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Medizinische Trainingstherapie (MTT)

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Zusammenfassung

Die wichtigste Indikation ist die verminderte Leistungsfähigkeit. Direkt durch Training behandelbar, präventiv und/oder kurativ, sind Hypertonie, Fettstoffwechselstörungen, Diabetes mellitus II, Adipositas, Arteriosklerose, Demenz, Depression und einige Krebserkrankungen. Weitere Indikationen, vor allem für Krafttraining, sind Schulter- und Rückenschmerzen, Osteoporose, rheumatoide Arthritis, Fibromyalgie. Das Verletzungsrisiko ist bei sorgfältiger Bewegungsschulung sehr gering. Kontraindikationen sind jede akute Erkrankung sowie nicht ausreichend behandelte chronische Grunderkrankungen. Zur Kontrolle der Trainingstherapie sind die normalen Kontrollen im Rahmen der chronischen Krankheit durch Ergometrie und Dynamometrie zu ergänzen. Trainingstherapie ist kein Sport, sondern Therapie, und unterliegt daher den Kriterien Indikation, Wirksamkeit und Sicherheit. Sportspiele sind daher kein Mittel der Trainingstherapie. Trainingstherapie ist grundsätzlich lebenslänglich.

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Literatur

  • Abbott RD, White LR et al. (2004) Walking and dementia in physically capable elderly men. JAMA 292: 1447–1453

    Article  CAS  PubMed  Google Scholar 

  • Andel R, Crowe M et al. (2008) Physical Exercise at Midlife and Risk of Dementia Three Decades Later: A Population-Based Study of Swedish Twins. J Gerontol A Biol Sci Med Sci 63 (1): 62–66

    Article  PubMed  Google Scholar 

  • Anderson LB, Hippe M (1996) Coronary heart disease Risk. Sports Med 22: 213–218

    Article  Google Scholar 

  • Björtorp D, Krotkiewski M (1995) Exercise treatment in diabetes mellitus. Acta Med Scand 217: 3–7

    Article  Google Scholar 

  • Blair SN, Kohl HW et al. (1989) Physical fitness and all-cause mortality. A prospective study of healthy men and women. JAMA 262: 2395–2401

    Article  CAS  PubMed  Google Scholar 

  • Blumenthal JA, Babyak MA et al. (1999) Effects off exercise training on older patients with major depression. Arch Intern Med 159: 2349–2356

    Article  CAS  PubMed  Google Scholar 

  • Breen L, Stokes KA et al. (2013) Two Weeks of Reduced Activity Decreases Leg Lean Mass and Induces “Anabolic Resistance” of Myofibrillar Protein Synthesis in Healthy Elderly. J Clin Endocrinol Metab 98: 2604–2612

    Article  CAS  PubMed  Google Scholar 

  • Busch AJ, Barber KAR et al. (2007) Exercise for treating fibromyalgia syndrome. Cochrane Database of Systematic Reviews (4)

    Google Scholar 

  • Cauza E, Hanusch-Enserer U et al. (2005) The relative benifits of endurance and strength training on the metabolic factors and muscle function of people with type 2 diabetes mellitus. Arch Phys Med Rehab 86: 1527–1533

    Article  Google Scholar 

  • Ciccolo JT, Carr LJ et al. (2010) The Role of Resistance Training in the Prevention and Treatment of Chronic Disease. American Journal of Lifestyle Medicine 4(4): 293–308

    Article  Google Scholar 

  • Cooper R, Kuh D et al. (2010) Objectively measured physical capability levels and mortality: systematic review and meta-analysis. BMJ 341: c4467

    Article  PubMed  PubMed Central  Google Scholar 

  • Cuff JC, Meneilly GS et al. (2003) Effective exercise modality to reduce insulin resistance in women with type 2 diabetes. Diabetes Care 26: 2977–2982

    Article  PubMed  Google Scholar 

  • Dalgas U, Stenager E et al. (2008) Multiple sclerosis and physical exercise: recommendations for the application of resistance-, endurance- and combined training. Multiple Sclerosis 14: 35–53

    Article  CAS  PubMed  Google Scholar 

  • de Jong Z, Munneke M et al. (2004) Slowing of bone loss in patients with rheumatoid arthritis by long-term high-intensity exercise: results of a randomized, controlled trial. Arthritis Rheum 50: 1066–1076

    Article  PubMed  Google Scholar 

  • Diabetes Prevention Program Research Group (2002) Reduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin. N Engl J Med 346(6): 393–403

    Article  PubMed Central  Google Scholar 

  • Dorfman TA, Levine BD et al. (2007) Cardiac atrophy in women following bed rest. J Appl Physiol 103: 8–16

    Article  PubMed  Google Scholar 

  • Duncan JJ, Gordon FN et al. (1991) Women walking for health and fitness. JAMA 66: 3265–3299

