Institutional Guidelines for Resistance Exercise Training in Cardiovascular Disease: A Systematic Review

  • Andressa Santoro Faber Fidalgo
  • Paulo Farinatti
  • Juliana Pereira Borges
  • Tainah de Paula
  • Walace MonteiroEmail author
Systematic Review



Institutional position stands are useful for practitioners when designing exercise routines for specific populations. Resistance training has been included in programs for patients with cardiovascular disease.


The objective of this systematic review was to analyze institutional guidelines providing recommendations for resistance training applied to cardiovascular disease.


PubMed, Web of Science, and Scopus databases were searched from inception until 30 April, 2018.


Of 994 articles initially found, 13 position stands were retained. Consensual indications occurred only for number of sets (one to three sets) and training frequency (two to three sessions/week). Recommendations concerning other major training variables were discordant regarding workload (none or loads ranging from < 30% up to 80% 1 repetition maximum) and exercise order (none or vaguely indicating alternation of muscle groups or circuit format), or insufficient regarding intervals between sets and exercises or number and type of exercises. Overall, guidelines lack recommendations of specific procedures for each type of disease at different severity levels, cardiovascular risk during exercise, or criteria for training progression.


Recommendations provided by institutional guidelines appear to be insufficient to support adequate resistance training prescription in the context of cardiovascular disease.



The authors thank Dr. Roberto Potton for his support during the article search.

Compliance with Ethical Standards


This study was partially funded by grants from the Brazilian Council for Technological and Research Development (CNPq) and the Carlos Chagas Foundation for the Research Support at the Rio de Janeiro State (FAPERJ).

Conflict of interest

Andressa Santoro Faber Fidalgo, Paulo Farinatti, Juliana Pereira Borges, Tainah de Paula, and Walace Monteiro have no conflicts of interest that are directly relevant to the content of this study.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Graduate Program in Physical Activity SciencesSalgado de Oliveira UniversityNiteróiBrazil
  2. 2.Laboratory of Physical Activity and Health Promotion, Institute of Physical Education and SportsUniversity of Rio de Janeiro StateRio de JaneiroBrazil

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