DZSM

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The German Journal of Sports Medicine is directed to translational science and clinical practice of Sports Medicine and its adjacent fields, which investigate the influence of physical activity, exercise, training and sports, as well as a lack of exercise affecting healthy people and patients of all age-groups. It addresses implications for prevention, diagnosis, therapy, rehabilitation and physical training as well as the entire Sports Medicine and research in sports science, physiology and biomechanics.

The Journal is the leading and most widely read German journal in the field of Sports Medicine. Readers are physicians, physiologists and sports scientists as well as physiotherapists, coaches, sport managers, and athletes. The journal offers to the scientific community online open access to its scientific content and online communication platform.

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ANNOUNCEMENT


Main language »American English« for scientific articles

As of issue 1/2018, in all scientific articles American English will be declared as main language. The reviewing process can still be done in German language; all German-speaking articles need to be translated before publication by the authors. We will support young authors with this translation.

All German extended Abstracts will still be published.

With this procedure we aim to be listed in international databases.

Editors of German Journal of Sports Medicine

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Current Article

Issue 4/2018

Herz & Gesundheit | Heart & Health

 

Endurance training is the mainstay in the exercise and sports therapy of cardiovascular patients. Both morbidity and mortality are improved in the long-term.

The importance of this therapy is still underestimated, and it seems prudent to give individualized training recommendations on mode, duration and intensity of physical activity, analogous to prescription of medication. The level of fitness being low in especially cardiovascular patients, the aim should be to start with a rather low intensity and duration (“begin low, go slow”) with clear instructions for increasing the exertion. At least a moderate level of physical activity should be achieved, if possible and wished even a higher intensity. A moderate intensity (150min per week at 3 to 6 metabolic equivalents MET or 50 to 100 Watt with 70kg body weight, desirable at least 1500kcal per week of energy consumption) should be reached.

More recent data indicate that in endurance training, approximately 80% of the maximum heart rate achieved in the exercise test, possibly even 5% more, can be recommended (if there are no symptoms!). Alternative training modes such as, for example, high intensity interval training, have not yet proved better neither in coronary heart disease nor in heart failure.

Patients with heart failure should have a cardiopulmonary exercise test in order to determine the appropriate level of exercise based on the first ventilatory threshold.

KEY WORDS: Endurance Training, Exercise, Cardiovascular Patients, Exercise Intensity, High Intensity Interval Training

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