Document Type : Research Paper I Open Access I Released under CC BY-NC 4.0 license


1 PhD Student, Department of Sports Physiology, Faculty of Physical Education and Sport Sciences, Mazandaran University, Babolsar, Iran

2 Professor, Department of Sports Physiology, Faculty of Physical Education and Sport Sciences, Mazandaran University, Babolsar, Iran


Aim: The stress of everyday life and aging inefficiency affect the cardiovascular system. The purpose of this study is to investigate the effect of home-based monitored exercise protocol (HBME) on cardio respiratory parameters and physical function of veterans of Mazandaran province. In addition, the correlation between Vo2peak and modified Bruce and Rockport was investigated by dual product and pulse oxygen.

Methodology: 120 veterans were randomly divided into intervention and control groups. Aerobic and resistance training programs were performed at home for 8 weeks and 4 and 2 days respectively. Cardiovascular Indices (Vo2peak Bruce and Rockport, Blood Pressure, Heart Rate, Dual Produce, and Pulse Oxygen) and Physical Function (Upper and Lower Strength, Balance and Flexibility) by field and laboratory tests at the beginning and the end The research period was measured. Data was analyzed using ANOVA, t-test and Pearson correlation.

Results: Implementation of 8 weeks of home-based training resulted in significant improvement in Bruce VO2, Rockport, upper and lower trunk strength, balance, flexibility and duality of the training group compared to the pre-test. (p≥0,001). In addition, there is a significant and significant negative correlation between the Bruce VO2 and the Rockport with the Pulse Oxygen. (r = -0.926, r = -0.335), (p≥ 0.000) (p <0.002).

Conclusion: Performing synergistic aerobic and homeopathic exercises through improving cardio respiration and muscular fitness may reduce myocardial stress and also improve physical activity and quality of life in veterans


