<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2504-3145</journal-id>
<journal-title><![CDATA[Portuguese Journal of Public Health]]></journal-title>
<abbrev-journal-title><![CDATA[Port J Public Health]]></abbrev-journal-title>
<issn>2504-3145</issn>
<publisher>
<publisher-name><![CDATA[Escola Nacional de Saúde Pública]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2504-31452025000200070</article-id>
<article-id pub-id-type="doi">10.1159/000545049</article-id>
<title-group>
<article-title xml:lang="en"><![CDATA[Effects of High-Intensity Interval Training vs. Moderate-Intensity Continuous Training on Quality of Life and Mental Health inPost-Myocardial Infarction Patients: A Randomized Controlled Trial]]></article-title>
<article-title xml:lang="pt"><![CDATA[Efeitos do treino intervalado de alta intensidade vs. treino contínuo de intensidade moderada na qualidade de vida e na saúde mental de doentes pósenfarte do miocárdio: um ensaio controlado aleatório]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Gonçalves]]></surname>
<given-names><![CDATA[Catarina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
<xref ref-type="aff" rid="A a"/>
<xref ref-type="aff" rid="A4"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Raimundo]]></surname>
<given-names><![CDATA[Armando]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Abreu]]></surname>
<given-names><![CDATA[Ana]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Pais]]></surname>
<given-names><![CDATA[João]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Bravo]]></surname>
<given-names><![CDATA[Jorge]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
<xref ref-type="aff" rid="Aaf"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Instituto Politécnico de Beja Escola Superior de Educação Departamento de Artes, Humanidades e Desporto]]></institution>
<addr-line><![CDATA[Beja ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidade de Évora Escola de Saúde e Desenvolvimento Humano Departamento de Desporto e Saúde]]></institution>
<addr-line><![CDATA[Évora ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Comprehensive Health Research Centre  ]]></institution>
<addr-line><![CDATA[Évora ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Sport Physical Activity and Health Research &amp; Innovation Center  ]]></institution>
<addr-line><![CDATA[Guarda ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Hospital de Santa Maria  ]]></institution>
<addr-line><![CDATA[Lisboa ]]></addr-line>
<country>Portugal</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Hospital Espírito Santo de Évora  ]]></institution>
<addr-line><![CDATA[Évora ]]></addr-line>
<country>Portugal</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>08</month>
<year>2025</year>
</pub-date>
<volume>43</volume>
<numero>2</numero>
<fpage>70</fpage>
<lpage>85</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_arttext&amp;pid=S2504-31452025000200070&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_abstract&amp;pid=S2504-31452025000200070&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.pt/scielo.php?script=sci_pdf&amp;pid=S2504-31452025000200070&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction:  This study aimed to investigate the effects of two exercise-based programs over a short-term 6-week period, compared to a control group (no exercise program), on the quality of life (QoL) and mental health of patients with myocardial infarction (MI).  Methods:  In this randomized controlled trial, 72 patients with MI were individually randomized (1:1:1) into three groups: HIIT, MICT, and control. Both training programs consisted of 6 weeks of supervised treadmill exercise, three sessions per week. MICT was performed at &#8776;70-75% of peak heart rate (HR), while HIIT was performed at &#8776;85-95% of HRpeak. The control group followed standard medical recommendations. Outcome measures included assessments of QoL (SF-36) and anxiety and depression (HADS).  Results:  In the exercise groups, 6 out of the 8 SF-36 dimensions showed a significant improvement after 6 weeks. The HIIT group exhibited noteworthy enhancements in physical functioning (p = 0.022) and general health dimensions (p = 0.015) compared to the MICT group. Baseline anxiety and depression scores, albeit modestly elevated, substantially decreased following the 6-week exercise interventions in both exercise groups, exhibiting statistical significance compared to the control group (p &lt; 0.001). No significant differences were found between the HIIT and MICT in terms of mental health.  Conclusion:  Both exercise programs were equally effective in improving QoL and mental health in MI patients. However, the HIIT group showed greater improvements in physical functioning and general health dimensions than the MICT group. Our findings emphasize that abstaining from exercise-based post-MI programs correlates with lower QoL, and higher anxiety and depression scores. This underscores the significance of implementing exercise-based rehabilitation strategies to optimize the recovery and well-being of patients with MI.]]></p></abstract>
<abstract abstract-type="short" xml:lang="pt"><p><![CDATA[Resumo  Introdução:  Este estudo teve como objetivo investigar os efeitos de dois programas baseados em exercício durante seis semanas em comparação com um grupo de controlo (que não realizou nenhum programa de exercício), na qualidade de vida (QV) e na saúde mental de pacientes que sofreram um enfarte agudo do miocárdio (EAM).  Métodos:  Neste ensaio clínico randomizado, 72 pacientes após EAM foram aleatoriamente distribuídos (1:1:1) em três grupos: treino intervalado de alta intensidade (HIIT), treino contínuo de intensidade moderada (MICT) e controlo. Ambos os programas de treino consistiram em seis semanas de exercício supervisionado na passadeira, três sessões por semana. O MICT foi realizado a uma intensidade de &#8776; 70-75% da frequência cardíaca máxima (FCmáx), enquanto o HIIT foi realizado a &#8776;85-95% da FCmáx. O grupo controlo seguiu apenas as recomendações médicas habituais. Foi avaliado a QV (questionário SF-36), a ansiedade e a depressão (questionário HADS) antes e após as intervenções.  Resultados:  Nos grupos de exercício, seis das oito dimensões do questionário SF-36 mostraram melhorias significativas após as seis semanas. O grupo HIIT exibiu melhorias notáveis nas dimensões funcionamento físico (p = 0,022) e saúde geral (p = 0,015) em comparação com o grupo MICT. Os níveis iniciais de ansiedade e depressão, embora moderadamente elevados, diminuíram substancialmente após as intervenções em ambos os grupos de exercício, exibindo valores estatisticamente significativos em comparação ao grupo controlo (p &lt; 0,001). Não foram encontradas diferenças significativas entre os grupos HIIT e MICT na saúde mental.  Conclusão:  Ambos os programas de exercício foram igualmente eficazes na melhoria da QV e da saúde mental em pacientes após EAM. No entanto, o grupo HIIT mostrou melhorias maiores nas dimensões da funcionalidade física e da saúde geral em comparação ao grupo MICT. Os nossos resultados enfatizam que a não participação num programa de exercício pós-EAM está correlacionado com uma menor QV e níveis mais elevados de ansiedade e depressão. Isso sublinha a importância de implementar estratégias de reabilitação baseadas em exercício para otimizar a recuperação e o bem-estar dos pacientes com EAM.]]></p></abstract>
<kwd-group>
<kwd lng="en"><![CDATA[Anxiety]]></kwd>
<kwd lng="en"><![CDATA[Cardiovascular disease]]></kwd>
<kwd lng="en"><![CDATA[Depression]]></kwd>
<kwd lng="en"><![CDATA[Health-related quality of life]]></kwd>
<kwd lng="en"><![CDATA[High-intensity interval training]]></kwd>
<kwd lng="en"><![CDATA[Randomized controlled trial]]></kwd>
<kwd lng="pt"><![CDATA[Ansiedade]]></kwd>
<kwd lng="pt"><![CDATA[Depressão]]></kwd>
<kwd lng="pt"><![CDATA[Doença cardiovascular]]></kwd>
<kwd lng="pt"><![CDATA[Ensaio clínico randomizado]]></kwd>
<kwd lng="pt"><![CDATA[Qualidade de vida relacionada à saúde]]></kwd>
<kwd lng="pt"><![CDATA[Treino intervalado de alta intensidade]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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