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Purpose of Review <p>Current guidelines recommend moderate to vigorous-intensity exercise for people with spinal cord injuries (SCI). The objective of this paper is to specify these guidelines by comparing improvement in peak oxygen uptake (VO2peak) after high-intensity training to low/moderate-intensity training.</p> Recent Findings <p>From inception to July 2023, 6 randomized controlled trials and crossover studies comparing high-intensity exercise to low/moderate-intensity exercise on VO2peak improvement in people with SCI were selected from 1102 studies from PubMed, CINAHL, Scopus, and SPORTDiscus. The standardized mean difference in VO2peak improvement after high-intensity exercise and low/moderate-intensity exercise was 0.04, favoring high-intensity exercise with a 95% confidence interval, -0.37–0.45.</p> Summary <p>The improvement in VO2peak was nonsignificant, suggesting high-intensity exercise alone is not superior for cardiometabolic outcomes. This data supports current guidelines and increases flexibility for exercise selection. Further research is needed to compare low-intensity exercise to moderate-intensity exercise.</p>

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Effects of Exercise Intensity on Cardiometabolic Health in Individuals with Spinal Cord Injuries (SCI): A Systematic Review

  • 期刊论文

  • 发表日期：

    2025年11月15日

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  • Taehwan Yoo,
  • Jacqueline Erdkamp,
  • Jochen Kressler,
  • Hee-Jin Jun,
  • Antoinette Domingo

摘要

Purpose of Review

Current guidelines recommend moderate to vigorous-intensity exercise for people with spinal cord injuries (SCI). The objective of this paper is to specify these guidelines by comparing improvement in peak oxygen uptake (VO2peak) after high-intensity training to low/moderate-intensity training.

Recent Findings

From inception to July 2023, 6 randomized controlled trials and crossover studies comparing high-intensity exercise to low/moderate-intensity exercise on VO2peak improvement in people with SCI were selected from 1102 studies from PubMed, CINAHL, Scopus, and SPORTDiscus. The standardized mean difference in VO2peak improvement after high-intensity exercise and low/moderate-intensity exercise was 0.04, favoring high-intensity exercise with a 95% confidence interval, -0.37–0.45.

Summary

The improvement in VO2peak was nonsignificant, suggesting high-intensity exercise alone is not superior for cardiometabolic outcomes. This data supports current guidelines and increases flexibility for exercise selection. Further research is needed to compare low-intensity exercise to moderate-intensity exercise.