1. Peraica T, Vidović A, Petrović ZK, Kozarić-Kovačić D. Quality of life of Croatian veterans' wives and veterans with posttraumatic stress disorder. Health and quality of life outcomes. 2014;12(1):136.
2. Jackson H. Cardiovascular Fitness and Lung Function of Adult Men and Women in the United States: NHANES 1999-2002. 2008.
3. Kemps HM, Schep G, Zonderland ML, Thijssen EJ, De Vries WR, Wessels B, et al. Are oxygen uptake kinetics in chronic heart failure limited by oxygen delivery or oxygen utilization? International journal of cardiology. 2010;142(2):138-44.
تأثیر پروتکل تمرین نظارتشده در خانه بر شاخصهای قلبی تنفسی و عملکرد بدنی جانبازان ... 409
4. Westerhof N, Stergiopulos N, Noble MI, Westerhof BE. Cardiac Oxygen Consumption and Hemodynamics. Snapshots of Hemodynamics: Springer; 2019. p. 129-34.
5. Paulus EJ, Argo TR, Egge JA. The impact of posttraumatic stress disorder on blood pressure and heart rate in a veteran population. Journal of traumatic stress. 2013;26(1):169-72.
6. Vrana SR, Hughes JW, Dennis MF, Calhoun PS, Beckham JC. Effects of posttraumatic stress disorder status and covert hostility on cardiovascular responses to relived anger in women with and without PTSD. Biological psychology. 2009;82(3):274-80.
7. Amirpour B, Aghayousefi A, Goli R, Abdolmaleki L. Biomarkers of Cardiovascular Responses among War Veterans with Posttraumatic Stress Disorder. 2015.
8. Ahmadi M, Bahaadinbeigy K. Viewpoints of Veterans Affected by Psychological Disorders towards usage of telemental services for War Veterans. Iranian Journal of War and Public Health. 2013;6(1):51-9.
9. Jolly K, Taylor RS, Lip GY, Stevens A. Home-based cardiac rehabilitation compared with centre-based rehabilitation and usual care: a systematic review and meta-analysis. International journal of cardiology. 2006;111(3):343-51.
10. Gary RA, Sueta CA, Dougherty M, Rosenberg B, Cheek D, Preisser J, et al. Home-based exercise improves functional performance and quality of life in women with diastolic heart failure. Heart & Lung: The Journal of Acute and Critical Care. 2004;33(4):210-8.
11. Nori, Hosseini, Shiri, Fahimi. Investigating the relationship between balance and daily activities of life with quality of life in people with multiple sclerosis. Quarterly Journal of Rehabilitation. 2019;19(4):292-301.
12. Graef P, Michaelsen SM, Dadalt ML, Rodrigues DA, Pereira F, Pagnussat AS. Effects of functional and analytical strength training on upper-extremity activity after stroke: a randomized controlled trial. Brazilian journal of physical therapy. 2016(AHEAD):0-.
13. Hemmati Maslak Pak M, Amirian Zainab, Hamidreza Khalkhali, Salehiا S. The effect of regular physical activity at home on the wellbeing of patients undergoing coronary artery bypass grafting. Nursing and Midwifery oromieh. 2012;10(1):0-.
15. Donnelly JE, Smith B, Jacobsen DJ, Kirk E, DuBose K, Hyder M, et al. The role of exercise for weight loss and maintenance. Best Practice & Research Clinical Gastroenterology. 2004;18(6):1009-29.
16. Thompson PD, Arena R, Riebe D, Pescatello LS. ACSM’s new preparticipation health screening recommendations from ACSM’s guidelines for exercise testing and prescription. Current sports medicine reports. 2013;12(4):215-7.
17. Kemi OJ, Wisløff U. High-intensity aerobic exercise training improves the heart in health and disease. Journal of cardiopulmonary rehabilitation and prevention. 2010;30(1):2-11.
410 علوم زیستی ورزشی، دورة 11 ، شمارة 4، زمستان 1398
18. Wasserman K, Hansen JE, Sue DY, Whipp BJ, Froelicher VF. Principles of exercise testing and interpretation. Journal of Cardiopulmonary Rehabilitation and Prevention. 1987;7(4):189.
19. Rahnama N, Reilly T, Lees A, Graham-Smith P. Muscle fatigue induced by exercise simulating the work rate of competitive soccer. Journal of Sports Science. 2003;21(11):933-42.
20. Usefy A, Ghassemi GR, Sarrafzadegan N, Mallik S, Baghaei A, Rabiei K. Psychometric properties of the WHOQOL-BREF in an Iranian adult sample. Community mental health journal. 2010;46(2):139-47.
21. Heidar S, Shiva N. Reliability of static, semi-dynamic and dynamic equilibrium functional tests in young actoumorph women. 2015.
22. Borg G. Borg's perceived exertion and pain scales: Human kinetics; 1998.
23. Colado JC, Garcia-Masso X, Triplett TN, Flandez J, Borreani S, Tella V. Concurrent validation of the OMNI-resistance exercise scale of perceived exertion with Thera-band resistance bands. The Journal of Strength & Conditioning Research. 2012;26(11):3018-24.
24. Jolly K, Taylor RS, Lip GY, Stevens A. Home-based cardiac rehabilitation compared with centre-based rehabilitation and usual care: a systematic review and meta-analysis. Int J Cardiol. 2006;111(3):343-51.
25. Corvera-Tindel T. Cathy Battaglia, PhD, RN May 19, 2016. 2016.
26. Stringer WW, Hansen JE, Wasserman K. Cardiac output estimated noninvasively from oxygen uptake during exercise. Journal of Applied Physiology. 1997;82(3):908-12.
27. Saedmocheshi S, Zareyan P, Saed L, Karimi S. The Effect of Acute and Chronic Sodium Bicarbonate Supplementation Loading With Exhaustive Work on Performance Indicators and Fatigue of Soldiers. Journal Mil Med. 2018;19(5):476-84.
28. Lixandrão ME, Ugrinowitsch C, Laurentino G, Libardi CA, Aihara AY, Cardoso FN, et al. Effects of exercise intensity and occlusion pressure after 12 weeks of resistance training with blood-flow restriction. European journal of applied physiology. 2015;115(12):2471-80.
29. Lammers J. Physical Therapists' Beliefs about Preparation to Work in Special Care Nurseries and Neonatal Intensive Care Units: Nova Southeastern University; 2018.
30. Mohebbi H, Rahmani-Nia F, Vatani DS, Faraji H. Post-exercise responses in blood pressure, heart rate and rate pressure product in endurance and resistance exercise. Medicina dello Sport. 2010;63(2):209-19.
31. Polito MD, Farinatti PdTV. Blood pressure behavior after counter-resistance exercises: a systematic review on determining variables and possible mechanisms. Revista Brasileira de Medicina do Esporte. 2006;12(6):386-92.
32. Fahs CA, Rossow LM, Loenneke JP, Thiebaud RS, Kim D, Bemben DA, et al. Effect of different types of lower body resistance training on arterial compliance and calf blood flow. Clinical physiology and functional imaging. 2012;32(1):45-51.
33. Halliwill JR. Mechanisms and clinical implications of post-exercise hypotension in humans. Exercise and sport sciences reviews. 2001;29(2):65-70.
تأثیر پروتکل تمرین نظارتشده در خانه بر شاخصهای قلبی تنفسی و عملکرد بدنی جانبازان ... 411
34. Stevens D, Oades P, Armstrong N, Williams CA. Early oxygen uptake recovery following exercise testing in children with chronic chest diseases. Pediatric pulmonology. 2009;44(5):480-8.
35. Attarzadeh Hoeini S, Hojati Oshtovani Z, Soltani H, Hossein Kakhk S. Changes in pulmonary function and peak oxygen consumption in response to interval aerobic training in sedentary girls. Quarterly Journal of Sabzevar University of Medical Sciences. 2012;19(1):42-51.
36. Neder JA, Andreoni S, Lerario MC, Nery LE. Reference values for lung function tests: II. Maximal respiratory pressures and voluntary ventilation. Brazilian journal of medical and biological research. 1999;32(6):719-27.
37. Laukkanen JA, Kurl S, Salonen JT, Lakka TA, Rauramaa R. Peak oxygen pulse during exercise as a predictor for coronary heart disease and all cause death. Heart. 2006;92(9):1219-24.