    Google Scholar 

  • Dunn AL, Trivedi MH et al. (2005) Exercise treatment for depression: efficacy and dose response. Am J Prev Med 28: 1–8

    Article  PubMed  Google Scholar 

  • Elosua R, Redondo A et al. (2013) Dose–response association of physical activity with acute myocardial infarction: Do amount and intensity matter? Preventive Medicine 57 567–572

    Article  PubMed  Google Scholar 

  • Erickson KI, Voss MW et al. (2011) Exercise training increases size of hippocampus and improves memory. PNAS 108 (7): 3017–3022

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Eriksson JG (1999) Exercise and the treatment of type 2 diabetes mellitus. Sports Med 27: 381–391

    Article  CAS  PubMed  Google Scholar 

  • Eves ND, Plotnikoff RC (2006) Resistance training and type 2 Diabetes. Diabetes Care 29: 1933–1941

    Article  PubMed  Google Scholar 

  • Fiatarone MA, Marks EC et al. (1990) High-intensity strength training in nonagenarians. JAMA 263: 3029–3034

    Article  CAS  PubMed  Google Scholar 

  • Freudenberger P, Petrovic K et al. (2016) Fitness and cognition in the elderly: The Austrian Stroke Prevention Study. Neurology DOI: 10.1212/wnl.0000000000002329

  • Giovannucci EL, Liu Y et al. (2005) A prospective study of physical activity and incident and fatal prostate cancer. Arch Intern Med 165: 1005–1010

    Article  PubMed  Google Scholar 

  • Grove A, Lipworth BJ et al. (1996) Effects of regular salmeterol on lung function and exercise capacity in patients with chronic obstructive pulmonary disease. Thorax 51: 689–693

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Gulati M, Pandey DK et al. (2003) Exercise Capacity and the Risk of Death in Women: The St James Women Take Heart Project. Circulation 108(13): 1554–1559

    Article  PubMed  Google Scholar 

  • Hagberg JM, Park J-J et al. (2000) The role of exercise training in the treatment of hypertension. Sports Medicine 30: 193–206

    Article  CAS  PubMed  Google Scholar 

  • Halle M, Hambrecht R (2016) Körperliches Training in der Kardiologie – die Intensität ist entscheidend. Der Kardiologe 10 (3): 170–175

    Article  Google Scholar 

  • Hartard M, Haber P et al. (1996) Systematic strength training as a model of therapeutic intervention. A controlled trial in postmenopausal women with osteopenia. Am J Phys Med Rehabil 75: 21–28

    Article  CAS  PubMed  Google Scholar 

  • Holmes MD, Chen WY et al. (2005) Physical activity and survival after breast cancer diagnosis. JAMA 293: 2479–2486

    Article  CAS  PubMed  Google Scholar 

  • Honkola A, Forsen T et al. (1997) Resistance training improves the metabolic profile in individuals with type 2 diabetes. Acta Diabetol 34: 245–248

    Article  CAS  PubMed  Google Scholar 

  • Hörtnagl H, Baumgartner H et al. (1986) Gezieltes Training als therapeutisches Mittel in der Behandlung der Hyper- und Hypotonie. Wiener klinische Wochenschrift 98: 652–658

    PubMed  Google Scholar 

  • Kadar L, Albertsson M et al. (2000) The Prognostic Value of Body Protein in Patients with Lung Cancer. Ann NY Acad Sci 904(1): 584–591

    Article  CAS  PubMed  Google Scholar 

  • Karpatkin H (2005) Multiple sclerosis an exercise. A review of the evidence. Int J of MS Care 7: 36–41

    Article  Google Scholar 

  • Kemmler W, Lauber D et al. (2004) Benefits of 2 Years of Intense Exercise on Bone Density, Physical Fitness, and Blood Lipids in Early Postmenopausal Osteopenic Women Results of the Erlangen Fitness Osteoporosis Prevention Study (EFOPS). Arch Intern Med 164: 1084–1091

    Article  PubMed  Google Scholar 

  • Kemmler W, Weineck J et al. (2004) The effect of habitual physical activity, non-athletic exercise, muscle strength, and VO2max on bone mineral density is rather low in early postmenopausal osteopenic women. J Musculoskelet Neuronal Interact 4(3): 325–334

    CAS  PubMed  Google Scholar 

  • Keul J, Witzigmann E (1988) Das kulinarische Fitness-Kochbuch. München, Heyne

    Google Scholar 

  • Krasemann EO, Traenckner K (1989) Herz-Kreislauf-Komplikationen und Verletzungen in Herzgruppen. Herz/Kreislauf 21: 421–428

    Google Scholar 

  • Kwak YS, Um SY et al. (2008) Effects of regular exercise on senile dementia patients. Int J Sports Med 29: 471–474

