portugu\u00eas do Desporto e Juventude, Lisboa, 1990-100, Portugal."}]},{"given":"Ron","family":"Clijsen","sequence":"additional","affiliation":[{"name":"University College Physiotherapy Thim van der Laan, Health Department, Landquart, 7302, Switzerland."}]},{"given":"Miguel","family":"Mendes","sequence":"additional","affiliation":[{"name":"Departamento de Cardiologia - Hospital de Santa Cruz\/CHLO, Lisboa, 2790-134, Portugal."}]},{"given":"Bo","family":"Fernhall","sequence":"additional","affiliation":[{"name":"College of Applied Health Sciences - University of Illinois at Chicago, Chicago, IL 60612, USA."}]}],"member":"155","reference":[{"key":"refg1\/ref1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.108.834184"},{"key":"refg2\/ref2","doi-asserted-by":"publisher","DOI":"10.1097\/HCR.0b013e3181d6f9a8"},{"issue":"6","key":"refg3\/ref3","doi-asserted-by":"crossref","first-page":"2020","DOI":"10.1152\/jappl.1986.60.6.2020","volume":"60","author":"Beaver W.L.","year":"1986","journal-title":"J. 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