    Article  PubMed  Google Scholar 

  • Larson EB, Wang L et al. (2006) Exercise Is Associated with Reduced Risk for Incident Dementia among Persons 65 Years of Age and Older. Ann Intern Med 144: 73–81

    Article  PubMed  Google Scholar 

  • Laurin D, Verreault R et al. (2001) Physical activity and risk of cognitive impairment and dementia in elderly persons. Arch Neurol. 58: 498–504

    Article  CAS  PubMed  Google Scholar 

  • Lee EM, Paffenbarger RS (2000) Associations of leight, moderate and vigorous intensity physical activity with longevity. Am J Epidemiol 151: 293–299

    Article  CAS  PubMed  Google Scholar 

  • Leong DP, Teo KK et al. (2015) Prognostic value of grip strength: findings from the Prospective Urban Rural Epidemiology (PURE) study. The Lancet 366: 266–273

    Article  Google Scholar 

  • Mazzeo RS, Tanaka H (2001) Exercise prescription for the elderly: current recommendations. Sports Med 31(11): 809–818

    Article  CAS  PubMed  Google Scholar 

  • McTiernan A, Kooperberg C et al. (2003). Recreational physical activity and the risk of breast cancer in postmenopausal women: the Women's Health Initiative Cohort Study. JAMA 290: 1331–1336

    Article  CAS  PubMed  Google Scholar 

  • Meyerhardt JA, Heseltine D et al. (2006) Impact of Physical Activity on Cancer Recurrence and Survival in Patients With Stage III Colon Cancer: Findings From CALGB 89803. J Clin Oncol 24: 3535–3541

    Article  PubMed  Google Scholar 

  • Mujika I, Padilla S (2000) Detraining: loss of training-induced physiological and perfomance adaptations. Part II: long term insufficient training stimulus. Sports Medicine 30: 145–154

    Article  CAS  PubMed  Google Scholar 

  • Myers J, Kaykha A et al. (2004) Fitness versus physical activity patterns in predicting mortality in men. Am J Med 117: 912–918

    Article  PubMed  Google Scholar 

  • Myers J, Prakash M et al. (2002) Exercise Capacity and Mortality among Men Referred for Exercise Testing. N Engl J Med 346(11): 793–801

    Article  PubMed  Google Scholar 

  • Nagamatsu LS, Handy TC et al. (2012) Resistance Training Promotes Cognitive and Functional Brain Plasticity in Seniors With Probable Mild Cognitive Impairment. Arch Intern Med 172(8): 666–668

    Article  PubMed  PubMed Central  Google Scholar 

  • Oga T, Nishimura K et al. (2003) Analysis of the factors related to mortality in chronic obstructive pulmonary disease: role of exercise capacity and health status. Am J Respir Crit Care Med 167(4): 544–549

    Article  PubMed  Google Scholar 

  • Orsini N, Bellocco R et al. (2009) A prospective study of lifetime physical activity and prostate cancer incidence and mortality. Br J Cancer 101 (11): 1932–1938

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Paffenbarger RSJ, Wing AL et al. (1978) Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol. 108: 161–175

    Google Scholar 

  • Paluska SA, Schwenk TL (2000) Physical activity and mental health. Sports Medicine 29(3): 167–180

    Article  CAS  PubMed  Google Scholar 

  • Pinto-Plata VM, Cote C et al. (2004) The 6-min walk distance: change over time and value as a predictor of survival in severe COPD. Eur Respir J 23: 28–33

    Article  CAS  PubMed  Google Scholar 

  • Pontzer H, Durazo-Arvizu R et al. (2016) Constrained Total Energy Expenditure and Metabolic Adaptation to Physical Activity in Adult Humans. Current Biology

    Google Scholar 

  • Reuter I, Knapp G (2015) Parkinson Syndrom. Prävention und Therapie durch Sport. C. D. Reimers, I. Reuter, B. Tettenbornet al. München, Elsevier, Urban und Fischer. 2: Neurologie, Psychiatrie/Psychosomatik, Schmerzsyndrome

    Google Scholar 

  • Rogers MA, Evans WJ (1993) Changes in skeletal muscle with aging: effects of exercise training. Exerc Sport Sci Rev 21: 65–102

    Article  CAS  PubMed  Google Scholar 

  • Saltin B, Blomqvist G et al. (1968) Response to exercise after bed rest and after training. A longitudinal study of adaptive changes in oxygen transport and body composition. Circulation 38, Suppl. 7

    Google Scholar 

  • Samitz G, Egger M et al. (2011) Domains of physical activity and all-cause mortality: systematic review and dose–response meta-analysis of cohort studies. Int J Epidemiol, 1–19 DOI: doi: 10.1093/ije/dyr112

  • Schnohr P, O’Keefe JH et al. (2015) Dose of Jogging and Long-Term Mortality: The Copenhagen City Heart Study. J Am Coll Cardiol 65: 411–419

    Article  PubMed  Google Scholar 

  • Sinaki M, Itoi E et al. (2002) Stronger back muscles reduce the incidence of vertebral fractures: a prospective 10 year follow-up of postmenopausal women. Bone 30: 836–841

    Article  CAS  PubMed  Google Scholar 

  • Smith SC, Blair SN et al. (2001) AHA/ACC Guidelines for Preventing Heart Attack and Death in Patients With Atherosclerotic Cardiovascular Disease: 2001 Update: A Statement for Healthcare Professionals From the American Heart Association and the American College of Cardiology Circulation 104: 1577–1579

    Google Scholar 

  • Smutok MA, Reece C et al. (1994) Effects of exercise training modality on glucose tolerance in men with abnormal glucose regulation. Int J Sports Med 15: 283–289

    Article  CAS  PubMed  Google Scholar 

  • Spruit MA, Singh SJ et al. (2013) An Official American Thoracic Society/European Respiratory Society Statement: Key Concepts and Advances in Pulmonary Rehabilitation. American Journal of Respiratory and Critical Care Medicine 188(8): e13–e64

    Article  Google Scholar 

  • Strasser B, Leeb G et al. (2011) The effects of strength and endurance training in patients with rheumatoid arthritis. Clinical Rheumatology 30(5): 623–632

    Article  PubMed  Google Scholar 

  • Suzuki T, Shimada H et al. (2013) A Randomized Controlled Trial of Multicomponent Exercise in Older Adults with Mild Cognitive Impairment. PLoS ONE 8(4): e61483

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Swain DP, Franklin BA (2006) Comparison of Cardioprotective Benefits of Vigorous Versus Moderate Intensity Aerobic Exercise. Am J Cardiol 97: 141–147

    Article  PubMed  Google Scholar 

  • Talbot LA, Morrell CH et al. (2002) Comparison of Cardiorespiratory Fitness Versus Leisure Time Physical Activity as Predictors of Coronary Events in Men Aged 65 Years. Am J Cardiol 89(10): 1187–1192

    Article  PubMed  Google Scholar 

  • Thune I, Lund E (1997) The influence of physical activity on lung-cancer risk: a prospective study of 81.516 men and women. International Jounal of Cancer 70: 57–62

    Article  CAS  Google Scholar 

  • Turner MJ, Spina RJ et al. (2000) Effect of endurance exercise training on left ventricular size and remodeling in older adults with hypertension. J Gerontol A Biol Sci Med Sci 55: 245–251

    Article  Google Scholar 

  • Uhthoff W (1890) Untersuchungen über die bei der multiplen Herdsklerose vorkommenden Augenstörungen. Arch Psychiat Nervenkrankh 21: 305–410

    Article  Google Scholar 

  • van Langendonck L, Claessens AL et al. (2002) Association between bone mineral density (DXA) body structure and body composition in middle aged man. Amer. J. Human Biology 14: 735–742

    Article  Google Scholar 

  • von Klot S, Mittleman MA et al. (2008) Intensity of physical exertion and triggering of myocardial infarction: a case-crossover study. European Heart Journal 29: 1881–1888

    Article  Google Scholar 

  • Weiss JP, Froelicher VF et al. (2004) Health-Care Costs and Exercise Capacity. Chest 126: 608–613

    Article  PubMed  Google Scholar 

  • Weuve J, Kang JH et al. (2004) Physical activity, including walking, and cognitive function in older women. JAMA 292: 1454–1461

    Article  CAS  PubMed  Google Scholar 

  • Wieser M, Haber P (2007) The effects of systematic resistance training in the elderly. Int J Sports Med 28: 59–65

    Article  CAS  PubMed  Google Scholar 

  • Williams PT (2001) Physical fitness and activity as separate heart disease risk factors: a meta-analysis. Med. Sci. Sports. Exerc. 33: 754–761

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wolfe RR (2006) The underappreciated role of muscle in health and disease. Am J Clin Nutrition 84: 475–482

    CAS  Google Scholar 

  • Wolin KY, Yan Y et al. (2009) Physical activity and colon cancer prevention: a meta-analysis. Br J Cancer 100 (4): 611–616.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  • Wright JD, Kennedy-Stephenson J et al. (2004) Trends in Intake of Energy and Macronutrients – United States, 1971–2000. MMWR; Morbidity and Mortality weekly Report 53: 80–82

    Google Scholar 

  • Xu Q, Park Y et al. (2010) Physical activities and future risk of Parkinson disease. Neurology 75(4): 341–348

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Haber, P. (2018). Medizinische Trainingstherapie (MTT). In: Leitfaden zur medizinischen Trainingsberatung. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54321-4_20

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